Effect of Neurodynamic Mobilization in Patients With Lumbar Disc Herniation

Aydin Adnan Menderes University

Status: Completed

Conditions: Lumbar Disc Herniation; Low Back Pain

Treatments: Other: Neurodynamic Mobilization; Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07203560

ADU-FTR-GG-01

Details and patient eligibility

About

The objective of this randomized controlled trial was to investigate the effects of neurodynamic mobilization on pain intensity, normal joint motion, neurodynamics, functional level, and disability in patients with lumbar disc herniation.

Full description

Background: Low back pain is a major cause of disability worldwide, and due to the limited effectiveness of current treatments, this study aimed to evaluate the efficacy of neurodynamic mobilization technique on pain intensity, range of motion, neurodynamics, functional status, and disability in patients.

Methods: Thirty-seven patients were randomized to control or mobilization group. Participants in the control group received a conventional therapy for 20 treatment sessions, and those in the mobilization group were treated neurodynamic mobilization in addition to the electro/thermal therapy program twice a week for 4 consecutive weeks. Pain level at rest and during activity was recorded with a Visual Analog Scale. Active lumbar flexion, extension, and lateral flexion were measured with a universal goniometer. Neurodynamic mobility was evaluated using neurodynamic tests. The functional status was assessed with the 30-second chair stand test and disability was evaluated with the Bournemouth Questionnaire. 2x2 repeated measures ANOVA models were used to determine within and between group differences.

Enrollment: 40 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 20 and 60 years
• Diagnosed with lumbar disc herniation at one or more of the L3-L4, L4-L5
• L5-S1 levels with prolapsed, protruding, or extruding disc confirmed by MRI
• Presence of low back pain for at least 6 weeks.

Exclusion criteria

• Spinal stenosis
• Previous lumbar surgery or medical treatment for disc herniation
• Pregnancy
• Severe osteoporosis
• Diabetes mellitus
• Severe neurological deficit

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Neurodynamic Mobilization + Conventional Therapy (Experimental Group)

Experimental group

Description:

Participants received the conventional physiotherapy program plus neurodynamic mobilization administered by a physical therapist. Treatment was given 5 days a week for 4 weeks, for a total of 20 sessions.

Treatment:

Other: Conventional Physiotherapy

Other: Neurodynamic Mobilization

Conventional Therapy (Control Group)

Active Comparator group

Description:

Individuals in control group received hot therapy (Hotpack, 20 minutes), Conventional Tens (60 Hz, 60 msec, 20 minutes) and Therapeutic Ultrasound (1.5 w/cm2, 10 minutes). Patients were given an exercise program to do at home and the treatment was given 5 days a week for 4 weeks, for a total of 20 sessions, to all patients in the study.

Treatment:

Other: Conventional Physiotherapy