Multimodal PT With and Without Proprioceptive Training in Lumber FJS

Last updated: January 18, 2024
Sponsor: Riphah International University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Muscle Pain

Arthritis And Arthritic Pain

Treatment

Proprioceptive training along with and Multimodal Physical therapy

Multimodal Physical therapy

Clinical Study ID

NCT05931653
REC/RCR&AHS/23/1102
  • Ages 25-53
  • All Genders

Study Summary

This will be a randomized clinical trial. The study will be conducted at Pakistan Railways General Hospital Rawalpindi and Riphah International Hospital Islamabad. Patients with FJS will be included. The aim of this study is to find the comparative effects of multimodal physical therapy treatment and proprioceptive training along with multimodal physical therapy treatment on pain, lumbar ranges of motion, disability, fatigue, lumbar lordosis curvature and balance.

Participants will be assessed for pain, lumbar range of motions, lumbar lordosis, disability, fatigue and balance before treatment. The intervention duration is 06 weeks, 03 sessions per week will be given to all participants. Pain and lumbar ranges of motion will be measured on every visit. At the end of 06th week final readings for functional status, fatigue level, lumbar lordosis angle, fall risk and limits of stability will also be recorded. Data will be analyzed by SPSS v.23.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients with facet joint syndrome diagnosed by standard criteria. This criterionincludes:
  • One point tenderness under X-ray radiography
  • Kemp sign.
  • Catching pain.
  • Pain increases with lumbar extension.
  • Pain with bilateral SLR.
  • Or pain diminishes with Medial branch block or Facet joint block.
  • Provocation Maneuver. Acevedo sign (Facet stress sign) Unilateral facet palpationPercussion spinal test Impaired range of motion Jump test
  • Revel's criteria 05 out of 07- 1. age greater than 65 years and pain that was notexacerbated by coughing, not worsened by hyperextension, not worsened by forwardflexion, not worsened when rising from flexion, not worsened byextension-rotation, and well-relieved by recumbency. Standing flexion, returning from standing flexion, standing extension, the extensionrotation test.
  • On Biodex balance system (BBS), overall stability index between 0.7-2.8.
  • On Biodex balance system (BBS) Limits of stability Anterior: less than 80, posterior:less than 40 and lateral: less than 160 (80 on each side) 75% LOS (moderate level).
  • NPRS ratings greater than 4
  • Constant or Intermittent pain worsening on repeated movements

Exclusion

Exclusion Criteria:

  • T-score of -2.5 or lower.
  • BMI is 30.0 or higher.
  • Patients with Lumbar Postural Syndrome
  • Patients with Lumbar Instability
  • Post laminectomy/discectomy
  • Spondylolisthesis
  • Osteoporosis/Fractures
  • Cauda equine syndrome
  • Recent history of spinal trauma or surgery
  • Lumbar myelopathy
  • Patients with known metabolic diseases
  • Participants having less than 20% ODI scoring

Study Design

Total Participants: 50
Treatment Group(s): 2
Primary Treatment: Proprioceptive training along with and Multimodal Physical therapy
Phase:
Study Start date:
May 01, 2023
Estimated Completion Date:
November 15, 2024

Connect with a study center

  • Pakistan Railways General Hospital

    Rawalpindi, Punjab 46060
    Pakistan

    Site Not Available

  • Riphah Rehabilitation Center

    Rawalpindi, Punjab 46000
    Pakistan

    Site Not Available

  • The Health Professionals

    Rawalpindi, Punjab 46220
    Pakistan

    Active - Recruiting

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