ORIGINAL PAPER
Effects of neural mobilization on sciatic nerve excursion, symptoms, and regional function in individuals with nerve-related low back pain
 
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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
 
 
Submission date: 2020-09-25
 
 
Acceptance date: 2020-11-09
 
 
Publication date: 2022-05-09
 
 
Physiother Quart. 2022;30(3):27-33
 
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ABSTRACT
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.

ISSN:2544-4395
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