Effect of Trans-spinal Electromagnetic Neuromodulation in Treatment of Patients With Discogenic Lumbosacral Radiculopathy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Trans-spinal Electromagnetic Neuromodulation, Conventional physical therapy.
- Who it may be relevant to
- Registry conditions: Lumbar Radiculopathy, Discogenic Lumbosacral Radiculopathy. Basic parameters: 20 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Trans-spinal Electromagnetic Neuromodulation on Pain, Functional Outcome and Motor Evoked Potential in Patients With Discogenic Lumbosacral Radiculopathy
Overview
Purposes of the study To investigate the effect of adding Trans-spinal Electromagnetic Neuromodulation to conventional physical therapy in patients with Discogenic Lumbosacral Radiculopathy
Detailed description
Patients will be randomized into either Trans-spinal Electromagnetic Neuromodulation group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.
Interventions
- Other Trans-spinal Electromagnetic Neuromodulation
Trans-spinal electromagnetic neuromodulation will be applied for 15 minutes on the affected segment - Other Conventional physical therapy
Conventional physical therapy consisting of: Hot pack on lumbar spine. Neurodynamic mobilization. Rotatory mobilization and rotatory manipulation for lumbar spine. Core stability exercises.
Primary outcome measures
- Pain [Time frame: Change from Baseline pain at 6 weeks]
- Disability [Time frame: Change from Baseline disability at 6 weeks]
- Straight leg raise test [Time frame: Change from Baseline straight leg raise test at 6 weeks]
- H-reflex side-to-side amplitude (H/H) ratio [Time frame: Change from Baseline H-reflex side-to-side amplitude (H/H) ratio at 6 weeks]
- Sensory tactile threshold [Time frame: Change from Baseline Sensory tactile threshold at 6 weeks]
- Motor evoked potential [Time frame: Change from Baseline motor evoked potential at 6 weeks]
Eligibility criteria
Inclusion criteria
- patient age range from 20 -40 from both sexes.
- Unilateral chronic lumbosacral radiculopathy confirmed by neurosurgeon for more than 3 months.
- Unilateral paracentral or lateral intervertebral disc herniation confirmed by MRI .
- one of the following:
- H- reflex amplitude side to side difference 67% in absence of latency difference.
- H- reflex amplitude side to side difference smaller than 50% in presence of latency difference.
c - Side to side H- reflex latency difference more than 1 msec. d- Prolonged H-reflex latency more than 30 msec.
Exclusion criteria
- Hypertension
- Diabetes.
- Lumbar canal stenosis
- Pervious surgeries
- Scoliosis
- Kyphosis
- Spinal fracture
- Bilateral symptoms.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Outpatient Clinic at the Faculty of Physical Therapy Cairo — Giza
Identifiers
NCT: NCT07743424 · P.T.REC/012/006467