Neurodynamic Study

NCT03144362 | Completed

• 1 other identifier: STH19135
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

Sciatica is a debilitating and costly condition. Prognostically, patients presenting with leg pain often have a poor recovery and some go onto have spinal surgery. However, in the absence of nerve root compression on MRI, no surgical option is viable and patients are often discharged and encouraged to self manage. Neurodynamics offers a means to treat patients with non-compressive leg pain. To date, there is no research exploring which form of neurodynamic sliding technique offers the greatest therapeutic benefit in patients presenting with sciatica. The aim of this pilot study is to calculate how many patients would be needed to run a full scale trial evaluating therapeutic efficacy. Moreover, the pilot will assess the overall workability of the study and the feasibility of patient recruitment.

Conditions

Sciatic Leg Pain

Outcome Measures

Primary Outcomes (1)

• Roland Morris Disability Questionnaire

  The questionnaire will be completed prior to treatment starting and again at the conclusion of the study. Change scores will be recorded. Roland \& Fairbank (2000) advise a change score of 2-3 points on the 24-item version of the RMDQ as the minimally clinically important difference (MCID).

  6 months

Secondary Outcomes (1)

• The Oxford Disability Index

  6 months

Study Arms (3)

Bilateral Sliding Technique

ACTIVE COMPARATOR

Procedure: Bilateral Sliding Techniques

Unilateral Sliding Techniques

ACTIVE COMPARATOR

Procedure: Unilateral Sliding Techniques

Standard care

NO INTERVENTION

Interventions

Bilateral Sliding Techniques PROCEDURE

Bilateral Sliding Techniques

Bilateral Sliding Technique

Unilateral Sliding Techniques PROCEDURE

Unilateral Sliding Techniques

Unilateral Sliding Techniques

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients presenting with sciatic leg pain or dysaesthetic symptoms into one leg, below the knee who have had lumbar/sacral nerve root compression excluded through MRI
• Duration of symptoms greater than 12 weeks
• Reproduction of the patients symptoms with SLR test + passive ankle dorsiflexion
• Patients aged between 18-75 years of age (both male and female participants)

You may not qualify if:

• Any form of lower limb or spinal entrapment neuropathy
• Patients who have not had a lumbosacral MRI
• Any contraindications to manual therapy including; cancer, cauda equina syndrome, active inflammatory arthropathies, rapidly deteriorating neurology, spinal fracture
• Previous lumbar spinal surgery
• Inability to undertake side lying
• Patients unable to give informed consent

Sponsors & Collaborators

• Sheffield Teaching Hospitals NHS Foundation Trust: lead

Study Sites (1)

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield, S10 2JF, United Kingdom

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2017
• First Posted: May 8, 2017
• Study Start: January 1, 2017
• Primary Completion: December 31, 2017
• Study Completion: December 31, 2017
• Last Updated: May 31, 2018

Record last verified: 2018-05

Locations

GB (1)