Motor Control Exercises and Neurodynamic Intervention for Lumbar Radiculopathy: A Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lumbar Radiculopathy
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Changes in Lower Extremity Pain Intensity
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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
Investigators
César Fernández-de-las-Peñas
Director
Universidad Rey Juan Carlos
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Changes in Lower Extremity Pain Intensity
Time Frame: 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 Outcomes
- Changes in Related-Disability(Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session)
- Changes in Mechanical Sensitivity of the Sciatic Nerve(Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session)
- Changes in Neuropathic Mechanism Consideration(Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session)
- Changes in Pressure Pain Thresholds(Baseline, after 4 treatment sessions, after 8 treatment sessions,and 2 months after last treatment session)