The Effect Of A Neurodynamic Treatment On Nerve Conduction In Clients With Low Back Pain

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
McMaster University
ClinicalTrials.gov Identifier:
NCT01402895
First received: July 22, 2011
Last updated: February 7, 2012
Last verified: July 2011
  Purpose

The purpose of this study is to determine if a certain treatment for low back pain can change the way nerves in the leg send messages. Specifically, the investigators will examine whether a particular type of physical therapy treatment for individuals with low back pain (neurodynamic techniques) changes the speed that nerves send/receive signals to/from the leg, as compared to a different physical therapy treatment.


Condition Intervention
Low Back Pain
Other: Exercise
Other: Mobilizations

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect Of A Neurodynamic Treatment On Nerve Conduction In Clients With Low Back Pain

Resource links provided by NLM:


Further study details as provided by McMaster University:

Primary Outcome Measures:
  • Change in nerve conduction studies [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ] [ Designated as safety issue: No ]
    Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle)


Secondary Outcome Measures:
  • Change of knee extension in sitting slump test [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ] [ Designated as safety issue: No ]
  • Change in score of Visual Analog Scale for pain [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ] [ Designated as safety issue: No ]

Enrollment: 9
Study Start Date: May 2011
Study Completion Date: October 2011
Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Mobilizations
The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.
Other: Mobilizations
The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.
Active Comparator: Exercise
The physiotherapist will teach the participant how to tighten the transversus abdominus muscle. The participant will be asked to do a series of these exercises.
Other: Exercise
Transversus abdominus exercise

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males and females aged 18 years and older
  • Participants who can speak English and read, understand, and fill out the consent form and questionnaires
  • Participants will have a certain level of low back pain graded numerically, with or without radiation to the leg
  • Clinical decision (by same individual) as safe to participate in study based on subjective history and objective examination.

Exclusion Criteria:

  • An inability to tolerate sitting for 10 minutes
  • Nerve conduction disorders diagnosed by a physician such as, diabetes or MS
  • Current participant in an investigational drug study (within past 3 months)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01402895

Locations
Canada, Ontario
McMaster University
Hamilton, Ontario, Canada
Sponsors and Collaborators
McMaster University
Investigators
Study Director: Victoria Galea, PhD McMaster University
Study Chair: Joy MacDermid, PhD McMaster University
Study Chair: Linda Woodhouse, PhD University of Alberta
Study Chair: Anita Gross, MSc McMaster University
  More Information

Publications:
DeLeo, J.A. (2006). Basic Science Of Pain. The Journal Of Bone And Joint Surgery, 88A Supplement 2, 58-62.

Responsible Party: McMaster University
ClinicalTrials.gov Identifier: NCT01402895     History of Changes
Other Study ID Numbers: 10-541
Study First Received: July 22, 2011
Last Updated: February 7, 2012
Health Authority: Canada: Ethics Review Committee

Keywords provided by McMaster University:
Nerve conduction
H-reflex, mobilizations
with neurodynamic component

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on April 17, 2014