Neural Dynamics Technique for the Treatment of Chronic Radicular Low Back Pain
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|ClinicalTrials.gov Identifier: NCT01145105|
Recruitment Status : Completed
First Posted : June 16, 2010
Last Update Posted : November 10, 2011
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.
|Condition or disease||Intervention/treatment||Phase|
|Low Back Pain Sciatica||Procedure: neural dynamics techniques treatment Procedure: placebo treatment||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||34 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)|
|Official Title:||Efficacy of Neural Dynamics Technique in the Treatment of Chronic Low Back Pain With Radiation to the Leg|
|Study Start Date :||June 2010|
|Actual Primary Completion Date :||July 2011|
|Actual Study Completion Date :||July 2011|
- Procedure: neural dynamics techniques treatment
Treatment group- will receive neural mobilizations techniques, to improve movement of the sciatic nerve.Other Name: Physiotherapy
- Procedure: placebo treatment
Control group- will receive placebo treatment that will include mobilization to the upper limb. After the placebo treatment, these patients will receive neural mobilizations techniques.Other Name: physiotherapy
- 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
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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.|