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IRCT20240211060958N3 IRCT 2024-12-31 Kerman University of Medical Sciences Comparison of the effect of neurodynamic mobilization and dry needling techniques in patients with lumbar herniated disc lumbar herniated disc(LHD) Comparison of the effect of neurodynamic mobilization and dry needling techniques on the pain, function, and ankle range of motion in patients with lumbar herniated disc 2025-02-08 anticipated 80 Complete https://irct.ir/trial/80708 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization: A table of random numbers is used. Participants are given a number and using the table of random numbers. Therapist randomly starts from a table point in the row or column direction. The therapist can close his eyes and choose a point, Blinding description: Double-blind study will be done, in this way, the allocation of people to the groups and the assessment of patients are done by people who are unaware of the status of the grouping of patients. Treatment is provided by a specialist physiotherapist and evaluated by a collaborator. 3 lumbar disc herniation. Intervention 1: Intervention group: Dry needling. The treatment is done in 3 sessions with an interval of one day. The muscles selected for dry needling in this study are practically important in the management of lumbar disc herniation, including: quadratus lumborum, paraspinal, multifidus, gluteus maximus, gluteus medius, gluteus minimus, iliopsoas, piriformis, hamstrings, and gastrocnemius. Intervention 2: Intervention group: Neuromobilization of sciatic nerve The patient is placed in a sidelying position on the side of the healthy leg. The lower limbs are placed at a neutral hip position and 90 knee flexion. The trunk is in a straight position and the head is in a neutral position. The therapist stands behind the patient at the level of the pelvis so that the pelvis does not move forward or backward. Then, we ask the patient to move from a position of neck and trunk extension, knee flexion, and ankle plantar flexion to a position of neck and trunk flexion, knee extension, and ankle dorsiflexion, and vice versa. Intervention 3: Control group: While the patient is supine position, the therapist applies soft and superficial massage on the involved muscles. The fingertips of each therapist's hand are placed in contact with the related muscles and a surface massage is performed. The number of sessions is the same as the intervention group. Yes - There is a plan to make this available What will be shared: Some of the data, such as information about the consequences, can be shared. When: Starting the access period: 6 months after publition the results. To whom: Researchers working in academic institutions. Conditions: Only statistical analyzes can be used to find treatment for improvement of patients. Where to obtain: Applicants can be guided by email to the authors(tahere.rezaiyan@gmail.com). How to obtain: First, they will email the authors of the study and we Will be answered within a week. Comments:
public tahereh rezaeian
The beginning of Haft Bagh Alavi axis, Kerman University of Medical Sciences
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5700 tahere.rezaiyan@gmail.com Kerman University of Medical Sciences scientific tahereh rezaeian
The beginning of Haft Bagh Alavi axis, Kerman University of Medical Sciences
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5700 tahere.rezaiyan@gmail.com Kerman University of Medical Sciences Iran (Islamic Republic of) All participants are aged from 21 to 50 years A disc lesion is diagnosed with confirmation from an MRI and a specialist. Complaints of pain , numbness, and tingling along the path of the sciatic nerve for at least twelve weeks to a year and not having acute pain in the last 4 weeks Positive Slump and SLR tests with neurological symptoms. Having functional disabilities including lifting objects or walking. 21 years 50 years Both Patients with sciatica due to other pathologies, such as lumbar canal stenosis or piriformis syndrome. After any spinal surgery, for example, unilateral hemilaminectomy or microdiscectomy. Patients with a negative Slump test and progressive neurological symptoms, e.g. hyperexcitability and instability. History of fracture or trauma to the vertebrae. Systemic disorder, for example diabetes. M99.73 Connective tissue and disc stenosis of intervertebral foramina of lumbar region Rehabilitation Rehabilitation Placebo Intervention group: Dry needling. The treatment is done in 3 sessions with an interval of one day. The muscles selected for dry needling in this study are practically important in the management of lumbar disc herniation, including: quadratus lumborum, paraspinal, multifidus, gluteus maximus, gluteus medius, gluteus minimus, iliopsoas, piriformis, hamstrings, and gastrocnemius. Intervention group: Neuromobilization of sciatic nerve The patient is placed in a sidelying position on the side of the healthy leg. The lower limbs are placed at a neutral hip position and 90 knee flexion. The trunk is in a straight position and the head is in a neutral position. The therapist stands behind the patient at the level of the pelvis so that the pelvis does not move forward or backward. Then, we ask the patient to move from a position of neck and trunk extension, knee flexion, and ankle plantar flexion to a position of neck and trunk flexion, knee extension, and ankle dorsiflexion, and vice versa. Control group: While the patient is supine position, the therapist applies soft and superficial massage on the involved muscles. The fingertips of each therapist's hand are placed in contact with the related muscles and a surface massage is performed. The number of sessions is the same as the intervention group. Pain intensity. Timepoint: Before, After and 1month follow up. Method of measurement: Visual analog scale. Functional index. Timepoint: Before, After and 1month follow up. Method of measurement: Oswestry Disability Index, Roland–Morris Disability and Quebec Back Pain Disability Scale questionnaires. Ankle range of motion. Timepoint: Before, after and 1month follow up. Method of measurement: Goniometer. Kerman University of Medical Sciences Approved 2024-10-09 Ethics Committee of the kerman University of Medical Sciences Haft Bagh Square, Kerman University of Medical Sciences Kerman Kerman Iran (Islamic Republic of)