Renato Santos de Almeida1,2, Eduardo Machado3, Tiê Parma Yamato4, Luciano Santos De Melo5,6, Leandro Alberto Calazans Nogueira2,7. 1. a Physiotherapy Department, Serra dos Órgãos University Centre (UNIFESO) , Teresópolis , Brazil. 2. b Rehabilitation Science Postgraduation Progam, Augusto Motta University Centre (UNISUAM) , Rio de Janeiro , Brazil. 3. c Physiotherapy Department, Gaffrée and Guinle University Hospital , Rio de Janeiro , Brazil. 4. d Musculoskeletal Health Sydney, School of Public Health, Sydney Medical School, The University of Sydney , Sydney , Australia. 5. e Rheumatology Department, Royal North Shore Hospital, School of Medicine, University of Sydney , Australia. 6. f Institute of Bone and Joint Research, Kolling Institute of Medical Research, University of Sydney , Australia. 7. g Physiotherapy Department, Federal Institute of Rio de Janeiro (IFRJ) , Rio de Janeiro , Brazil.
Abstract
Objectives: To evaluate the clinical effect of sciatic neural mobilization in combination with the treatment of surrounding structures for sciatica patients. Secondly, we were also interested in identifying possible baseline characteristics that may be associated with improvements in pain and disability for sciatica patients. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilization 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. The research protocol was registered under the number NCT03663842. Results: Participants attended an average of 16 (SD±5.6) treatment sessions over an average of 12 weeks. Decrease in pain scores (before median = 8, after median = 2; p < 0.001) and improvement in lumbar disability scores (before median = 33.3%, after median = 15.6%; p < 0.001) were observed. A multiple linear regression analysis showed that duration of pain and age of the patient predicted the disability improvement: F (2, 24) = 4.084, p < 0.030, R2 = 0.254. Discussion: Patients with sciatica may benefit from neural mobilization in combination with manual therapy for pain and lumbar disability. Longer pain duration and younger age had a negative influence on lumbar disability improvement.
Objectives: To evaluate the clinical effect of sciatic neural mobilization in combination with the treatment of surrounding structures for sciatica patients. Secondly, we were also interested in identifying possible baseline characteristics that may be associated with improvements in pain and disability for sciatica patients. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilization 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. The research protocol was registered under the number NCT03663842. Results:Participants attended an average of 16 (SD±5.6) treatment sessions over an average of 12 weeks. Decrease in pain scores (before median = 8, after median = 2; p < 0.001) and improvement in lumbar disability scores (before median = 33.3%, after median = 15.6%; p < 0.001) were observed. A multiple linear regression analysis showed that duration of pain and age of the patient predicted the disability improvement: F (2, 24) = 4.084, p < 0.030, R2 = 0.254. Discussion: Patients with sciatica may benefit from neural mobilization in combination with manual therapy for pain and lumbar disability. Longer pain duration and younger age had a negative influence on lumbar disability improvement.
Authors: Jens R Chapman; Daniel C Norvell; Jeffrey T Hermsmeyer; Richard J Bransford; John DeVine; Matthew J McGirt; Michael J Lee Journal: Spine (Phila Pa 1976) Date: 2011-10-01 Impact factor: 3.468
Authors: Michel W Coppieters; Line S Andersen; Runar Johansen; Per K Giskegjerde; Mona Høivik; Siv Vestre; Robert J Nee Journal: J Orthop Sports Phys Ther Date: 2015-08-24 Impact factor: 4.751