COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2581-8236

Online ISSN:-2581-916X

CODEN : IIJNAQ

Current Issue

Year 2020

Volume: 6 , Issue: 1

Article Access statistics

Viewed: 149

Emailed: 0

PDF Downloaded: 89

IP Indian Journal of Neurosciences


A study on the effect of conservative management for lumbosacral radiculopathy on pain, disability and electrophysiological parameters in a tertiary health care centre


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Jithin Raj P, Kabeer K A*, Shaji CV

Volume : 5, Issue : 4, Year : 2019

Article Page : 225-231


Suggest article by email

Abstract

Introduction: There are many causes for low back ache. One of these causes is lumbosacral radiculopathy.
Here the pain is usually a low back ache which is radiating in the distribution of the corresponding root.
The sensory symptoms will be in a dermatomal distribution and the motor weakness will be in a myotomal
distribution. The main electrophysiological parameters which can be used are tibial H reflex , tibial and
peroneal F waves and EMG. The treatment options are conservative management with drugs and exercise,
invasive procedures like epidural steroid injection and surgical interventions.
Objectives: To find out the percentage of people with lumbosacral radiculopathy getting improvement
in their pain symptom , disability status and electrophysiological parameters with the conservative
management in a follow up period of 6 months.
Material and Methods: Study design: It is a prospective experimental (interventional) study with pre/post
design
Study population: Patients with age between 18yrs and 80 years with radicular pain from the lower back
in the lumbosacral distribution
Sample size: 76
Sampling procedure: Random sampling of patients fulfilling inclusion and exclusion criteria
Study procedure: Direct examination, history with nerve conduction and EMG studies and questionnaire
with follow up at the end of 3and 6 months
Analysis: Data analysis was carried out using IBM SPSS software V 25. Disability score, compound
muscle action potential score and f waves were assessed and compared using paired t test. A p value <0> was taken as the threshold for statistical significance.
Results: Considering the pain, 78.9% of the patients got improvement at the end of 3 months and 65.8%
of the patients got improvement at the end of 6 months, with the conservative management. Considering
the disability, 100% of the patients got improvement at the end of 3 months and 98.7% of the patients got
improvement at the end of 6 months. The proportion of the patients who got improvement in the Tibial
F wave latency with the application of conservative management was 44.7% at the end of 3 months and
48.7% at the end of 6 months. The proportion of the patients who got improvement in the Peroneal F wave
latency with the application of conservative management was 52.6% at the end of 3 months and 51.3% at
the end of 6 months. The proportion of the patients who got improvement in the H reflex latency with the
application of conservative management was 51.3% at the end of 3 months and 48.

Keywords: Lumbosacral radiculopathy, F wave, H reflex, Conservative Management.

Doi : 10.18231/j.ijn.2019.037

How to cite : Jithin Raj P, Kabeer K A, Shaji Cv, A study on the effect of conservative management for lumbosacral radiculopathy on pain, disability and electrophysiological parameters in a tertiary health care centre. IP Indian J Neurosci 2019;5(4):225-231

Copyright © 2019 by author(s) and IP Indian J Neurosci. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)