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

Physical Therapy Modalities Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03663842
• Other study ID #: 25/2010
• Status: Completed
• Phase: N/A
• Start date: May 10, 2010
• Est. completion date: December 10, 2010

Study information

• Verified date: September 2018
• Source: Centro Universitário Augusto Motta
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: December 10, 2010
• Est. primary completion date: November 10, 2010
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

• History of lumbar and abdominal surgery

• Rheumatologic syndromes (e.g. Rheumatoid arthritis);

• Lumbar stenosis.

Related Conditions & MeSH terms

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

Intervention

Other:
• Physical therapy treatment
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.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Centro Universitário Augusto Motta

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Measured by the Numerical Rating Scale (NRS 0-10)	From enrollment to end of treatment at 12 weeks
Primary	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.