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

NCT01145105 | Completed

• 1 other identifier: K-09-0078-ctil
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

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.

Conditions

Low Back Pain; Sciatica

Keywords

Low back pain; Sciatica; Pain; Physiotherapy

Outcome Measures

Primary Outcomes (1)

• Efficacy of neural dynamics technique

  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

  5 weeks

Interventions

neural dynamics techniques treatment PROCEDURE

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

Also known as: 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.

Also known as: physiotherapy

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Written consent
• LBP with radiation to one leg, that lasts more than 6 weeks
• Abnormal response to SLR test
• With or without neurological signs

You may not qualify if:

• History of spinal surgery
• Patient with FUO
• History of malignancies
• Patient with saddle anesthesia

Sponsors & Collaborators

• Clalit Health Services: lead

Study Sites (1)

Clalit Health Services, Haifa and Western Galilee District

Haifa, Israel

Location

MeSH Terms

Conditions

Low Back Pain; Sciatica; Pain

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Noga Roguin Maor, MD

  clinical research unit, Clalit health services, Haifa and western Galilee district.

  PRINCIPAL INVESTIGATOR

• Uzi Milman, MD

  clinical research unit, Clalit health services, Haifa and western Galilee district.

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Uzi Milman MD, Clinical Research Unit, Clalit Health Services, Haifa District, HAIFA, ISRAEL.

Study Record Dates

• First Submitted: May 24, 2010
• First Posted: June 16, 2010
• Study Start: June 1, 2010
• Primary Completion: July 1, 2011
• Study Completion: July 1, 2011
• Last Updated: November 10, 2011

Record last verified: 2011-07

Locations

IL (1)