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

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ClinicalTrials.gov Identifier: NCT01402895
Recruitment Status : Completed
First Posted : July 26, 2011
Last Update Posted : February 8, 2012
Sponsor:
Information provided by (Responsible Party):
McMaster University

Brief Summary:
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 or disease Intervention/treatment Phase
Low Back Pain Other: Exercise Other: Mobilizations Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 9 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect Of A Neurodynamic Treatment On Nerve Conduction In Clients With Low Back Pain
Study Start Date : May 2011
Actual Primary Completion Date : October 2011
Actual Study Completion Date : October 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Back Pain
U.S. FDA Resources

Arm Intervention/treatment
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



Primary Outcome Measures :
  1. Change in nerve conduction studies [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ]
    Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle)


Secondary Outcome Measures :
  1. Change of knee extension in sitting slump test [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ]
  2. Change in score of Visual Analog Scale for pain [ Time Frame: Change from baseline after intervention, on average 1.5 hours after baseline measure ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
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)

Information from the National Library of Medicine

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): 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

Publications:
Butler, D.S. (1991). SLR, The Slump Test in Mobilisation of the Nervous System (pp.130-135, 139-146). London (UK): Elsevier Limited.
Kimura, J. (1983). Tibial nerve, Sural nerve, The H-reflex and other late responses., Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice. (pp. 125-127, 130-134, 379-385). U.S.A.: F. A. Davis Company.
Shacklock, M. (1995). Neurodynamics. Physiotherapy, 81, 9-16.
Shacklock, M. (2005a). Clinical neurodynamics: A new system of musculoskeletal treatment (pp. 2-29, 98-104, 154-158). London (UK): Elsevier Butterworth Heinemann.

Responsible Party: McMaster University
ClinicalTrials.gov Identifier: NCT01402895     History of Changes
Other Study ID Numbers: 10-541
First Posted: July 26, 2011    Key Record Dates
Last Update Posted: February 8, 2012
Last Verified: July 2011

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