Effect of thoracic mobilization on back and leg pain in patients with lumbar radiculopathy

Effect of Thoracic Spine Mobilization on Pain, Functional Disability and Proprioception in Patients With Lumbosacral Radiculopathy.

This study is testing if adding thoracic mobilization exercises to regular physical therapy can help people with back and leg pain from lumbar radiculopathy feel better.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 34 (estimated)
• Ages: 30 Years to 45 Years
• Sex: All
• Sponsor: Cairo University (Academic / other)
• Locations: 1 site (Cairo)
• Trial ID: NCT06167044 on ClinicalTrials.gov

What this trial studies

This study investigates how thoracic mobilization affects back and leg pain, functional disability, and proprioception in patients suffering from lumbosacral radiculopathy. A total of 34 patients aged 30 to 45 with chronic unilateral lumbar radiculopathy will be recruited and randomly assigned to two groups. One group will receive manual mobilization exercises along with selected physical therapy, while the other group will receive only selected physical therapy. The treatment will be administered three times a week for six weeks, with outcomes measured through pain levels and functional assessments.

Who should consider this trial

Good fit: Ideal candidates are adults aged 30 to 45 with chronic unilateral lumbosacral radiculopathy confirmed by MRI.

Not a fit: Patients with conditions such as cauda equina syndrome or significant spinal deformities may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly reduce pain and improve function for patients with lumbosacral radiculopathy.

How similar studies have performed: While similar approaches have been explored, this specific intervention's effectiveness remains to be fully established.

Eligibility criteria

Inclusion Criteria:

1. Patients with unilateral chronic lumbosacral radiculopathy at L4- L5 or / and L5-S1 levels confirmed by MRI.
2. The age of patients will be ranged from 30 to 45 years.
3. Duration of pain will be more than 12 weeks.
4. Patients with a positive straight leg raising (SLR) test.
5. Patients with sufficient cognitive abilities that enables them to understand and follow instructions .
6. Patients had to report an average pain level of more than five on the Visual Analogue Scale (VAS) and a lumbar spine range of motion (ROM) of at least 50% of the accepted normal range.
7. Patients with body mass index\< 30kg/m2

Exclusion Criteria:

1. Cauda equina syndrome.
2. Ankylosing spondylitis, thoracic deformities (pectus carinatum, excavatum), spina bifida, fractures, postoperative spinal conditions, diabetes, inflammatory processes.
3. Previous inner ear infection or vestibular disorder with unresolved balance disturbance, history of head trauma with residual neurological deficits.
4. Spinal tumor.
5. Previous lumbar surgery.
6. Sever musculoskeletal disease.
7. Peripheral mononeuropathies or polyneuropathy.
8. Obesity .
9. Pregnancy.

Where this trial is running

Cairo

• Faculty of Physical Therapy Cairo University — Cairo, Egypt (Recruiting)

Study contacts

• Study coordinator: aya abd elmohsen, Bachelor's

Conditions Lumbosacral Radiculopathy