Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica

NCT03663842 | Completed

• 1 other identifier: 25/2010
• Study Type: interventional
• Target: 44
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objectives: To analyse the effects of sciatic neural mobilisation, in combination to the treatment of the surrounding structures, on pain and disability. Secondly, to investigate baseline characteristics that may be associated with improvements in pain and lumbar disability. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilisation and soft tissue techniques. Pain intensity and lumbar disability were assessed at baseline and after treatment using a Numerical Rating Scale (0-10) and the Oswestry Disability Index (0-100), respectively. The pre- and post-intervention data were compared.

Conditions

Sciatica Pain; Physical Therapy Modalities; Manual Therapies; Disability Evaluation

Keywords

Lumbosacral Plexus; Physical Therapy Modalities; Manual Therapies; Disability Evaluation.

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Measured by the Numerical Rating Scale (NRS 0-10)

  From enrollment to end of treatment at 12 weeks

• Lumbar disability

  Assessed by the Oswestry Disability Index (ODI).It consists of 10 items addressing different aspects of disability. Each item is scored from 0 to 5, with higher values representing greater disability. The sum of the item scores is divided by the total possible score (50 if all sections are completed), and the resulting total is multiplied by 100 to be described as a percentage score.

  From enrollment to end of treatment at 12 weeks.

Study Arms (1)

Neural tissue management

EXPERIMENTAL

Myofascial release technique; Hip joint mobilization technique; Cross-fiber friction over the sacroiliac joints; Neural mobilization to improve sciatic nerve excursion.

Other: Physical therapy treatment

Interventions

Physical therapy treatment OTHER

All patients underwent the same techniques, and there was no modification of the intervention protocol during the study: (1) Myofascial release technique - piriformis muscle and biceps femoral muscle; (2) Hip joint mobilization; (3) Cross-fiber friction over the sacroiliac joints; (4) Neural mobilization to improve sciatic nerve excursion.

Neural tissue management

Eligibility Criteria

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

You may qualify if:

• Low back pain with radiating leg pain and/or paresthesia below the knee that follows the L5 and/or S1 dermatomal pattern.

You may not qualify if:

• History of lumbar and abdominal surgery
• Rheumatologic syndromes (e.g. Rheumatoid arthritis);
• Lumbar stenosis.

Sponsors & Collaborators

• Centro Universitário Augusto Motta: lead

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Renato Almeida, PhD

  Centro Universitário Augusto Motta

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 5, 2018
• First Posted: September 10, 2018
• Study Start: May 10, 2010
• Primary Completion: November 10, 2010
• Study Completion: December 10, 2010
• Last Updated: September 10, 2018

Record last verified: 2018-09

Data Sharing

• IPD Sharing: Will not share