Clinical Outcomes of Prone and Supine Lumbar Traction Matched to Mechanical Bias in Flexion and Extension Subgroups With Lumbosacral Radiculopathy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-50
SponsorAl-Ahliyya Amman University

About this trial

Aim of the study is to identify specific patient subgroups that respond optimally to prone or supine traction based on mechanical diagnosis.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Acute and subacute lumbosacral disc herniation with radiculopathy.

Positive Straight leg raising test or Slump test.

Disqualifiers

Spondylolisthesis, prior spinal surgery, "Red Flags" (Cauda Equina, malignancy), or a non-mechanical response to repeated movements and patients with LBP without radiculopathy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • group A

    Other intervention

    Press up on elbow exercise traction from prone.

  • Group B

    Other intervention

    Press up on elbow exercise. traction from supine

  • Group C

    Other intervention

    Traction from supine with flexion bias exercise knee to chest exercise for 2 minutes

  • Group D

    Other intervention

    Traction from prone with flexion bias exercise knee to chest exercise for 2 minutes

Treatment groups

28 Participants
are divided into 4 treatment groups
Group A: A) Extension bias, prone tractionExperimental treatment 1 intervention
Group B: B) Extension bias, supine tractionExperimental treatment 1 intervention
Group C: C) Flexion bias, supine tractionExperimental treatment 1 intervention
Group D: D) Flexion bias, prone tractionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Numerical pain scale (NPRS)

Pain (lower limb radiating pain)

Time frame
Pain intensity was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)
2

Oswestry back scale (ODI)

Functional questionnaire for back disability

Time frame
Patients completed the ODI questionnaire at baseline during their initial clinical evaluation. A subsequent assessment was conducted upon completion of the 12-session intervention protocol (representing the one-month follow-up)
3

Hip flexion Angle

Hip flexion Angle during SLR test is also used to measure neural tension improvements for extension bias groups (by digital inclinometer)

Time frame
Hip flexion Angle was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)
4

Knee extension angle

Knee extension angle with active knee extension during slump test was used for flexion bias groups (to measure how many degrees the knee is away from full extension when the leg pain starts).

Time frame
Knee extension angle was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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