The Effect Of A Neurodynamic Treatment On Nerve Conduction In Clients With Low Back Pain

Study Overview
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Brief Summary
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The purpose of this study is to determine if a certain treatment for low back pain can change the way nerves in the leg send messages. Specifically, the investigators will examine whether a particular type of physical therapy treatment for individuals with low back pain (neurodynamic techniques) changes the speed that nerves send/receive signals to/from the leg, as compared to a different physical therapy treatment.

Official Title
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The Effect Of A Neurodynamic Treatment On Nerve Conduction In Clients With Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: Exercise
* Other: Mobilizations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Males and females aged 18 years and older Participants who can speak English and read, understand, and fill out the consent form and questionnaires Participants will have a certain level of low back pain graded numerically, with or without radiation to the leg Clinical decision (by same individual) as safe to participate in study based on subjective history and objective examination. Exclusion Criteria: An inability to tolerate sitting for 10 minutes Nerve conduction disorders diagnosed by a physician such as, diabetes or MS Current participant in an investigational drug study (within past 3 months)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Mobilizations<br>The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position. | Other: Mobilizations<br>* The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.<br>|
| Active Comparator: Exercise<br>The physiotherapist will teach the participant how to tighten the transversus abdominus muscle. The participant will be asked to do a series of these exercises. | Other: Exercise<br>* Transversus abdominus exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in nerve conduction studies | Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle) | Change from baseline after intervention, on average 1.5 hours after baseline measure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of knee extension in sitting slump test |  | Change from baseline after intervention, on average 1.5 hours after baseline measure | 
| Change in score of Visual Analog Scale for pain |  | Change from baseline after intervention, on average 1.5 hours after baseline measure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nerve conduction, H-reflex, mobilizations, with neurodynamic component