RecruitingNot ApplicableNCT06846970

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

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

Sponsor

Afyonkarahisar Health Sciences University

Enrollment

120 participants

Start Date

Mar 19, 2025

Study Type

INTERVENTIONAL

Conditions

Lumbar Radiculopathy

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.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria1

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 Criteria30

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 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

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Interventions

OTHERExperimental

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).

OTHERActive 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).