Neural Gliding Exercise for Low Back Pain

Not Applicable

Completed

• Conditions: Low Back Pain
• Interventions: Other: Neural gliding exercises; Other: Electrotherapy sessions

• Registration Number: NCT03972085
• Lead Sponsor: Kutahya Health Sciences University

Brief Summary

Low back pain is a very common problem that causes pain, disability, gait and balance problems. Neurodynamic techniques is used for treatment of low back pain. The aim of the study is comparing the effects of electrotherapy and neural mobilization techniques on pain, functionality, gait and balance.

Detailed Description

There are many physiotherapy modalities in the treatment of low back pain (LBP). Electrotherapy procedures, manual therapy techniques, kinesiotherapy and specific exercises are among those that are frequently used. In neural mobilization techniques, which began to gain popularity in 1990s, neural tissue and the surrounding structures are glided or tensioned to mobilize them. Neural mobilization is thought to have a positive effect on symptoms by inducing intraneural circulation, axoplasmic flow, and neural visco-elasticity and sensitivity associated with the connective tissue. There are studies in which this modality has yielded therapeutic success in terms of both pain and functionality, particularly in lumbar region and lower limb disorders where neural mechanosensitivity is increased.

Study Timeline

• Study Start: 2015-02-01
• Primary Completion: 2015-11-07
• Study Completion: 2015-11-30
• Status Verified: 2019-05
• Study First Submitted: 2019-05-28
• Study First Submitted QC: 2019-05-31
• Last Update Submitted: 2019-05-31
• Study First Posted: 2019-06-03
• Last Update Posted: 2019-06-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 41

Inclusion Criteria

• Subjects scoring below 70 degrees in the straight leg raise test
• received no physiotherapy until at least 6 months before initial evaluation

Exclusion Criteria

• subjects who were unable to walk independently,
• who had systemic diseases besides LBP,
• who underwent spinal and lower limb surgery,
• who scored above 70 degrees in the straight leg raise test,
• used analgesics within 48 hours before initial evaluation were excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group 1	Electrotherapy sessions	Patient received neural gliding exercises in addition electrotehrapy sessions.
Group 2	Electrotherapy sessions	Patient received only electrotherapy sessions
Group 1	Neural gliding exercises	Patient received neural gliding exercises in addition electrotehrapy sessions.

Primary Outcome Measures

Name	Time	Method
Visual Analog Scale (VAS) for pain levels	3 weeks	The VAS was used to assess the participants' pain levels. In the VAS, patients are asked to mark the severity of their pain on a scale from 0 to 10. The VAS ranges from '0' representing no pain and '10' representing the worst pain.

Secondary Outcome Measures

Name	Time	Method
Oswestry Disability Index	3 weeks	The self-completed questionnaire contains ten topics concerning intensity of pain, lifting, ability to care for oneself, ability to walk, ability to sit, sexual function, ability to stand, social life, sleep quality, and ability to travel. Each topic category is followed by 6 statements describing different potential scenarios in the patient's life relating to the topic. The patient then checks the statement which most closely resembles their situation. Each question is scored on a scale of 0-5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.

Trial Locations

Locations (1)

Kutahya Health Science University; 🇹🇷 Kutahya, Center, Turkey