This study will be conducted to answer the following question:
Is there a Correlation Between Lumbar Radiculopathy and Quality of Life in Patients with chronic lumbar spondylosis?
All patient diagnosed and referred from a physician
Patients suffered from lumbar spondylosis (L4: L5) with radiculopathy more than 3 months
Participants will be from both gender
Age will be ranged from 30 to 50.
Pregnant and breast-feeding women
Patients diagnosed with depression and anxiety
Patient who had undergone lumbar spine surgery
People with systemic illnesses or physical deformities
one hundred thirty-two subjects (who have chronic lumbar spondylosis); from both genders will participate in this study.
Other
Cross-sectional
Not listed
life disability
WHOQOL questionnaire will be used to assess life disability. it is defined as the individual's perception of their QoL. It consists of 24 questions which cover 4 categories plus 2 questions related to scale and health satisfaction. Each individual item of the WHOQOL-BRIEF is scored from 1 to 5 on a response scale, which is stipulated as a five-point ordinal scale. The scores are then transformed linearly to a 0-100-scale.
sciatic radiculopathy
The straight leg raise test will be used to assess lumbar radiclulopathy..The straight leg raise test is performed with the patient in a supine position. The examiner gently raises the patient's leg by flexing the hip with the knee in extension, and the test is considered positive when the patient experiences pain along the lower limb in the same distribution of the lower radicular nerve roots (usually L5 or S1). Furthermore, a positive straight leg raise test is determined when pain is elicited by lower limb flexion at an angle lower than 45 degrees. Patients usually request that the examiner abort the maneuver during the test if the pain is reproduced during the leg straightening. The buttock pain is usually relieved by flexing the patient's knee. Additional maneuvers have been described to enhance the test's sensitivity, such as the Bragaad sign, which consists of concomitant foot dorsiflexion to increase the pain while the examiner completes the leg raise
mechanosensitivity of the neuromeningeal structures within the vertebral canal
B. The Slump Test: is a neurodynamic test that is believed to evaluate the mechanosensitivity of the neuromeningeal structures within the vertebral canal.To perform the slump test, the patient is placed in an erect sitting position with the knees flexed to 90 and the legs hanging off of the side of the examination table The patient is asked to sit in a slouched position (thoracic and lumbar flexion with a posterior pelvic tilt) and is then requested to actively flex the cervical spine as far as comfortably possible. The clinician/physical therapist then applies gentle overpressure to the upper thoracic and lower cervical spine and maintains this position throughout the examination. The patient's ankle is then passively dorsiflexed to a neutral position while the knee is slowly passively extended until full extension is achieved
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