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RECRUITING

NCT06846970

Effects of Adding Balneotherapy to a Physical Therapy Program in Patients With Chronic Lumbar Radiculopathy

Sponsor: Afyonkarahisar Health Sciences University

View on ClinicalTrials.gov

Summary

The aim of this study is to investigate the effects of adding balneotherapy to the conventional physical therapy program on neuropathic pain, disability, daily living activities, and sleep quality in patients with chronic lumbar radiculopathy.

Official title: The Effect of Adding Balneotherapy to the Physical Therapy Program on Neuropathic Pain, Disability, Daily Living Activities, and Sleep Quality in Patients With Chronic Lumbar Radiculopathy

Key Details

Gender

All

Age Range

18 Years - 75 Years

Study Type

INTERVENTIONAL

Enrollment

120

Start Date

2025-03-19

Completion Date

2025-12-31

Last Updated

2025-03-21

Healthy Volunteers

Conditions

Lumbar Radiculopathy

Interventions

OTHER

Experimental

Patients will receive a conventional physical therapy program consisting of 20 sessions of exercise, hot pack, TENS, ultrasound and balneotherapy, five days a week and once a day for four weeks. Exercise, hot pack, TENS, ultrasound therapy, and balneotherapy will be performed under the supervision of a specialist physiotherapist. In both groups, patients will be evaluated by a physician at the beginning of the treatment, at the end of the 4-week treatment period, and at the 3rd month through clinical examination and assessment using the Visual Analog Scale (VAS), Oswestry Disability Index, Douleur Neuropathique 4 Questionnaire (DN4), Pain Quality Assessment Scale, LANSS (Leeds Assessment of Neuropathic Symptoms and Signs) Neuropathic Pain Scale, Short Form-36 (SF-36), and Pittsburgh Sleep Quality Index (PSQI).

OTHER

Active Comparator

Patients will receive a conventional physical therapy program consisting of 20 sessions of exercise, hot pack, tens and ultrosound therapy five days a week and once a day for four weeks. It was planned to perform exercise, hot pack, tens, ultrasound therapy accompanied by a specialist physiotherapist. In both groups, patients will be evaluated by a physician at the beginning of the treatment, at the end of the 4-week treatment period, and at the 3rd month through clinical examination and assessment using the Visual Analog Scale (VAS), Oswestry Disability Index, Douleur Neuropathique 4 Questionnaire (DN4), Pain Quality Assessment Scale, LANSS (Leeds Assessment of Neuropathic Symptoms and Signs) Neuropathic Pain Scale, Short Form-36 (SF-36), and Pittsburgh Sleep Quality Index (PSQI).

Inclusion Criteria: * Patients aged between 18 and 75 years who have been diagnosed with chronic lumbar radiculopathy based on medical history, physical examination, clinical findings, lumbar MRI, and EMG results, and who present to the outpatient clinic for physical therapy without any contraindications for treatment, will be included in the study after obtaining their informed consent. Exclusion Criteria: * Patients with thermoregulation disorders or sensory deficits * Patients with lesions that impair skin integrity * Patients with decompensated heart failure * Patients with advanced heart, liver, or kidney failure * Patients with advanced, uncontrolled peripheral venous insufficiency * Patients with a history of epilepsy or seizures * Patients with pregnancy, malignancy, or a recent surgical operation * Patients in the acute exacerbation phase of rheumatic diseases * Patients with severe anemia * Patients with tuberculosis * Patients with febrile infectious diseases * Patients with diseases associated with bleeding disorders * Patients who have undergone regular balneotherapy in the past three months * Patients with polyneuropathy or peripheral nerve damage * Patients with muscle weakness detected during examination * Patients with prostheses * Patients with a history of lumbar surgery Exclusion Criteria for Balneotherapy * Patients with thermoregulation disorders or sensory deficits * Patients with lesions that impair skin integrity * Patients with decompensated heart failure * Patients with advanced heart, liver, or kidney failure * Patients with advanced, uncontrolled peripheral venous insufficiency * Patients with a history of epilepsy or seizures * Patients with pregnancy, malignancy, or a recent surgical operation * Patients in the acute exacerbation phase of rheumatic diseases * Patients with severe anemia * Patients with tuberculosis * Patients with febrile infectious diseases * Patients with diseases associated with bleeding disorders * Patients who have undergone regular balneotherapy in the past three months * Patients with polyneuropathy or peripheral nerve damage

Locations (2)

Afyonkarahisar HSU, Afyonkarahisar

Afyonkarahisar, Central, Turkey (Türkiye)

Afyonkarahisar HSU