Mohamed Naeem Mohamed Saleem

Validation of manipulative procedures on lumbosacral radiculopathy using H reflex / التحقق من صلاحية الإجراءات المعالجة اليدوية على المرضى الذين يعانون من اعتلال الجذور القطنية العجزية باستخدام انعكاس هوفمان Mohamed Naeem Mohamed Saleem ; Supervised Fatma Seddek Amen , Samir Elsabbahi , Amira Mohamed Elgohary - Cairo : Mohamed Naeem Mohamed Saleem , 2016 - 204 P. : charts , facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background:. Lumbosacral radiculopathy (LSR) is a common clinical problem that involves L5 and S1 nerve roots, LSR occurs as a result of degenerative disc herniation or traumatic in younger population and also as a result of foraminal narrowing from osteophyte formation. It may also result from spinal cord injuries, spinal canal stenosis, spinal diseases and other conditions. The purpose of this study was to investigate the effect of Mulligan technique, Neural mobilization and Positional Release Technique on reduction of pain and improving of functional disability on patients with lumbosacral radiculopathy using H reflex. Subjects: Forty patients (27 female and 13 male) were diagnosed as lumbosacral radiculopathy, Their age ranged from 25 to 50 years (48.54±5.8). They voluntary participated in this study. All patients were assigned randomly into two groups (experiment and control). Method: Subjects were distributed into 2 groups then the experiment group was divided to three subgroups according to underlying pathology; Experimental group A was received infrared for 10 minute and mulligan technique for 30-minute , Experimental group B was received infrared for 10 minute and neural mobilization for 30 minute, Experimental group C was received infrared for 10 minute and positional release for 30 minute and Control group D was received infrared for 10 minute and conventional treatment for 30 minute in 3 day / week for four weeks. Pain severity was measured by Visual Analogue Scale, Functional disability score was measured by Oswestry disability scale and H reflex(amplitude & delay) was measured by electromyography. Measurements were taken at two intervals pre-treatment and post-treatment



Mulligan Technique Positional release technique Radiculopathy