Comparison of Conservative Treatment With and Without Neural Gliding Exercise for Patients With Low Back Pain

Neural Gliding Exercise for Low Back Pain

Sponsors

Lead sponsor: Kutahya Medical Sciences University

Source Kutahya Medical Sciences University
Brief Summary

Low back pain is a very common problem that causes pain, disability, gait and balance problems. Neurodynamic techniques is used for treatment of low back pain. The aim of the study is comparing the effects of electrotherapy and neural mobilization techniques on pain, functionality, gait and balance.

Detailed Description

There are many physiotherapy modalities in the treatment of low back pain (LBP). Electrotherapy procedures, manual therapy techniques, kinesiotherapy and specific exercises are among those that are frequently used. In neural mobilization techniques, which began to gain popularity in 1990s, neural tissue and the surrounding structures are glided or tensioned to mobilize them. Neural mobilization is thought to have a positive effect on symptoms by inducing intraneural circulation, axoplasmic flow, and neural visco-elasticity and sensitivity associated with the connective tissue. There are studies in which this modality has yielded therapeutic success in terms of both pain and functionality, particularly in lumbar region and lower limb disorders where neural mechanosensitivity is increased.

Overall Status Completed
Start Date February 1, 2015
Completion Date November 30, 2015
Primary Completion Date November 7, 2015
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Visual Analog Scale (VAS) for pain levels 3 weeks
Secondary Outcome
Measure Time Frame
Oswestry Disability Index 3 weeks
Enrollment 41
Condition
Intervention

Intervention type: Other

Intervention name: Neural gliding exercises

Description: Neural gliding exercises: In addition to the Electrotherapy procedure, patients were asked to actively perform knee extension, ankle dorsiflexion and head extension in the slumped posture followed by simultaneous ankle plantar flexion together with knee and head flexion (10 repetitions in 1 minute). Patients performed the exercises under a home-based program for 5 days of the week during a total period of 3 weeks. Electrotherapy sessions: Local Hot Pack (30 minutes), Chattanoga™ TENS (20 minutes, 80-180 Hz frequency, 50-100 wavelength) and Chattanoga™ ultrasound (1 Mhz frequency, 3 W/cm2 3 minutes) were applied for 5 days per week during a total period of 3 weeks. Subjects in ETG did not do any other exercise approach.

Arm group label: Group 1

Other name: Electrotherapy sessions

Intervention type: Other

Intervention name: Electrotherapy sessions

Description: Electrotherapy sessions: Local Hot Pack (30 minutes), Chattanoga™ TENS (20 minutes, 80-180 Hz frequency, 50-100 wavelength) and Chattanoga™ ultrasound (1 Mhz frequency, 3 W/cm2 3 minutes) were applied for 5 days per week during a total period of 3 weeks. Subjects in ETG did not do any other exercise approach.

Eligibility

Criteria:

Inclusion Criteria:

- Subjects scoring below 70 degrees in the straight leg raise test

- received no physiotherapy until at least 6 months before initial evaluation

Exclusion Criteria:

- subjects who were unable to walk independently,

- who had systemic diseases besides LBP,

- who underwent spinal and lower limb surgery,

- who scored above 70 degrees in the straight leg raise test,

- used analgesics within 48 hours before initial evaluation were excluded.

Gender: All

Minimum age: 18 Years

Maximum age: 60 Years

Healthy volunteers: No

Location
facility Kutahya Health Science University
Location Countries

Turkey

Verification Date

May 2019

Responsible Party

Responsible party type: Principal Investigator

Investigator affiliation: Kutahya Medical Sciences University

Investigator full name: Vedat KURT

Investigator title: Principal investigator

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Arm group label: Group 1

Arm group type: Experimental

Description: Patient received neural gliding exercises in addition electrotehrapy sessions.

Arm group label: Group 2

Arm group type: Active Comparator

Description: Patient received only electrotherapy sessions

Patient Data No
Study Design Info

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov