Effectiveness of Nerve Mobilization in the Management of Sciatica
Subscribe/Renew Journal
Study Objective
To find out whether Nerve mobilization techniques enhance patient outcomes in the management of sciatica when added to the standard care.
Design
Pre test Post test experimental design.
Setting
Out patient physical therapy department, G.B.Pant Hospital, New Delhi
Subjects
30 patients, both male and female with a primary diagnosis of sciatica
Measurement
After measuring the baseline pain (NPRS) and functional status (SF-12) scores one group was given conventional physical therapy while the other group was given nerve Mobilization with conventional physical therapy alone. At discharge the patients' scores in both the groups was re assessed. Both the groups received treatment 3 days a week for a total period of 2 weeks.
Results
Non parametric tests were used to compare the mean statically difference between the groups. Within group analysis was done using Wilcoxon signed ranks test and between group analyses was done using Mann Whitney U Test. The results showed that there was significant difference in pain and functional status scores as indicated by the significance obtained in their respective p values.
Conclusion
The study results show that neural mobilization techniques when added to standard care enhance patient outcomes in sciatica in comparison to conventional physical therapy alone.
Keywords
- David s. Butler: Mobilization of the Nervous system 4th Edition, 1991
- Macnab’s Backache 4th edition 2007 Lippincott Williams and Wilkins.
- Gerald. M.Aronoff Evaluation and treatment of chronic pain P- 216-217Urban and schwarzenberg 1985
- W.Makofsky PT., Connective tissue techniques and stretching procedures for lumbar spine Howard chapter18 Slack publications
- Keith.L.Moore Clinically Oriented Anatomy -3rd Edition 1992 Williams and Wilkins.
- Steven g. Yeoman’s, dc, faco Jeffrey e. Fitzthum, DC, MD proving the existence of chronic pain chapter 5 Wiley law publications. 1998
- Stretching of the Sciatic nerve California Medicine vol 91feb 22 1959Marc Heller DC the lumbosacral dura and sciatic nerve tension; treatable components of discogenic pain; dynamic chiropractice Jan 15 ,2004 vol. 22,issue 02Treatment of carpal tunnel syndrome; a review of the non surgical approaches with emphasis in neural mobilization; journal of body work and movement therapist (2004);vol 8
- Effectiveness of nerve mobilization in the management of adults with upper quadrant neurogenic pain; the center for allied health evidence university of Melbourne; December 2005
- Clive Chapman- Neurodynamic testing: the essentials- British journal of podiatry 2001 (4)3.101-109.
- The puzzle of pain, loss of mobility, evasive movements and the self management. Online. Danske fysioterapeuter, 2001.
- T. M. Hall, r. L. Elvey nerve trunk pain: physical diagnosis and treatment manual therapy (1999) 4(2), 63-73
- Jeffrey Alan Schroder, Manual therapy and neural mobilization: our approach and personal observations orthopedic practice vol. 16;4:04
- R.J. Nee, d. Butler Management of peripheral neuropathic pain: integrating neurobiology, neurodynamics and clinical evidence / physical therapy in sport 7 (2006) 36–49
- Neural mobilization after lumbar decompression surgery. French, s (2003). (the centre for clinical effectiveness)
- Robert. Elvey treatment of arm pain associated with abnormal brachial plexus tension test vol32.no4 1986 Aus journal of physiotherapy.
- Richard f. Ellis, Neural mobilization: a systematic review of randomized controlled trials with an analysis of therapeutic efficacy- the journal of manual & manipulative therapy vol. 16 no. 1 (2008), 8–22
- Micha Dwornik.et.al principles of neuromobilization for treating musculoskeletal disease Traumatologia Rehabilitacja © medsportpress, 2007; 2(6); vol. 9, 111 121
- Donald R Murphy Eric L Hurwitz et al: A Non-Surgical Approach to the Management of Lumbar Spinal Stenosis: BMC msk. Disorders vol 7:2006
- Adrian Low Pt, The Root of Pain : The Latest Theories on Nerve Damage : Redefine The Causes of Pain and Stress the Importance of An Active Rehab Program- Training Conditioning 10.6,September2000
Abstract Views: 1134
PDF Views: 0