Effect of Neural Mobilization on Lumbosacral Radiculopathy Patients With Peripheral Sensitization

Not Applicable

Completed

Interventions: Other: Neural mobilization exercises -Tensioner technique
Other: Transcutaneous Electrical Nerve Stimulation (TENS)
Other: Neural mobilization exercises -Slider technique

Brief Summary: The primary purpose of this study was to investigate the effects of slider and tensioner techniques on pain, hip and knee ROM in lumbosacral radiculopathy patients with peripheral sensitization. A secondary purpose was to evaluate the correlation between these outcomes measurements.

Detailed Description: Study design: Double-blind case-control trial. Methods: Fifty-one male lumbosacral radiculopathy patients with peripheral sensitization, were divided into one of the three groups: slider, tensioner, and control. The primary outcome measurements were visual analog scale (VAS) for pain, hip range of motion (ROM) during SLR test, and knee flexion ROM during slump test. The measurements were taken at baseline, after 1st, 3rd, and 6th session.

Statistical Analysis: A two-way mixed design analysis of variance (MANOVA) with post-hoc (Bonferonni Correction) was used to calculate the differences with Time (baseline, 1st,3rd,6th sessions) as a within-group factor and Group (control, slider, and tensioner) as a between-group factor. The effect size was calculated with Cohen's d. Pearson's correlation was used for correlation analysis.

Recruitment & Eligibility

Inclusion Criteria

Patients with lumbosacral radiculopathy with dominant peripheral sensitization
patients with unilateral leg pain.
patient S-LANSS score > 12,
negative sensory and motor examination.
positive neural tissue provocation tests (straight leg raising test, slump test).
adult.
pain duration of more than 3 months.

Exclusion Criteria

S-LANSS score ≥ 12,
motor or sensory deficits,
history of back or lower extremity surgeries,
bilateral referred pain,
patients with pacemakers, cardiovascular problems, epilepsy, active malignancy, dermatological conditions, and diminished pain sensation.

Arm && Interventions

Group	Intervention	Description
Tensioner Group	Neural mobilization exercises -Tensioner technique	Patients in this group had 6 sessions in 2 weeks of TENS combined with neural mobilization exercises (Tensioner technique).
Control group	Transcutaneous Electrical Nerve Stimulation (TENS)	Patients in this group had 6 sessions in 2 weeks of Transcutaneous Electric Nerve Stimulation (TENS).
Slider Group	Neural mobilization exercises -Slider technique	Patients in this group had 6 sessions in 2 weeks of TENS combined with neural mobilization exercises (Slider technique).

Primary Outcome Measures

Name	Time	Method
Knee Flexion Range of Motion (Symptomatic Side)	The measurements were taken at days "0,1,5,12"	Change in Knee flexion range of motion during slump (symptomatic side)
Hip Flexion Range of Motion (Asymptomatic Side)	The measurements were taken at days "0,1,5,12"	Change in Hip Flexion Range of Motion During Straight Leg Raising (Asymptomatic Side)
Knee Flexion Range of Motion (Asymptomatic Side)	The measurements were taken at days "0,1,5,12"	Change in Knee flexion range of motion during slump (Asymptomatic side)
Visual Analog Scale	The measurements were taken at days "0,1,5,12"	Visual analog scale was used to measure pain intensity. This scale is a 10 cm line where patients chose from 0 to 10 (when 0 mean no pain and 10 mean maximum pain)
Hip Flexion Range of Motion (Symptomatic Side)	The measurements were taken at days "0,1,5,12"	Change in Hip flexion range of motion during straight leg raising (symptomatic side)