Open AccessManual therapy and canal enlargement exercises versus conventional physiotherapy in lumbar stenosis – a study protocol
Author(s) -
Priya Gaur,
Manu Goyal,
Gurjant Singh
Publication year - 2021
Publication title -
revista de pesquisa em fisioterapia
Language(s) - English
Resource type - Journals
ISSN - 2238-2704
DOI - 10.17267/2238-2704rpf.v11i3.3864
Subject(s) - medicine , oswestry disability index , physical therapy , claudication , neurogenic claudication , lumbar , randomized controlled trial , low back pain , manual therapy , lumbar spinal stenosis , randomization , physical medicine and rehabilitation , surgery , arterial disease , alternative medicine , pathology , vascular disease
Lumbar Canal Stenosis (LCS) is known as the well-established reason for pain and depleted walking capacity in patients with manifestations of paresthesia and pain in the lower back, gluteal region, posterior thigh, and legs which are termed as ‘Neurogenic Claudication’ (NC). Manual therapy combined with canal enlargement exercises and conventional physiotherapy may be considered in eradicating pain and NC symptoms, hence improving the quality of life. METHODS AND MATERIALS: Patients with LCS with canal diameter 8-12 mm at the level of L4 and below will be recruited for this study. Through the Block randomization method, they will be randomized into two interventional groups: Manual Therapy & Canal Enlargement (MTCE) (n=16) and Conventional Physiotherapy (Cp) (n=16) groups. MTCE group will receive manual therapy and canal enlargement exercises, while the Cp group will receive only conventional physiotherapy. Both interventional groups will receive 3 days of treatment per week for 4 weeks. Modified Oswestry Disability questionnaire (MODI), Antero-Posterior (AP) canal diameter, Numeric Pain Rating Scale (NPRS), and Claudication Distance (CD) will be used for the evaluation. In addition, modified Oswestry Disability Index, AP canal Diameter, NPRS, Claudication distance, an SLR will be measured at baseline and post-intervention. DISCUSSION: The results of this research will dictate the applicability of manual therapy with an exercise protocol of canal enlargement exercises on pain and functional disability in patients with LCS.