Low Back Pain
Conditions
Keywords
Nerve conduction, H-reflex, mobilizations, with neurodynamic component
Brief summary
The purpose of this study is to determine if a certain treatment for low back pain can change the way nerves in the leg send messages. Specifically, the investigators will examine whether a particular type of physical therapy treatment for individuals with low back pain (neurodynamic techniques) changes the speed that nerves send/receive signals to/from the leg, as compared to a different physical therapy treatment.
Interventions
OTHERExercise
Transversus abdominus exercise
OTHERMobilizations
The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.
Sponsors
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Males and females aged 18 years and older * Participants who can speak English and read, understand, and fill out the consent form and questionnaires * Participants will have a certain level of low back pain graded numerically, with or without radiation to the leg * Clinical decision (by same individual) as safe to participate in study based on subjective history and objective examination.
Exclusion criteria
* An inability to tolerate sitting for 10 minutes * Nerve conduction disorders diagnosed by a physician such as, diabetes or MS * Current participant in an investigational drug study (within past 3 months)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in nerve conduction studies | Change from baseline after intervention, on average 1.5 hours after baseline measure | Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle) |
Secondary
| Measure | Time frame |
|---|---|
| Change of knee extension in sitting slump test | Change from baseline after intervention, on average 1.5 hours after baseline measure |
| Change in score of Visual Analog Scale for pain | Change from baseline after intervention, on average 1.5 hours after baseline measure |
Countries
Canada
Outcome results
None listed