The Effectiveness of Lumbar Regression Technique on Disc Bulge: A Randomized Controlled Trial

Lumbar Regression Technique vs. Disc Bulge

Authors

  • Shahrooz Saddique Senior Physiotherapist, Superior University Lahore, Lahore, Pakistan
  • Muhammad Junaid Ijaz Gondal Head of Physiotherapy Department, Mayo Hospital, Superior University Lahore, Lahore, Pakistan
  • Iqra Ikram Head of Doctor of Physical Therapy Department, Amna Inayat Medical College, Lahore, Pakistan
  • Ali Hassan Senior Physiotherapist, Superior University Lahore, Lahore, Pakistan
  • Muhammad Faisal Mehboob Physiotherapist Manager, Superior University Lahore, Pakistan
  • Hafiza Sana Ashraf Senior Lecturer, University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1478

Keywords:

Lumbar Disc Bulge, Low Back Pain, Lumbar Regression Techniques, Physical Therapy, Randomized Controlled Trial, Non-surgical Treatment

Abstract

Background: Lumbar disc bulge is a prevalent cause of low back pain (LBP), contributing significantly to disability and healthcare costs. Innovative non-surgical treatments are required to address the limitations of traditional physical therapies.
Objective: This study aimed to evaluate the effectiveness of lumbar regression techniques compared to standard physiotherapy in improving flexibility, reducing disability, and managing pain in patients with lumbar disc bulges.
Methods: A randomized controlled trial was conducted with 24 participants diagnosed with lumbar disc bulge. Participants were divided into two groups: the experimental group (Group A) received lumbar regression techniques, and the control group (Group B) received standard physiotherapy. The interventions lasted for 8 weeks, with outcomes measured using the Straight Leg Raise (SLR), Roland-Morris Disability Questionnaire (RMD), and Visual Analogue Scale (VAS) at baseline and post-intervention.
Results: Group A demonstrated a significant improvement in SLR (baseline: 70.0 ± 8.0, 8th week: 85.0 ± 7.0; p=0.004), RMD (baseline: 15.0 ± 4.5, 8th week: 10.0 ± 3.0; p=0.032), and VAS scores (baseline: 7.0 ± 1.5, 8th week: 3.0 ± 0.6; p=0.026) compared to Group B.
Conclusion: Lumbar regression techniques significantly improved flexibility, reduced disability, and alleviated pain in patients with lumbar disc bulge more effectively than standard physiotherapy.

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References

Raheem HM, Aljanabi M. Studying the Bulging of a Lumbar Intervertebral Disc: A Finite Element Analysis. Procedia Struct Integr. 2020;28:1727-32.

Pan Q, Zhang K, He L, Dong Z, Zhang L, Wu X, et al. Automatically Diagnosing Disk Bulge and Disk Herniation with Lumbar Magnetic Resonance Images by Using Deep Convolutional Neural Networks: Method Development Study. JMIR Med Inform. 2021;9(5).

Liu Y, Liu Y, Hai Y, Li G, Liu T, Wang Y. Lumbar Lordosis Reduction and Disc Bulge May Correlate with Multifidus Muscle Fatty Infiltration in Patients with Single-Segment Degenerative Lumbar Spinal Stenosis. Clin Neurol Neurosurg. 2020;189:105629.

Afridi AW. The Prevalence and Abnormalities of Intervertebral Discs (IVD) at Various Levels in Lumbosacral Spine Magnetic Resonance Imaging (MRI): Intervertebral Discs (IVD) at Various Levels in Lumbosacral Spine Magnetic Resonance Imaging (MRI). Med J South Punjab. 2023;4(01):21-35.

Ollila L, Oura P, Karppinen J, Niinimäki J, Junno J-A. Association Between Vertebral Cross-Sectional Area and Lumbar Disc Displacement–A Population-Based Study. Eur Spine J. 2023:1-6.

Yousof M, Din R, Ahmad M, Khattak S, Ali S. The Prevalence of Pathologies Causing Low Back Pain Using Magnetic Resonance Imaging for Categorization. OMICS J Radiol. 2021;10(4):323.

Hossain MA, Jahid IK, Hossain MF, Uddin Z, Kabir MF, Hossain K, et al. Efficacy of McKenzie Manipulative Therapy on Pain, Functional Activity and Disability for Lumbar Disc Herniation. Open Sports Sci J. 2021;14(1).

Danazumi MS. Physiotherapy Management of Lumbar Disc Herniation with Radiculopathy: A Narrative Review. Niger J Exp Clin Biosci. 2019;7(2):93-100.

Tarcău E, Ianc D, Sirbu E, Ciobanu D, Boca IC, Marcu F. Effects of Complex Rehabilitation Program on Reducing Pain and Disability in Patients with Lumbar Disc Protrusion—Is Early Intervention the Best Recommendation? J Pers Med. 2022;12(5):741.

Oktay K, Ozsoy K, Dere U, Cetinalp N, Arslan M, Erman T, et al. Spontaneous Regression of Lumbar Disc Herniations: A Retrospective Analysis of 5 Patients. Niger J Clin Pract. 2019;22(12):1785-9.

Kesikburun B, Eksioglu E, Turan A, Adiguzel E, Kesikburun S, Cakci A. Spontaneous Regression of Extruded Lumbar Disc Herniation: Correlation with Clinical Outcome. Pak J Med Sci. 2019;35(4):974.

Keramat KU, Bhutta AH, Ahmad F, Bilal MU, Junaid A. A Novel and Pragmatic Protocol for the Regression of Lumbar Disc Pathologies.

Tiwari JK. Myofascial Release Therapy Combined with McKenzie Exercises in Combination with TENS/IFT Therapy for Improving Pain and Stability in Patients with Degenerative Spondylolisthesis: Two Group Randomised Clinical Trial.

Olofson E, Gerona C, Estrada A, Duong J. Joint and Neural Mobilization for Pain Reduction in Radiculopathy Patients: Azusa Pacific University; 2023.

Kandeel MM, Yousef MGAK, Saoud AMF, Abu-Elghait ZHI. Percutaneous Full-Endoscopic Transforaminal Discectomy Versus Open Microdiscectomy in the Treatment of Lumbar Disc Herniation: Randomized Controlled Trial. The Egyptian J Neurol Psychiatr Neurosurg. 2024;60(1):11.

Amin RM, Andrade NS, Neuman BJ. Lumbar Disc Herniation. Curr Rev Musculoskelet Med. 2017;10:507-16.

Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. 2020.

Amjad F, Mohseni-Bandpei MA, Gilani SA, Ahmad A, Hanif A. Effects of Non-Surgical Decompression Therapy in Addition to Routine Physical Therapy on Pain, Range of Motion, Endurance, Functional Disability and Quality of Life Versus Routine Physical Therapy Alone in Patients with Lumbar Radiculopathy; A Randomized Controlled Trial. BMC Musculoskelet Disord. 2022;23(1):255.

Ma Z, Yu P, Jiang H, Li X, Qian X, Yu Z, et al. Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases. Pain Physician. 2021;24(5).

Hodges PW, Danneels L. Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. J Orthop Sports Phys Ther. 2019;49(6):464-76.

Zhao L, Manchikanti L, Kaye AD, Abd-Elsayed A. Treatment of Discogenic Low Back Pain: Current Treatment Strategies and Future Options—A Literature Review. Curr Pain Headache Rep. 2019;23:1-9.

Chu E, Chakkaravarthy DM, Lo F-S, Bhaumik A. Regression of Lumbar Disc Herniation Following Non-Surgical Treatment. Eur J Mol Clin Med. 2020;7(1):27-79.

Yildirim P, Gultekin A. The Effect of a Stretch and Strength-Based Yoga Exercise Program on Patients with Neuropathic Pain Due to Lumbar Disc Herniation. LWW; 2022.

Sany SA, Shahriar MI, Nyme Z, Tanjim T. Effectiveness of Strengthening Exercise Plus Activities of Daily Living Instructions in Reducing Pain in Patients with Lumbar Disc Herniation: A Randomized Controlled Trial. F1000Research. 2021;10:1163.

Kotronis G, Vas PR. Ultrasound Devices to Treat Chronic Wounds: The Current Level of Evidence. The International Journal of Lower Extremity Wounds. 2020;19(4):341-9.

Comachio J. Effectiveness of Manual and Electrical Needle Stimulation in Acupuncture for Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial.

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Published

2024-09-02

How to Cite

Shahrooz Saddique, Muhammad Junaid Ijaz Gondal, Iqra Ikram, Ali Hassan, Muhammad Faisal Mehboob, & Hafiza Sana Ashraf. (2024). The Effectiveness of Lumbar Regression Technique on Disc Bulge: A Randomized Controlled Trial: Lumbar Regression Technique vs. Disc Bulge. Journal of Health and Rehabilitation Research, 4(3), 1–4. https://doi.org/10.61919/jhrr.v4i3.1478