Low Back Pain, Sciatica
Conditions
Keywords
Low back pain, Sciatica, Pain, Physiotherapy
Brief summary
Low back pain ( LBP) is a significant health problem which affects about 70%-80% of the population during the course of their life . The majority of LBP is resolved within 3 months; however, up to 40% of LBP becomes chronic. One subgroup of chronic LBP is patients with sciatica. Sciatica is characterized by radiating pain to the buttock and lower limb, with or without low back pain. It has been shown in the upper limb that by positioning the contra-lateral arm in tension the investigators actually reduce tension in the ipsilateral arm. Patients, who present with symptoms like sciatica, can benefit from this maneuver (neural dynamics techniques) that reduces tension through the contra-lateral leg. Working Hypothesis: Compared with a placebo maneuver of the upper limb, the neural dynamics techniques will result in better rehabilitation of individuals with radicular LBP.
Detailed description
Objectives: To evaluate the efficacy of neural dynamics techniques, using the contra-lateral leg, in the treatment of sub-acute/chronic Low back pain with radiation to the leg. Study Methodology: Eligible individuals will be assessed by a physiotherapist that will be blinded to the treatment allocation; treatment (either intervention or placebo) will be provided by a physiotherapist that will be blinded to the patient's assessment. The treated individuals and the referring physician will also be blinded to the treatment allocation;
Interventions
PROCEDUREneural dynamics techniques treatment
Treatment group- will receive neural mobilizations techniques, to improve movement of the sciatic nerve.
PROCEDUREplacebo treatment
Control group- will receive placebo treatment that will include mobilization to the upper limb. After the placebo treatment, these patients will receive neural mobilizations techniques.
Sponsors
Clalit Health Services
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Written consent * LBP with radiation to one leg, that lasts more than 6 weeks * Abnormal response to SLR test * With or without neurological signs
Exclusion criteria
* History of spinal surgery * Patient with FUO * History of malignancies * Patient with saddle anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of neural dynamics technique | 5 weeks | Efficacy will be measured by combining 5 tools 1. Oswestry disability index. 2. McGill Pain Questionnaire 3. Visual analog scale for pain assessment. 4. Lumbar flexion measurement (the distance of the tip of the index finger to the inferior angle of the Patella, measured by a measurement tape. 5. Passive SLR range of motion- measured with inclinometer |
Countries
Israel
Outcome results
None listed