Effectiveness of Neurodynamic Sliding Mobilisation in the "Slump" Position in Relation to the Perceptible Pain Threshold in Asymptomatic People, a Cross-over Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Difference in pressure at the moment when the volunteer indicates that the sensation of pressure becomes pain
研究概览
简要总结
According to the French National Health Agency, the use of manual therapy techniques is "possible" [grade B] as part of a multimodal combination of treatments for low back pain. These include so-called "neurodynamic" neural mobilisations, which aim in particular to desensitise the pain system and activate descending inhibitory pathways, with effects on pain and function in patients with nerve-related low back pain. Most of the available evidence does not explain the mechanisms involved in neural mobilisation in the slump position. Pain reduction is observed in more areas of the body with sliding techniques than with traction techniques.
In this cross-over, randomised controlled trial, we therefore hypothesise that the neurodynamic sliding technique in the slump position acts on mechanisms linked to central pain modulation processes
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
the second physiotherapist who evaluate the pressure pain
入排标准
- 年龄范围
- 30 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Subjects aged 30 years or older and less than 65 years;
- •Subjects considered naive to neurodynamic mobilisation techniques;
- •Volunteers who have read and understood the information letter and have given their written consent to participate in the study;
- •Fluent in spoken and read French;
- •Effective contraception in women of childbearing age (progestin-only or intrauterine device or tubal ligation) for at least 12 months;
- •For postmenopausal women, a confirmatory diagnosis must be obtained (non-drug-induced amenorrhoea for at least 12 months prior to the enrolment visit);
- •Subject affiliated to a social security scheme.
排除标准
- •Positive slump test on the day of the selection visit (production of asymmetric lumbar symptoms or painful radiations in at least one lower limb or unilateral reduction in physiological knee extension range of motion compared with the contralateral side);
- •Neurological and neuropathic pain assessment score (DN4) greater than 4;
- •Increase or decrease in sensory function in the lower limb compared with the contralateral side, as measured by Clinical Sensory Testing (CST);
- •Any physical exertion of perceived intensity greater than 17 on the Borg 6-20 scale in the 72 hours prior to the trial and during the trial;
- •Injury, complaint or symptom affecting the spine (cervical, thoracic, lumbar) and/or lower limb(s) requiring absence from work, school or leisure activities in the 12 months prior to enrolment;
- •History of major surgery, injury to the trunk, spine and/or lower limb(s), or history of progressive rheumatic, neurological or oncological pathology;
研究组 & 干预措施
neurodynamic sliding mobilisation in the "Slump" position
"slump"position
干预措施: "slump"position (Other)
neurodynamic sliding mobilisation in the "Slump" position
"slump"position
干预措施: no" slump" position (Other)
mobilisation, out of the "Slump" position
no "slump"position
干预措施: "slump"position (Other)
mobilisation, out of the "Slump" position
no "slump"position
干预措施: no" slump" position (Other)
结局指标
主要结局
Difference in pressure at the moment when the volunteer indicates that the sensation of pressure becomes pain
时间窗: immediately after the mobilisation and 1 day after the mobilisation
Difference in pressure exerted on the territory of the sciatic nerve (gluteal region) at the moment when the volunteer indicates that the sensation of pressure becomes pain, on the dominant lower limb, between the same volunteer during two treatment sessions which differ only in the exposure to neurodynamic sliding mobilisation in the "Slump" position or to mobilisation outside the "Slump" position.
次要结局
未报告次要终点