Neural Dynamics Technique for the Treatment of Chronic Radicular Low Back Pain

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.

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Key information

Conditions

Low Back Pain Back Pain Mononeuropathies Nervous System Diseases Neuralgia Neurologic Manifestations Neuromuscular Diseases Pain Pathological Conditions, Signs and Symptoms Peripheral Nervous System Diseases Sciatic Neuropathy Sciatica Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Clalit Health Services, Haifa and Western Galilee District

Haifa, Israel

About this study

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;

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

neural dynamics techniques treatment

Procedure

Treatment group- will receive neural mobilizations techniques, to improve movement of the sciatic nerve.

Other names: Physiotherapy

Placebo treatment

Procedure

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.

Other names: physiotherapy

Primary outcomes

Efficacy of neural dynamics technique

Time frame: 5 weeks
Efficacy will be measured by combining 5 tools
- Oswestry disability index.
- McGill Pain Questionnaire
- Visual analog scale for pain assessment.
- Lumbar flexion measurement (the distance of the tip of the index finger to the inferior angle of the Patella, measured by a measurement tape.
- Passive SLR range of motion- measured with inclinometer

Sponsors and collaborators

Lead sponsor

Clalit Health Services

Other

Registry information

Official study title

Efficacy of Neural Dynamics Technique in the Treatment of Chronic Low Back Pain With Radiation to the Leg

Important dates

Study start: 2010
Primary completion: 2011
Study completion: 2011
First posted: Jun 16, 2010
Registry last updated: Nov 10, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed