Efficacy of Neurodynamic Techniques in the treatment of Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- (Numeric Pain Rating Scale)
研究概览
简要总结
The purpose of this study is to verify, through a randomized controlled trial, theeffectiveness of a three-week program of neurodynamic techniques on pain,disability and changes in NCS, H-Reflex, H:M ratio in individuals with low backpain.
Firstaim is to investigate the effect of two Neurodynamic techniques on pain anddisability in patients with LBP. The two techniques tested in this study are“Slump†Neurodynamic Technique and “Straight Leg Raise†Neurodynamic Technique.
Secondaim is to determine whether this type of physiotherapy treatment (neurodynamictechniques) for individuals with lowback pain can bring some neurophysiological changes in the nerves which can bequantified in the electrophysiological studies like NCS, H-reflex and H;Mratio, compared to conventional physical therapy treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •1 Patients with Low Back Pain symptoms that referred to buttocks as well as distal to the buttocks, 2 Reproduction of the patient’s symptoms with slump testing, no change in symptoms with lumbar flexion or extension.
排除标准
- •1 Patients with ‘‘red flags’’ for a serious spinal condition (e.g. infection, tumors, osteoporosis, spinal fracture, etc.) 2 Individuals who were pregnant, has a history of spinal surgery, 3 Positive neurologic signs or symptoms suggestive of nerve root involvement (diminished upper or lower extremity reflexes, sensation to sharp and dull, or strength), 4 Osteoporosis, 5 A straight leg raise (SLR) testof less than 45 degree.
结局指标
主要结局
(Numeric Pain Rating Scale)
时间窗: 3 weeks
2. Change in Disability assessed using Modified Oswestry Disability Index (ODI)
时间窗: 3 weeks
1.Change in Pain using NPRS
时间窗: 3 weeks
3.Change in nerve conduction studies : Motor conduction of the tibial nerve and peroneal nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (Soleus muscle)
时间窗: 3 weeks
次要结局
- Adverse outcome if any(3 weeks)