The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial
Background and Purpose Spinal mobilization with leg movement and lumbar traction are individually recognized as evidence-based treatments for lumbar radiculopathy. However, previous studies have not compared these two modalities directly. This study aimed to compare the effects of lumbar traction...
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H.S. Skovoroda Kharkiv National Pedagogical University
2024-11-01
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| Series: | Здоров’я, спорт, реабілітація |
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| Online Access: | https://hsr-journal.com/index.php/journal/article/view/1151 |
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| author | Mohamed Hussein ElGendy Islam Tarek Abuemira Ali Muhammad Al-Guyoushi Efrem Kentiba Magda Gayed Sedhom |
| author_facet | Mohamed Hussein ElGendy Islam Tarek Abuemira Ali Muhammad Al-Guyoushi Efrem Kentiba Magda Gayed Sedhom |
| author_sort | Mohamed Hussein ElGendy |
| collection | DOAJ |
| description | Background and Purpose
Spinal mobilization with leg movement and lumbar traction are individually recognized as evidence-based treatments for lumbar radiculopathy. However, previous studies have not compared these two modalities directly. This study aimed to compare the effects of lumbar traction versus spinal mobilization with leg movement on pain, range of motion, and disability in adults with lumbar radiculopathy.
Materials and Methods
In this randomized controlled trial, (n=60) patients diagnosed with lumbar radiculopathy by their orthopedist participated in this study. They were randomly divided into three groups: Experimental group (a) consisted of 20 patients who received LT and conventional treatment; Experimental group (b) consisted of 20 patients who received spinal mobilization with leg movement and conventional treatment; Control group (c) consisted of 20 patients who received only conventional treatment (ultrasound therapy, hot packs, and core stability exercises). Interventions were conducted over 12 sessions (3 sessions per week) across four weeks. Outcomes were assessed at the start and end of the fourth week using a visual analog scale (VAS) for pain intensity, the Oswestry Disability Index for functional disability, and a back range of motion (BROM) device to measure lumbar spine flexion and extension.
Results
All groups showed significant improvement post-treatment compared to pre-treatment (P<0.05) across all measured variables. Group analysis revealed significant differences among the three groups in visual analog scale and Oswestry Disability Index scores (P=0.001), with groups A and B showing greater improvement than group C. However, there were no significant differences between the groups in back range of motion measurements (P>0.05).
Conclusion
Both spinal mobilization with leg movement and lumbar traction were effective in managing patients with lumbar radiculopathy. However, there was no significant difference in effectiveness between the two treatments. |
| format | Article |
| id | doaj-art-7934ffb3cda24bf28cd59b83127a72c0 |
| institution | DOAJ |
| issn | 2520-2677 2520-2685 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | H.S. Skovoroda Kharkiv National Pedagogical University |
| record_format | Article |
| series | Здоров’я, спорт, реабілітація |
| spelling | doaj-art-7934ffb3cda24bf28cd59b83127a72c02025-08-20T03:12:01ZengH.S. Skovoroda Kharkiv National Pedagogical UniversityЗдоров’я, спорт, реабілітація2520-26772520-26852024-11-011311The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled TrialMohamed Hussein ElGendy0https://orcid.org/0000-0001-9996-5344Islam Tarek Abuemira1https://orcid.org/0009-0006-7630-1901Ali Muhammad Al-Guyoushi2https://orcid.org/0009-0003-3966-4955Efrem Kentiba3https://orcid.org/0000-0001-7013-2605Magda Gayed Sedhom4https://orcid.org/0009-0007-6566-5424Cairo University, Cairo, EgyptCairo University, Cairo, EgyptAl-Azhar University, Cairo, EgyptArba Minch University, Arba Minch, Ethiopia.Cairo University, Cairo, EgyptBackground and Purpose Spinal mobilization with leg movement and lumbar traction are individually recognized as evidence-based treatments for lumbar radiculopathy. However, previous studies have not compared these two modalities directly. This study aimed to compare the effects of lumbar traction versus spinal mobilization with leg movement on pain, range of motion, and disability in adults with lumbar radiculopathy. Materials and Methods In this randomized controlled trial, (n=60) patients diagnosed with lumbar radiculopathy by their orthopedist participated in this study. They were randomly divided into three groups: Experimental group (a) consisted of 20 patients who received LT and conventional treatment; Experimental group (b) consisted of 20 patients who received spinal mobilization with leg movement and conventional treatment; Control group (c) consisted of 20 patients who received only conventional treatment (ultrasound therapy, hot packs, and core stability exercises). Interventions were conducted over 12 sessions (3 sessions per week) across four weeks. Outcomes were assessed at the start and end of the fourth week using a visual analog scale (VAS) for pain intensity, the Oswestry Disability Index for functional disability, and a back range of motion (BROM) device to measure lumbar spine flexion and extension. Results All groups showed significant improvement post-treatment compared to pre-treatment (P<0.05) across all measured variables. Group analysis revealed significant differences among the three groups in visual analog scale and Oswestry Disability Index scores (P=0.001), with groups A and B showing greater improvement than group C. However, there were no significant differences between the groups in back range of motion measurements (P>0.05). Conclusion Both spinal mobilization with leg movement and lumbar traction were effective in managing patients with lumbar radiculopathy. However, there was no significant difference in effectiveness between the two treatments.https://hsr-journal.com/index.php/journal/article/view/1151lumbar tractionradiculopathyspinal mobilizationlow back pain |
| spellingShingle | Mohamed Hussein ElGendy Islam Tarek Abuemira Ali Muhammad Al-Guyoushi Efrem Kentiba Magda Gayed Sedhom The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial Здоров’я, спорт, реабілітація lumbar traction radiculopathy spinal mobilization low back pain |
| title | The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial |
| title_full | The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial |
| title_fullStr | The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial |
| title_full_unstemmed | The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial |
| title_short | The Efficacy of Lumbar Traction versus Spinal Mobilization with Leg Movement in Patients with Lumbar Radiculopathy: A Randomized Controlled Trial |
| title_sort | efficacy of lumbar traction versus spinal mobilization with leg movement in patients with lumbar radiculopathy a randomized controlled trial |
| topic | lumbar traction radiculopathy spinal mobilization low back pain |
| url | https://hsr-journal.com/index.php/journal/article/view/1151 |
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