Slider Versus Tensioner Neural Mobilization in Diabetic Peripheral Neuropathy

Riphah International University

Status: Completed

Conditions: Diabetic Peripheral Neuropathic Pain

Treatments: Other: Tensioner Neural mobilization; Other: Stretching exercises; Other: Sliding Neural mobilization; Device: TENS

Study type: Interventional

Funder types: Other

Identifiers

NCT05349357

REC01253 Aaseya Syed

Details and patient eligibility

About

Neurodynamics, i.e., the mobilization of the peripheral nervous system, is a physical approach to the treatment of pain; the method relies on influencing pain physiology via mechanical treatment of neural tissues and the non-neural structures surrounding the nervous system. Neural mobilization (NM) is used to treat various disorders of the nervous system concerning the length and mobility of peripheral nerves, as the nerve mobilizing refers to techniques that help to reestablish motion between a nerve and its surrounding soft tissues, thus to treat the nerves that have become entangled within the soft tissue, as it leads to tension release on a nerve by stretching and pulling one end of the nerve during keeping the other end in a relaxed state.

Full description

The neurodynamic technique both sliders and tensioners results in changes of the mechanical or physiological function of nerve tissues along with the interface; restoring pressure gradients, relieving hypoxia and pain resulting in reducing associated symptoms.

Through clinical reasoning the nervous system seems to be the logical place for treatment and explanations and previous descriptions of this method have clarified the overall impact on quality of life in diabetic peripheral neuropathy but it doesn't discuss which technique of neural mobilization is more effective and its effects on diabetic peripheral neuropathic population. Within this reasoning it is important to determine which neurodynamic technique is more effective in improving quality of life and reduce pain in patients with diabetic peripheral neuropathy.

Enrollment: 32 patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient having≥12score on Self report Leads Assessment of Neuropathic Symptoms and Sign
• Patients with lower limb pain ≥4 to ≤7 on NPRS

Exclusion criteria

• Diabetic foot ulcer
• Complex regional pain syndrome
• Infection in lower limb
• Lower extremity amputation
• Discogenic pain
• Restricted joint deformity
• Dependency on chemical or drugs
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

Group A

Active Comparator group

Description:

TENS, Stretching exercises, ROM exercises Sliding neural mobilization to femoral, sciatic, tibial nerve

Treatment:

Other: Sliding Neural mobilization

Other: Stretching exercises

Device: TENS

Group B

Active Comparator group

Description:

TENS, Stretching exercises, ROM exercises Tensioner neural mobilization to femoral, sciatic, tibial nerve

Treatment:

Other: Stretching exercises

Device: TENS

Other: Tensioner Neural mobilization