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The Effectiveness of Neurodynamic Techniques in Patients With Nerve-Related Leg Pain

F

Federal University of Health Science of Porto Alegre

Status

Completed

Conditions

Signs and Symptoms
Nerve Pain
Low Back Ache
Peripheral Nerve Injuries
Peripheral Nervous System Diseases
Sciatica
Low Back Pain

Treatments

Procedure: Neurodynamic Group

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

This study aims to verify if patients with nerve-related leg pain benefits from neurodynamic treatment over two weeks.

Full description

Nerve-related leg pain (NRLP) although less prevalent than low back pain itself, is associated with higher economic and social burden, and has been considered a predictor of chronicity and disability among subjects with low back pain.

Numerous approaches are proposed for its management; however, evidence regarding the best therapeutic approach is lacking. Neurodynamic techniques are proposed to be effective to manage NRLP.

Thus, this study aims to verify, through a randomized controlled trial, the effectiveness of a two-week program of neurodynamic techniques on pain and disability in individuals with NRLP.

Enrollment

60 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • unilateral leg pain (Intensity ≥ 3)
  • Pain distal to the buttocks
  • Reproduction of symptoms and change in symptoms with structural differentiation (cervical return to neutral position or ankle dorsiflexion) with slump test;

Exclusion criteria

  • cauda equina syndrome;
  • bilateral leg pain;
  • crossed Lasègue sign;
  • previous surgery in the lumbar spine;
  • inflammatory arthropathies;
  • malignancy
  • being in litigation or in work-compensation due to back and/or leg pain
  • being receiving physiotherapy treatment at the time of baseline assessment

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

60 participants in 2 patient groups

Neurodynamic group
Experimental group
Description:
Patients allocated to this group will receive three different neurodynamic techniques: a lumbar foramen dynamic opener; a side-lying slider and a slider in the slump position. Patients will be asked to perform home exercises (a slider and a tensioner technique). Treatment will receive four treatments during two weeks (two sessions/week).
Treatment:
Procedure: Neurodynamic Group
Control Group
No Intervention group
Description:
Patients allocated to Control Group (CG) will receive no intervention and will be advised according to the best evidence available; i.e, advice to remain active and to resume activities of daily living Upon trial completion, treatment will be offered.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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