NCT05021718

Strengthening Exercise and Activities of Daily Living Instructions for Patients With Lumbar Disc Herniation

Effectiveness of Strengthening Exercise Plus Activities of Daily Living Instructions in Reducing Pain in Patients With Lumbar Disc Herniation

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 70 (actual)
• Sponsor: Chittagong Medical College · Academic / Other
• Sex: All
• Age: 18 Years – 59 Years
• Healthy volunteers: Not accepted

Summary

Lumbar disc herniation (LDH) is one of the most common causes of mechanical low back pain (LBP) associated with radiating leg pain. Conservative treatment, including exercise, analgesic, and physical therapy, is regarded as the first-line treatment of LDH. This randomized clinical trial was conducted to evaluate the effectiveness of back and hip strengthening exercises combined with activities of daily living instructions (ADLIs) to reduce pain intensity in patients with LDH.

Detailed description

A total of 70 patients with LDH were randomly allocated to either the intervention group (IG) or the control group (CG). Patients in IG received different back and hip strengthening exercises five days a week for six weeks. The patients in CG were treated with Naproxen (500 mg) and Baclofen (10 mg) tablet twice a day for three weeks, followed by hot moist compression for the next three weeks. In addition, the patients in both groups were instructed to follow the ADLIs during the intervention and at least 3 months after the intervention. The straight leg raising (SLR) test and the Visual Analogue Scale (VAS) score were used to evaluate the patients' pain intensity. Outcomes were measured at baseline, at three weeks, and six weeks of the intervention. Patients were followed up after 3 months of the intervention.

Conditions

• Lumbar Disc Herniation

Interventions

Type	Name	Description
OTHER	Strengthening exercises	Back and hip strengthening exercises. The intensity of exercises was based on the exercise tolerance and pain thresholds of the individual subjects.
DRUG	Pharmacological therapy	Naproxen (500 mg) and Baclofen (10 mg) tablet twice a day for three weeks
OTHER	Hot compression	Hot moist compression from week 4 to week 6.
BEHAVIORAL	Activities to daily living instructions	* Avoid forward bending. * Avoid heavy weightlifting. * Avoid prolong standing. * Avoid prolong sitting. * Use a plain firm bed. * Lie down in a supine position.

Timeline

• Start date: 2018-07-01
• Primary completion: 2019-09-15
• Completion: 2019-09-30
• First posted: 2021-08-25
• Last updated: 2021-08-25

Locations

1 site across 1 country: Bangladesh