Neurodynamic Intervention for Lumbar Radiculopathy
- Conditions
- Lumbar Radiculopathy
- Registration Number
- NCT03620864
- Lead Sponsor
- Universidad Rey Juan Carlos
- Brief Summary
Low back pain (LBP) is a common condition and has a significant impact on the individual in terms of pain and disability. Lumbar radiculopathy occurs often with LBP and may be the result of a lumbar herniated disc which will irritate a lumbar nerve trunk resulting in intraneural inflammation. There is evidence supporting the use of manual therapies of lumbar radiculopathy. One potential manual therapy is neurodynamic mobilization technique. No scientific evidence, based on a RCT, exists that this particular approach is beneficial for individuals with LBP and lumbar radiculopathy
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 32
- Subjects with a confirmed (via MRI) disc herniation at between L4 and S1 level;
- Subjects exhibiting lumbar radiating pain in the lower extremity for at least 3 months
- Subjects with a positive straight leg raise with symptoms reproduction
- indication for surgical intervention;
- had a confirmed disc herniation at other lumbar levels;
- have had any other spinal conditions such as spinal tumors or spondylolisthesis;
- had received treatment for this condition by a physical therapist the previous 6 month;
- pregnancy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Changes in Lower Extremity Pain Intensity Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session A Numerical Pain Rate Scale (NPRS, 0-10) where 0 represents no pain and 10 the maximum pain will be used to record the mean intensity of pain in the lower extremity
- Secondary Outcome Measures
Name Time Method Changes in Related-Disability Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session The Roland-Morris Disability Questionnaire will be used for assessing related-disability. The score can range from 0-24 with higher scores indicative of higher related-disability.
Changes in Mechanical Sensitivity of the Sciatic Nerve Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session The degrees of the straight leg raise test will be used to assess sensitivity of the sciatic nerve
Changes in Neuropathic Mechanism Consideration Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session The Self-report Leeds Assessment of Neuropathic Symptoms and Signs Scale (S-LANSS) will be used for assessing neuropathic mechanism. The S-LANSS is a 7-item tool for identifying patients whose pain is dominated by neuropathic mechanisms. Each item is a binary response (yes or no) to the presence of symptoms (5 items) or clinical signs (2 items). The total score is 24 points and a value ≥ 12 points is indicative of a neuropathic component of pain.
Changes in Pressure Pain Thresholds Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session Pressure pain thresholds will be assessed with a mechanical algometer over the common peroneal and tibial nerve
Trial Locations
- Locations (1)
Universidad Rey Juan Carlos
🇪🇸Alcorcon, Madrid, Spain
Universidad Rey Juan Carlos🇪🇸Alcorcon, Madrid, Spain