The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

Jeong, Ui-Cheol; Kim, Cheol-Yong; Park, Young-Han; Hwangbo, Gak; Nam, Chan-Woo

doi:10.1589/jpts.28.46

Cited by 17 publications

(15 citation statements)

References 21 publications

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“…For the disorder index of lower back pain, the short period of hamstring stretches for patients with lower back pain significantly decreased the index 35 ) . The self-execution of nerve mobilization for patients with lower back pain promoted the recovery of nervous tissue by stimulating soft tissues, which increased the adaptability of nerves and decreased the sensitivity, thus alleviating the symptom 36 ) . In this study, both the hamstring stretching group and nerve mobilization group showed improvement after the intervention.…”

Section: Discussionmentioning

confidence: 99%

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Lee

Kim

2017

J Phys Ther Sci

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[Purpose] In this paper, hamstring stretching and nerve mobilization are conducted on patients with radicular lower back pain, and changes to pain levels, pressure thresholds, angles of knee joint extension, and disorder levels of lower back pain were studied. [Subjects and Methods] The subjects were divided into two groups: one group conducted hamstring stretches and was comprised of 6 male and 5 female subjects, and the other group received nerve mobilization treatment and was comprised of 5 male and 6 female subjects. [Results] Pain level and the disorder index of lower back pain were significantly alleviated after the intervention in both groups. Pressure threshold and angles of knee extension were significantly increased after the intervention in both groups. Comparing the two groups, the alleviation of pain was more significant in the nerve mobilization group. [Conclusion] Patients with radicular lower back pain showed significant differences in pain level, pressure threshold, knee extension angle, and disorder index of lower back pain for both the hamstring stretching group and nerve mobilization group after the treatment. Hamstring stretching and nerve mobilization can be usefully applied for the therapy of patients with radicular lower back pain.

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Section: Discussionmentioning

confidence: 99%

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Lee

Kim

2017

J Phys Ther Sci

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“…The type of neural mobilisation technique and dosage varied amongst groups. The techniques used included slump (Ali et al 2015 ; Cleland et al 2006 ; Jain et al 2012 ; Jeong et al 2016 ; Karthikeyan, Jothikaran & Kiran 2014 ; Kirthika et al 2016 ; Malik, Kataria & Sachdev 2012 ; Nagrale et al 2012 ; Patel 2014 ; Rezk-Allah, Shehata & Gharib 2011 ; Tambekar et al 2015 ; Waleed 2015 ), SLR (Adel 2011 ; Ahmed et al 2013 ; Kaur & Sharma 2011 ; Malik et al 2012 ; Rezk-Allah et al 2011 ; Waleed 2015 ), bent leg raise mobilisation (Dwornik et al 2009 ; Patel 2014 ; Tambekar et al 2015 ) and neural mobilisations in side lying (Colakovic & Avdic 2013 ; Ferreira et al 2016 ; Lee & Kim 2017 ). One study reported a neural slider technique of the sciatic nerve involving the hip, knee and foot (Plaza-Manzano et al 2020 ).…”

Section: Resultsmentioning

confidence: 99%

“…The neural mobilisation interventions were a standalone treatment in six studies (Dwornik et al 2009 ; Kaur & Sharma 2011 ; Lee & Kim 2017 ; Patel 2014 ; Tambekar et al 2015 ; Waleed 2015 ) and were combined with exercise programmes in 15 studies (Adel 2011 ; Ahmed et al 2013 ; Ali et al 2015 ; Cleland et al 2006 ; Colakovic & Avdic 2013 ; Ferreira et al 2016 ; Jain et al 2012 ; Jeong et al 2016 ; Karthikeyan et al 2014 ; Kirthika et al 2016 ; Malik et al 2012 ; Nagrale et al 2012 ; Plaza-Manzano et al 2020 ; Rezk-Allah et al 2011 ; Sharma & Sheth 2017 ). The control groups were diverse, including lumbar stabilisation, lumbar mobility exercises, hamstring stretching, advice, physical modalities or a combination treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies (Adel 2011 ; Ahmed et al 2013 ; Ali et al 2015 ; Cleland et al 2006 ; Colakovic & Avdic 2013 ; Dwornik et al 2009 ; Jain et al 2012 ; Jeong et al 2016 ; Karthikeyan et al 2014 ; Kirthika et al 2016 ; Lee & Kim 2017 ; Malik et al 2012 ; Nagrale et al 2012 ; Patel 2014 ; Plaza-Manzano et al 2020 ; Tambekar et al 2015 ) were attributed to the NM unclear subgroup. Of those, eight studies (Ahmed et al 2013 ; Colakovic & Avdic 2013 ; Jeong et al 2016 ; Karthikeyan et al 2014 ; Malik et al 2012 ; Patel 2014 ; Plaza-Manzano et al 2020 ; Tambekar et al 2015 ) used pain provocation within a certain range of motion (15–75 degrees hip flexion) as a criterion for NM. Three studies (Adel 2011 ; Cleland et al 2006 ; Nagrale et al 2012 ) used pain provocation as a criterion without reporting whether structural differentiation was applied.…”

Section: Resultsmentioning

confidence: 99%

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Does the efficacy of neurodynamic treatments depend on the presence and type of criteria used to define neural mechanosensitivity in spinally-referred leg pain? A systematic review and meta-analysis

Murape

Ainslie

Basson

et al. 2022

S. Afr. j. physiother.

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Background: It remains unclear whether definite neural mechanosensitivity (NM) is required for neural mobilisations to be beneficial in people with spinally referred leg pain.Objective: To determine whether the efficacy of neural mobilisations in patients with spinally referred leg pain depends on the presence and type of criteria used to define NM.Method: PubMed, CINAHL, Cochrane Central Register of Controlled Trials, PEDro and Science Direct were searched from 1980 to March 2020. Randomised controlled trials evaluating the efficacy of neural mobilisations on pain and disability in spinally referred leg pain were included. Studies were grouped according to the certainty of NM into NMdefinite, NMunclear, NMuntested and NMabsent. Effects on pain and disability and subgroup differences were examined.Results: We identified 21 studies in 914 patients (3 NMdefinite, 16 NMunclear, 2 NMuntested, 0 NMabsent). Meta-analysis revealed medium to large effect sizes on pain for neurodynamic compared to control interventions in NMdefinite and NMunclear groups. For disability, neurodynamic interventions had medium to large effects in NMunclear but not NMdefinite groups. NMuntested studies could not be pooled.Conclusion: The nonexistence of studies in patients with negative neurodynamic tests prevents inferences whether neural mobilisations are effective in the absence of NM. The criteria used to define NM may not impact substantially on the efficacy of neural mobilisations. The mostly high risk of bias and heterogeneity prevents firm conclusions.Clinical implications: Neural mobilisations seem beneficial to reduce pain and disability in spinally referred leg pain independent of the criteria used to interpret neurodynamic tests.

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“…The results of this study are in line with previous studies which reported that neural mobilization techniques improved pain and function in patients with nerve related low back pain. 1,15–17 Additionally, neural mobilization has been reported as a superior post-surgical intervention compared with myofascial release and lumbar stabilization exercises alone in improving pain and functional disability after lumbar spinal fusion. 18…”

Section: Discussionmentioning

confidence: 99%

Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: A randomized controlled trial

et al. 2021

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Objective: To investigate whether adding neural mobilization to a standard postoperative physical therapy program could improve the outcomes of patients after lumbar laminectomy. Design: A single blinded randomized controlled trial. Setting: Outpatient setting. Participants: Sixty participants of both sexes who had undergone lumbar laminectomy. Interventions: Participants were allocated randomly to two groups; study and control groups. All patients received a standard postoperative physical therapy program. Those in the study group received additional neural mobilization in the form of straight leg raising and dorsiflexion with two-ended slider. Treatment was administered three times/week for six successive weeks. Outcome measures: Visual analog scale (VAS), Oswestry disability index (ODI), and H-reflex latency were measured pre and post-treatment. Results: The mean age of participants was 44.23 ± 4.64 and 45.3 ± 5.3 in study and control groups respectively ( P > 0.05). There were statistically significant differences in VAS, ODI, and H-reflex latency in favor of the study group ( P < 0.05). The mean ± SD for VAS, ODI, and H-reflex latency pre vs post treatment was 6.13 ± 1.22 vs 1.40 ± 0.77, 64.46 ± 4.05 vs 16.86 ± 2.55, and 32.07 ± 2.76 vs 27.46 ±1.79 in study group and 5.86 ± 1.07 vs 2.46 ± 0.73, 63.93 ± 3.91 vs 23.40 ± 2.93, and 31.76 ± 2.69 vs 29.4 ± 1.94 in control group, respectively. Conclusions: Neural mobilization combined with traditional physical therapy program achieved better improvement in pain, functional disability and H-reflex in patients who underwent decompressive laminectomy than traditional physical therapy program only.

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The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

Cited by 17 publications

References 21 publications

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Does the efficacy of neurodynamic treatments depend on the presence and type of criteria used to define neural mechanosensitivity in spinally-referred leg pain? A systematic review and meta-analysis

Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: A randomized controlled trial

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