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Cyriax Manipulation in Lumbar Derangement Syndrome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04082065
Recruitment Status : Completed
First Posted : September 9, 2019
Last Update Posted : September 13, 2019
Sponsor:
Information provided by (Responsible Party):
Riphah International University

Brief Summary:
the objective of the study was to determine the effect of Cyriax manipulation for Pain, range of motion and quality of life in lumbar internal derangement radiculopathy in single physical therapy session. Randomized control trails were carried out in Railway general hospital from February 2018 to July 2018 in which 43 patients with Low back pain were randomly divided by lottery method into control and experimental group. Single session of treatment was given. tools used in the study are visual analog scale, Oswestry disability index and lumber range of motion. data was analysed through SPSS (statistical package for social sciences) 21.

Condition or disease Intervention/treatment Phase
Derangement; Low Back Other: conventional physical therapy Other: cyriax lumber manipulation group Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 43 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: interventional
Masking: Single (Investigator)
Masking Description: single
Primary Purpose: Other
Official Title: Cyriax Manipulation in Lumbar Internal Derangement Syndrome
Actual Study Start Date : January 15, 2018
Actual Primary Completion Date : June 20, 2018
Actual Study Completion Date : June 30, 2018

Arm Intervention/treatment
Active Comparator: conventional physical therapy
Myofacial release Stretching of hamstring and Piriformis
Other: conventional physical therapy
hot pack for 15 minutes Myofacial release (10 minutes) and Stretching of hamstrings and Piriformis (5 reps each with 2 second hold)

Experimental: cyriax lumber manipulation group
Myofacial Release stretching of hamstrings and Piriformis Cyriax Lumbar Manipulation Techniques
Other: cyriax lumber manipulation group
Hot Pack, Myofacial Release, stretching of hamstrings and Piriformis (five reps each with 2 seconds hold) and Cyriax Lumbar Manipulation Techniques




Primary Outcome Measures :
  1. Owstery disability index [ Time Frame: 3rd day ]
    ODI is self-reported tool used widely for measurement of functional disability related to. It was introduced by Fairbank et al in 1980 which gives guidelines for measuring functional disability due to LBP and considered gold standard. It is divided into 10 sections i.e. pain, personal care, sitting, walking, standing, travelling, weight lifting, sleeping, social life. Patient is guided to select one option according to their symptoms. Total score is 50.Once the individual score is calculated Percentage can be calculated by dividing it with total score i.e. 50 and then multiply it by 100.) In This study scores are calculated by filling the questionnaire before session and then filling it after two or three days after


Secondary Outcome Measures :
  1. visual analog sclae [ Time Frame: 1st day after session ]
    Visual Analogue Scale is an instrument used for measurement of characteristics that are in continuum manner and cannot be directly measured e.g. pain .it is simple and most widely used measurement for pain variations VAS is a horizontal line of 100 mm. Patient is asked to mark a point of their current status .it has 5-point description "nil" Mild'" moderate" "severe" and "very severe

  2. range of motion lumber spine (flexion) [ Time Frame: 1st day after session ]
    changes from baseline lumber flexion range of motion was taken by the help of goniometer

  3. range of motion lumber spine (extension) [ Time Frame: 1st day after session ]
    changes from baseline lumber range of motion was taken by the help of goniometer

  4. range of motion lumber spine (right side bending) [ Time Frame: 1st day after session ]
    changes from baseline lumber range of motion was taken by the help of goniometer

  5. range of motion lumber spine (left side bending) [ Time Frame: 1st day after session ]
    changes from baseline lumber range of motion was taken by the help of goniometer



Information from the National Library of Medicine

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Ages Eligible for Study:   30 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • lumber pain, pain radiating to leg, motor deficits in legs, , dural signs and symptoms, impaired nerve root mobility(straight leg raise and L3 stretch), back pain effecting Quality of life, ODI score less than 30 and Limited range of motion .

Exclusion Criteria:

  • Osteoporosis of hip, Bilateral sciatica, having anticoagulant medication, pregnancy, patient with impaired mental status

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04082065


Locations
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Pakistan
Riphah International university
Islamabad, Federal, Pakistan, 44000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Abdul Ghafoor Sajjad, PHD* Riphah International University
Publications:
Ombregt L. A System of Orthopaedic Medicine-E-Book: Elsevier Health Sciences; 2013.

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Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT04082065    
Other Study ID Numbers: RiphahIU Sara yasin
First Posted: September 9, 2019    Key Record Dates
Last Update Posted: September 13, 2019
Last Verified: September 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Riphah International University:
Conventional physical therapy(CPT)
.Low back pain (LBP),
Oswestery disability index (ODI),
Quality of life (QOL),
Range of motion (ROM)
Visual analogue scale (VAS)