Neural Dynamics Technique for the Treatment of Chronic Radicular Low Back Pain
Low back pain ( LBP) is a significant health problem which affects about 70%-80% of the population during the course of their life . The majority of LBP is resolved within 3 months; however, up to 40% of LBP becomes chronic. One subgroup of chronic LBP is patients with sciatica. Sciatica is characterized by radiating pain to the buttock and lower limb, with or without low back pain.
It has been shown in the upper limb that by positioning the contra-lateral arm in tension the investigators actually reduce tension in the ipsilateral arm. Patients, who present with symptoms like sciatica, can benefit from this maneuver (neural dynamics techniques) that reduces tension through the contra-lateral leg.
Working Hypothesis: Compared with a placebo maneuver of the upper limb, the neural dynamics techniques will result in better rehabilitation of individuals with radicular LBP.
|Low Back Pain Sciatica||Procedure: neural dynamics techniques treatment Procedure: placebo treatment|
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Efficacy of Neural Dynamics Technique in the Treatment of Chronic Low Back Pain With Radiation to the Leg|
- Efficacy of neural dynamics technique [ Time Frame: 5 weeks ]
Efficacy will be measured by combining 5 tools
- Oswestry disability index.
- McGill Pain Questionnaire
- Visual analog scale for pain assessment.
- Lumbar flexion measurement (the distance of the tip of the index finger to the inferior angle of the Patella, measured by a measurement tape.
- Passive SLR range of motion- measured with inclinometer
|Study Start Date:||June 2010|
|Study Completion Date:||July 2011|
|Primary Completion Date:||July 2011 (Final data collection date for primary outcome measure)|
Procedure: neural dynamics techniques treatment
Please refer to this study by its ClinicalTrials.gov identifier: NCT01145105
|Clalit Health Services, Haifa and Western Galilee District|
|Principal Investigator:||Noga Roguin Maor, MD||clinical research unit, Clalit health services, Haifa and western Galilee district.|
|Study Director:||Uzi Milman, MD||clinical research unit, Clalit health services, Haifa and western Galilee district.|