The Effectiveness of Neurodynamic Techniques in Patients With Nerve-Related Leg Pain

NCT01954199 | Completed DMC

• 1 other identifier: UFCSPA
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to verify if patients with nerve-related leg pain benefits from neurodynamic treatment over two weeks.

Conditions

Nerve Pain; Peripheral Nerve Injuries; Peripheral Nervous System Diseases; Sciatica; Low Back Pain; Low Back Ache; Signs and Symptoms

Keywords

Sciatica; Nerve pain; Low back pain

Outcome Measures

Primary Outcomes (2)

• Leg Pain Intensity

  Leg Pain will be measured by a 0-10 Numeric Rating Scale (Pain NRS)

  Two weeks after randomization

• Disability

  Disability will be measured by the Oswestry Disability Index (ODI)

  Two weeks after randomization

Secondary Outcomes (7)

• Leg pain Intensity

  Four weeks after randomization

• Disability

  Four weeks after randomization

• Back pain intensity

  Two weeks after randomization

• Back pain intensity

  Four weeks after randomization

• Distribution of Symptoms

  Two weeks, Four weeks after randomization

Study Arms (2)

Neurodynamic group

EXPERIMENTAL

Patients allocated to this group will receive three different neurodynamic techniques: a lumbar foramen dynamic opener; a side-lying slider and a slider in the slump position. Patients will be asked to perform home exercises (a slider and a tensioner technique). Treatment will receive four treatments during two weeks (two sessions/week).

Procedure: Neurodynamic Group

Control Group

NO INTERVENTION

Patients allocated to Control Group (CG) will receive no intervention and will be advised according to the best evidence available; i.e, advice to remain active and to resume activities of daily living Upon trial completion, treatment will be offered.

Interventions

Neurodynamic Group PROCEDURE

All techniques will be executed in a pain-free way (grade III). Mild discomfort will be accepted, but it must subside as soon as the technique ends. * In the dynamic opener technique, patient will be positioned in side-lying, with the affected side upwards. The therapist will then perform grade III oscillations aiming to open the lumbar foramen; * In the side-lying slider, the patient will be in side-lying with the affected side upwards. A combination of knee and hip flexion and extension movements will produce sliding in the neural structures; * In the slump slider, the patient will be seated in slump position. Combinations between neck and knee movements will produce greater nerve excursion than the side-lying slider. Patients will perform the slump slider in a pain-free manner.

Also known as: Neural mobilization, Sliders, Tensioners, Nerve tissue management

Neurodynamic group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• unilateral leg pain (Intensity ≥ 3)
• Pain distal to the buttocks
• Reproduction of symptoms and change in symptoms with structural differentiation (cervical return to neutral position or ankle dorsiflexion) with slump test;

You may not qualify if:

• cauda equina syndrome;
• bilateral leg pain;
• crossed Lasègue sign;
• previous surgery in the lumbar spine;
• inflammatory arthropathies;
• malignancy
• being in litigation or in work-compensation due to back and/or leg pain
• being receiving physiotherapy treatment at the time of baseline assessment

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead

Study Sites (1)

Federal University of Health Sciences of Porto Alegre

Porto Alegre, Rio Grande do Sul, 90050-170, Brazil

Location

Related Publications (1)

• Ferreira G, Stieven F, Araujo F, Wiebusch M, Rosa C, Plentz R, Silva M. Neurodynamic treatment did not improve pain and disability at two weeks in patients with chronic nerve-related leg pain: a randomised trial. J Physiother. 2016 Oct;62(4):197-202. doi: 10.1016/j.jphys.2016.08.007. Epub 2016 Aug 24.

  PMID: 27634158 DERIVED

MeSH Terms

Conditions

Neuralgia; Peripheral Nerve Injuries; Peripheral Nervous System Diseases; Sciatica; Low Back Pain; Signs and Symptoms

Condition Hierarchy (Ancestors)

Neuromuscular Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Pathological Conditions, Signs and Symptoms; Trauma, Nervous System; Wounds and Injuries; Sciatic Neuropathy; Mononeuropathies; Back Pain

Study Officials

• Marcelo F Silva, PhD

  Federal University of Health Sciences of Porto Alegre

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Mr

Study Record Dates

• First Submitted: September 24, 2013
• First Posted: October 1, 2013
• Study Start: March 1, 2015
• Primary Completion: April 1, 2016
• Study Completion: April 1, 2016
• Last Updated: June 2, 2016

Record last verified: 2016-06

Locations

BR (1)