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High-power Laser Versus Pulsed Electromagnetic Therapy in Lumbar Radiculopathy.

ConditionsLumbar RadiculopathyHoffman's ReflexPulsed Electromagnetic TherapyLaser TherapyHerniated Lumbar Disc
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age55-68
SponsorCairo University

About this trial

To compare between high-power laser versus pulsed electromagnetic therapy on pain and Hoffman reflex in lumbar radiculopathy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Sixty lumbar radiculopathy patients, of both sexes, will represent the sample.

The patient's age will range from 55 to 68 years old.

Patients with degenerative lumbar disc lesion at L5-S1 confirmed by MRI and latency in H- reflex.

Patients with unilateral sciatic radiating pain (from 5 to 8 by visual analogue scale).

Disqualifiers

Patients with pacemakers and presence of electronic implants.

Pregnant women.

History of or existing malignant conditions, active tuberculosis of the lungs.

Any medical condition that may cause sciatic nerve lesion except lumbar radiculopathy, (e.g., diabetes mellitus or collagen disorders).

Trial design

Design model

Parallel

Treatments tested in this trial

  • high-power laser

    Device

    The study group (G1a) receive 20 minutes of high-power laser therapy followed by 25 the same physical therapy program as control group.

  • Pulsed electromagnetic field

    Device

    group 2 patients will receive 20 minutes of Pulsed electromagnetic field followed by 25 the same selected physiotherapy program as control group.

  • physiotherapy program

    Other intervention

    Selected Physical therapy program in the form of: 1. Nerve gliding exercise for sciatic nerve. 2. Hot pack for 15 minutes, for 12 sessions. 3. Core stability exercise (static abdominal exercise, bridging, knee to chest).

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: study group 1 (G1a)Experimental treatment 2 interventions
Group B: study group 2 (G1b)Experimental treatment 2 interventions
Group C: control group (G2)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

The Visual Analogue Scale (VAS)

The Visual Analogue Scale (VAS) is a tool for measuring pain intensity, using a continuous 10-centimeter line with "no pain" at one end (0) and "worst imaginable pain" at the other (10), where patients mark their current pain level, with a ruler used to measure the score from the zero mark for a score out of 10, commonly used in research and clinical settings to track pain changes.

Time frame
baseline
2

Hoffman reflex or H reflex

H-reflex will be measured in the soleus muscle by stimulating the tibial nerve with a one-millisecond pulse at 0.2pps of H-max. The peak-to-peak amplitude of the highest recorded H-reflex and the latencies of four spaced traces for both lower extremities will be averaged for each participant. The soleus H-reflex will be evoked by tibial nerve stimulation in the popliteal fossa.

Time frame
baseline

Secondary outcomes

Other outcomes

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: