Neural Mobilization and Conventional Physical Therapy After Laminectomy

Cairo University (CU)

Status: Completed

Conditions: Laminectomy

Treatments: Other: Conventional physical therapy program; Other: Neural mobilization combined with conventional physical therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT04498338

Interventional (Other Identifier)

Details and patient eligibility

About

This study was conducted to evaluate the effect of addition of neural mobilization to a standard post-operative physical therapy program in patients with lumbar laminectomy.

Full description

After Laminectomy, patients are suffering from many problems as pain, weakness. This study was conducted on two groups of patients who underwent lumbar Laminectomy as a surgical treatment for lumbar canal stenosis. The control group received TENS and strengthening exercises, while the study group received neural mobilization in addition to the program that was given to the control group. The outcome measures include pain intensity, nerve root compression and functional level which were measured pre-treatment and post-treatment through using visual analogue scale, H-reflex latency and Oswestry Disability Index (ODI) respectively.

Enrollment: 60 patients

Sex: All

Ages: 35 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged from 35-50 years.
• Underwent lumbar laminectomy of one or two levels.

Exclusion criteria

• Patients who had arthritis in the joints of the lower limbs (which would limit walking).
• Patients who had tumors, fractures or infections of the spine.
• Patients who had diabetes mellitus.
• Patients who had polyneuropathy.
• Patients who had evidence of spinal cord compression.
• Patients who had previous spinal surgery.
• Patients who had spinal stability problems (e.g. spondilo-listhesis, spondilolysis).
• Patients who had sensory loss.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Neural mobilization and conventional physical therapy

Experimental group

Description:

Neural mobilization combined with conventional physical therapy program (Transcutaneous electrical nerve stimulation (TENs) and exercise program) were performed three times/week for 6 successive weeks.

Treatment:

Other: Neural mobilization combined with conventional physical therapy program

Conventional physical therapy program

Active Comparator group

Description:

Conventional physical therapy program (Transcutaneous electrical nerve stimulation (TENs) and exercise program) was performed three times/week for 6 successive weeks.

Treatment:

Other: Conventional physical therapy program