High Power Laser Therapy for Herniated Disc and Lumbosacral Radiculopathy

ConditionHerniated Lumbar Disc

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age30-45

SponsorCairo University

About this trial

To determine the effect of high-power laser therapy on the size of herniated disc and functional outcome in patients with lumbosacral radiculopathy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients diagnosed by orthopedic or neurological consultants depended on MRI assessment as disc herniation (L4-L5/L5-S1levels) with lumbar radiculopathy.

patients from both genders.

The patient age will range from 30-45 years old.

Duration of illness ranged from 3 to 6 months.

Disqualifiers

Previous lumbar or hip surgery.

Cauda equina syndrome

Fracture of the bones of lower extremity.

Major neurological condition (e.g., stroke, multiple sclerosis, Epilepsy, Meningitis, and Brain tumor).

Trial design

Design model

Parallel

Treatments tested in this trial

High power Laser Therapy
Device
A total course protocol: 18 sessions, for 6 weeks ,3 sessions per week. Patients will receive High power Laser treatment. manually set to bio stimulation mode with high peak power (5 - 6 W), energy per impulse 150 mJ/c2, wavelength measuring 1064 nm, and spot beam diameter area of 1 cm2. The hand piece was positioned in contact with and perpendicular to the treated area with the patient inside lying position with knee to chest. Scanning will perform transversely and longitudinally paravertebral region on the lower lumbar area at the level of the disc concerned. Each session included three phases (fast scan, sensitive trigger points, slow scan) and had a total duration of 20 minutes. During each session, a total energy of 3000 J was applied through three phases of treatment.
physical therapy exercise program and hot pack
Device
this group will receive the same selected physical therapy exercise program (45 minutes) and hot pack (10 min) for 18 session. All patients will attend the physical therapy clinic three times weekly for 6 weeks

Treatment groups

40 Participants

are divided into 2 treatment groups

Group A: HPLTActive comparator 2 interventions

Group B: physical therapy exercise program and hot packSham comparator 1 intervention

Trial outcomes

Primary outcomes

Visual Analogue Scale (VAS)

Visual Analogue Scale (VAS): This scale is used to assess the severity of pain. It consists of a line, usually 10 cm long, ranging from no pain or discomfort (zero) to the worst pain (10) that the patient could feel

Time frame

3 to 6 months

Back Pain Related Disability (ODI) using Oswestry low back pain disability questionnaire

Modified Oswestry low back disability questionnaire will be used to evaluate patient functional disability. It consists of 10 sections of activities of daily life. Patient asked to answer by checking ONE box in each section for the statement which best applies to her. For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5.

Time frame

3-6 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: