Motor Control Exercises and Neurodynamic Intervention for Lumbar Radiculopathy: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Changes in Lower Extremity Pain Intensity
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Motor control exercise
Patients will receive 8 sessions of motor control exercise program of 30 min duration for 4 weeks, twice per week. Exercises will be demonstrated to the participants by an experienced physical therapist. On each session, the therapist will correct each subject personally. Participants will be asked for practicing the exercises at home once daily for 20 minutes over the 8-week intervention period. The motor control exercise program will consist of a progression from isolated contraction of the transversus abdominis and/or isolated contraction of the multifidi to combined contraction of both transversus abdominis in different positions from supine or prone to bridging or four-point kneeling.
干预措施: Motor Control Exercises (Other)
Motor control exercise plus neurodynamic intervention
Patients will receive 8 sessions of motor control exercise program of 30 min duration for 4 weeks, twice per week. Exercises will be demonstrated to the participants by an experienced physical therapist. On each session, the therapist will correct each subject personally. Participants will be asked for practicing the exercises at home once daily for 20 minutes over the 8-week intervention period. The motor control exercise program will consist of a progression from isolated contraction of the transversus abdominis and/or isolated contraction of the multifidi to combined contraction of both transversus abdominis in different positions from supine or prone to bridging or four-point kneeling. In addition, participants allocated to the neurodynamic group will also receive a nerve neurodynamic slider intervention targeting the main trunk of the sciatic nerve of the affected side during al treatment sessions (n=8).
干预措施: Motor Control Exercise Plus Neurodynamic Intervention (Other)
结局指标
主要结局
Changes in Lower Extremity Pain Intensity
时间窗: 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
次要结局
- 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)
研究者
César Fernández-de-las-Peñas
Director
Universidad Rey Juan Carlos