Disability Evaluation, Manual Therapies, Physical Therapy Modalities, Sciatica Pain
Conditions
Keywords
Lumbosacral Plexus, Physical Therapy Modalities, Manual Therapies, Disability Evaluation.
Brief summary
Objectives: To analyse the effects of sciatic neural mobilisation, in combination to the treatment of the surrounding structures, on pain and disability. Secondly, to investigate baseline characteristics that may be associated with improvements in pain and lumbar disability. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilisation and soft tissue techniques. Pain intensity and lumbar disability were assessed at baseline and after treatment using a Numerical Rating Scale (0-10) and the Oswestry Disability Index (0-100), respectively. The pre- and post-intervention data were compared.
Interventions
All patients underwent the same techniques, and there was no modification of the intervention protocol during the study: (1) Myofascial release technique - piriformis muscle and biceps femoral muscle; (2) Hip joint mobilization; (3) Cross-fiber friction over the sacroiliac joints; (4) Neural mobilization to improve sciatic nerve excursion.
Sponsors
Centro Universitário Augusto Motta
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Low back pain with radiating leg pain and/or paresthesia below the knee that follows the L5 and/or S1 dermatomal pattern.
Exclusion criteria
* History of lumbar and abdominal surgery * Rheumatologic syndromes (e.g. Rheumatoid arthritis); * Lumbar stenosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | From enrollment to end of treatment at 12 weeks | Measured by the Numerical Rating Scale (NRS 0-10) |
| Lumbar disability | From enrollment to end of treatment at 12 weeks. | Assessed by the Oswestry Disability Index (ODI).It consists of 10 items addressing different aspects of disability. Each item is scored from 0 to 5, with higher values representing greater disability. The sum of the item scores is divided by the total possible score (50 if all sections are completed), and the resulting total is multiplied by 100 to be described as a percentage score. |
Outcome results
None listed