Effectiveness of neural glide versus manual placebo in patients with subacute non-specific low back pain and validation of a neurodynamic manual placebo technique.

Not Applicable

Completed

• Conditions: Subacute non-specific low back pain.; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy; Neurological - Studies of the normal brain and nervous system

• Registration Number: ACTRN12619000866101
• Lead Sponsor: Departamento de Enfermería y Fisioterapia de la Universidad de Alcalá.

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-06-18
• Study Completion: 2020-04-03
• Last Update Posted: 16 February 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 51

Inclusion Criteria

1. People aged 18-65, of working age, of both sexes and any race.

2. People with subacute non-specific low back pain of less than 4 months of evolution and of more than 2 weeks, including people who also manifest referred pain above the knee in any of the two lower limbs.

3. They should not refer alterations in nerve conduction: hypoesthesia or anesthesia, osteotendinous reflexes abolished or loss of strength in lower limbs.

4. They should not have received physiotherapy treatment in the last 2 weeks before the study.

5. They should have voluntary signed the informed consent form.

Exclusion Criteria

1. Positive SLR test in a range of motion (ROM) less than 45º of hip flexion.

2. Alteration of the mechanosensitivity of the sciatic nerve (or its tibial branch) to the nerve algometry at the level of the popliteal fossa.

3. Patients categorized as neuropathic pain in the Questionnaire Douleur Neuropathique-4 questions (DN4). Validated in Spanish, it consists of descriptions and signs of pain that are evaluated with 1” (Yes) or 0” (No) to identify patients with a high probability of having neuropathic pain components. The exploration of tactile sensitivity of the spine and lower limbs is carried out with the Semmes-Weinstein monofilaments. The scores of the individual items are summed to obtain a maximum total score of 10, with a cut-off point of = 4.

4. Previous spine surgeries in any of its segments (causing a considerable deficit of strength, an altered sensitivity or the inhibition of osteotendinous reflexes).

5. Anatomopathological diagnosis observed by imaging (hernias, protrusion, spondylolisthesis, stenosis...), which cause a considerable deficit of strength, an altered sensitivity or the inhibition of osteotendinous reflexes.

6. Tumors.

7. Pregnant.

8. Previous traumas or traffic accidents.

9. Systemic processes, immunosuppressed, rheumatic diseases.

10. Diabetes, thyroid diseases.

11. Pharmacological treatment with opiates, antidepressants or antiepileptic drugs and drug use. The secondary pharmacological treatment to subacute non-specific low back pain and the consumption of narcotics, could alter the obtaining of results.

12. Do not tolerate the position during the evaluation.

Study & Design

• Study Type: Interventional
• Study Design: Not specified