ISSN: 2544-4395
Physiotherapy Quarterly
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3/2022
vol. 30
 
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abstract:
Original paper

Effects of neural mobilization on sciatic nerve excursion, symptoms, and regional function in individuals with nerve-related low back pain

Ravilla Vijayalakshmi
1
,
Lokesh R
2
,
Subbiah Kanthanathan
1
,
Antony Leo Aseer
1
,
Sivakumar Ramachandran
1

1.
Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Tamilnadu, India
2.
Department of Radiology and Imaging Sciences, Sri Ramachandra Institute of Higher Education and Research, Tamilnadu, India
Physiother Quart. 2022;30(3):27–33
Online publish date: 2022/05/09
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Introduction
Low back pain is one of the most common musculoskeletal disorders andneural mobilization was usually rendered as a treatment for Nerve related low back pain (N-LBP). But warrants more support for its effectiveness and related outcomes. To find the effect of neural mobilization in improving nerve mobility and symptoms among individuals with N-LBP.

Methods
An experimental study was conducted in physiotherapy outpatient department with 23 subjects after obtaining written consent and were divided into two groups using simple random allocation as experimental (EG, n = 13) and control group (CG, n = 10). A standardized musculoskeletal evaluation was done prior to the treatment to quantify pain (numeric pain rating scale – NPRS), lumbar range (bubble inclinometer), sciatic nerve mobility (ultrasonogram – USG) and regional function (Oswestry Disability Index – ODI). Participants received therapy for pain modulation and spinal conditioning exercises with or without neural mobilization for 10 sessions spread over 3 weeks. The pre and post treatment data were analyzed using non parametric testing with significance (p < 0.05).

Results
Between group analyses showed the following observation; pain intensity (p < 0.047), lumbar range (flexion – p < 0.555, extension – p < 0.294), nerve mobility (p < 0.001) and functional disability (ODI – p < 0.617), with significance only in pain intensity and nerve mobility among EG compared to CG. Within group analysis showed a statistical and clinical significance for all above variables post treatment in both the groups.

Conclusions
Neural mobilization improves nerve mobility (sciatic nerve excursion) and symptom, can be rendered as a treatment in individuals with nerve related LBP.

keywords:

nerve related low back pain, neural mobilization, and ultra-sonogram

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