Effect of Kinetic Control Retraining on Chronic Low Back Pain with Radiculopathy. A Randomizied Controlled Trial Study

Background & Aim: Low back pain (LBP) is a global well documented health problem. It is the primary reason for seeing doctors and jobs sick leaves. The aim of the study was to identify the effect of Kinetic control retraining on the chronic LBP with radiculopathy. Study design: Single blinded randomized controlled trial. Methods:Forty patients from both sexes diagnosed of having chronic LBP with radiculopathy (age from 25-50 years) participated in the study. The patients were randomly allocated into two equal groups: Group (A) (study group) received a selected physical therapy program plus kinetic control retraining for 8 weeks (n=20). Group (B) (control group) received the selected physical therapy program only for 8 weeks (n=20). All the patients were evaluatedpre and post treatment, using PainDETECT questionnaire (PD-Q) for neuropathic pain,Visual Analogue Scale (VAS) for pain intensity, Oswestry Disability Index (ODI) for disability, and inclinometer for trunk range of motion (ROM). Results: Comparing both groups post treatment showed that there were statistically significant improvements in neuropathic pain, pain intensity,disability and trunk flexion ROM (P = 0.0001) in favour of group (A). However, there were non-significant differences regarding trunk extension and lateral bending ROMs between both groups post treatment (P > 0.05).Conclusion: Kinetic control retraining plus selected physical therapy program yieldgreaterimprovement in neuropathic pain, pain intensity, disability and trunk flexion ROM in patients having chronic LBP with radiculopathy.