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Effect of Neural Mobilization on Lumbosacral Radiculopathy Patients With Peripheral Sensitization

M

Mohammed Al-Ghamdi

Status

Completed

Conditions

Radiculopathy

Treatments

Other: Transcutaneous Electrical Nerve Stimulation (TENS)
Other: Neural mobilization exercises -Slider technique
Other: Neural mobilization exercises -Tensioner technique

Study type

Interventional

Funder types

Other

Identifiers

NCT03621878
IRB-2014-04-321

Details and patient eligibility

About

The primary purpose of this study was to investigate the effects of slider and tensioner techniques on pain, hip and knee ROM in lumbosacral radiculopathy patients with peripheral sensitization. A secondary purpose was to evaluate the correlation between these outcomes measurements.

Full description

Study design: Double-blind case-control trial. Methods: Fifty-one male lumbosacral radiculopathy patients with peripheral sensitization, were divided into one of the three groups: slider, tensioner, and control. The primary outcome measurements were visual analog scale (VAS) for pain, hip range of motion (ROM) during SLR test, and knee flexion ROM during slump test. The measurements were taken at baseline, after 1st, 3rd, and 6th session.

Statistical Analysis: A two-way mixed design analysis of variance (MANOVA) with post-hoc (Bonferonni Correction) was used to calculate the differences with Time (baseline, 1st,3rd,6th sessions) as a within-group factor and Group (control, slider, and tensioner) as a between-group factor. The effect size was calculated with Cohen's d. Pearson's correlation was used for correlation analysis.

Enrollment

51 patients

Sex

Male

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with lumbosacral radiculopathy with dominant peripheral sensitization
  • patients with unilateral leg pain.
  • patient S-LANSS score > 12,
  • negative sensory and motor examination.
  • positive neural tissue provocation tests (straight leg raising test, slump test).
  • adult.
  • pain duration of more than 3 months.

Exclusion criteria

  • S-LANSS score ≥ 12,
  • motor or sensory deficits,
  • history of back or lower extremity surgeries,
  • bilateral referred pain,
  • patients with pacemakers, cardiovascular problems, epilepsy, active malignancy, dermatological conditions, and diminished pain sensation.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

51 participants in 3 patient groups

Control group
Active Comparator group
Description:
Patients in this group had 6 sessions in 2 weeks of Transcutaneous Electric Nerve Stimulation (TENS).
Treatment:
Other: Transcutaneous Electrical Nerve Stimulation (TENS)
Tensioner Group
Experimental group
Description:
Patients in this group had 6 sessions in 2 weeks of TENS combined with neural mobilization exercises (Tensioner technique).
Treatment:
Other: Neural mobilization exercises -Tensioner technique
Slider Group
Experimental group
Description:
Patients in this group had 6 sessions in 2 weeks of TENS combined with neural mobilization exercises (Slider technique).
Treatment:
Other: Neural mobilization exercises -Slider technique

Trial documents
1

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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