Effect of Shockwave Therapy on Post-laminectomy Fibrosis Low Back Pain Patients. (SWT)

Marwa Mohamed Hany Sedeek Abousenna

Status: Not yet enrolling

Conditions: Post-laminectomy Syndrome

Treatments: Procedure: McKenzie Back exercises; Device: Transcutaneous Electrical Nerve Stimulation (TENS); Device: electric heating pads; Device: Radial Extracorporeal Shock wave Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05887024

P.T.REC/012/004382

Details and patient eligibility

About

The aim of this study is clinical trial to investigate the effect of Radial Extracorporeal Shock wave therapy in patients with sciatica and low back pain caused by post laminectomy scarring. the study will answer the following question:

1. what is the effect of Shock Wave Therapy on low back pain and sciatica caused by post-laminectomy fibrosis? patients in the study group will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).

Enrollment: 60 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Recruited patients will be diagnosed by neurosurgeon as sciatic pain and low back pain caused by post laminectomy scarring.
2. Both genders will be recruited.
3. Their age will range from: 30-50 years (Sharaf, et al., 2022).
4. Recruited patients will be randomly assigned in to two equal groups.
5. Unilateral radicular sciatica.
6. Constant back pain OR aggravated by movement,
7. Restricted lumbar range of motion.
8. Tenderness at the site of incision.
9. Duration of symptoms: three weeks to six months postoperatively

Exclusion criteria

1. Past history of vertebral fracture.
2. Spinal cord compression.
3. Vertebral tuberculosis.
4. Polyneuropathy.
5. Diabetic peripheral neuropathy.
6. Spinal tumor.
7. Recurrent disc herniation after surgery.
8. Spondylolisthesis.
9. Vascular diseases, e.g., peripheral vascular diseases, coronary artery bypass graft and coagulation diseases.
10. Potential pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

controlled

Other group

Description:

thirty patients will receive conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).

Treatment:

Procedure: McKenzie Back exercises

Device: electric heating pads

Device: Transcutaneous Electrical Nerve Stimulation (TENS)

shock wave therapy

Active Comparator group

Description:

thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).

Treatment:

Procedure: McKenzie Back exercises

Device: electric heating pads

Device: Transcutaneous Electrical Nerve Stimulation (TENS)

Device: Radial Extracorporeal Shock wave Therapy