Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica

Not Applicable

Completed

• Conditions: Sciatica Pain; Physical Therapy Modalities; Manual Therapies; Disability Evaluation
• Interventions: Other: Physical therapy treatment

• Registration Number: NCT03663842
• Lead Sponsor: Centro Universitário Augusto Motta

Brief Summary

Objectives: To analyse the effects of sciatic neural mobilisation, in combination to the treatment of the surrounding structures, on pain and disability. Secondly, to investigate baseline characteristics that may be associated with improvements in pain and lumbar disability. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilisation and soft tissue techniques. Pain intensity and lumbar disability were assessed at baseline and after treatment using a Numerical Rating Scale (0-10) and the Oswestry Disability Index (0-100), respectively. The pre- and post-intervention data were compared.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05-10
• Primary Completion: 2010-11-10
• Study Completion: 2010-12-10
• Status Verified: 2018-09
• Study First Submitted: 2018-09-05
• Study First Submitted QC: 2018-09-06
• Last Update Submitted: 2018-09-06
• Study First Posted: 2018-09-10
• Last Update Posted: 2018-09-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Low back pain with radiating leg pain and/or paresthesia below the knee that follows the L5 and/or S1 dermatomal pattern.

Exclusion Criteria

• History of lumbar and abdominal surgery
• Rheumatologic syndromes (e.g. Rheumatoid arthritis);
• Lumbar stenosis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Neural tissue management	Physical therapy treatment	Myofascial release technique; Hip joint mobilization technique; Cross-fiber friction over the sacroiliac joints; Neural mobilization to improve sciatic nerve excursion.

Primary Outcome Measures

Name	Time	Method
Pain intensity	From enrollment to end of treatment at 12 weeks	Measured by the Numerical Rating Scale (NRS 0-10)
Lumbar disability	From enrollment to end of treatment at 12 weeks.	Assessed by the Oswestry Disability Index (ODI).It consists of 10 items addressing different aspects of disability. Each item is scored from 0 to 5, with higher values representing greater disability. The sum of the item scores is divided by the total possible score (50 if all sections are completed), and the resulting total is multiplied by 100 to be described as a percentage score.