Clinical trial NCT01954199: The Effectiveness of Neurodynamic Techniques in Patients With Nerve-Related Leg Pain
Official title: The Effectiveness of Neurodynamic Techniques in Patients With Nerve-Related Leg Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Nerve Pain
Peripheral Nerve Injuries
Peripheral Nervous System Diseases
Sciatica
Low Back Pain
Low Back Ache
Signs and Symptoms
Keywords: Sciatica
Nerve pain
Low back pain
Lead sponsor: Federal University of Health Science of Porto Alegre
Sponsor class: OTHER
First posted: 2013-10-01
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aims to verify if patients with nerve-related leg pain benefits from neurodynamic treatment over two weeks.

Detailed description: Nerve-related leg pain (NRLP) although less prevalent than low back pain itself, is associated with higher economic and social burden, and has been considered a predictor of chronicity and disability among subjects with low back pain.

Numerous approaches are proposed for its management; however, evidence regarding the best therapeutic approach is lacking. Neurodynamic techniques are proposed to be effective to manage NRLP.

Thus, this study aims to verify, through a randomized controlled trial, the effectiveness of a two-week program of neurodynamic techniques on pain and disability in individuals with NRLP.

Eligibility criteria: Inclusion criteria:

* unilateral leg pain (Intensity ≥ 3)
* Pain distal to the buttocks
* Reproduction of symptoms and change in symptoms with structural differentiation (cervical return to neutral position or ankle dorsiflexion) with slump test;

Exclusion criteria:

* cauda equina syndrome;
* bilateral leg pain;
* crossed Lasègue sign;
* previous surgery in the lumbar spine;
* inflammatory arthropathies;
* malignancy
* being in litigation or in work-compensation due to back and/or leg pain
* being receiving physiotherapy treatment at the time of baseline assessment

Primary outcomes:
measure: Leg Pain Intensity
timeFrame: Two weeks after randomization
measure: Disability
timeFrame: Two weeks after randomization
Secondary outcomes:
measure: Leg pain Intensity
timeFrame: Four weeks after randomization
measure: Disability
timeFrame: Four weeks after randomization
measure: Back pain intensity
timeFrame: Two weeks after randomization
measure: Back pain intensity
timeFrame: Four weeks after randomization
measure: Distribution of Symptoms
timeFrame: Two weeks, Four weeks after randomization
measure: Function
timeFrame: Two weeks, Four weeks after randomization
measure: Global Perceived Effect
timeFrame: Two weeks, Four weeks after randomization
Other outcomes:
Locations:
city: Porto Alegre
country: Brazil
facility: Federal University of Health Sciences of Porto Alegre
state: Rio Grande do sul
Study officials:
affiliation: Federal University of Health Sciences of Porto Alegre
name: Marcelo F Silva, PhD
role: STUDY_CHAIR
References:
citation: Ferreira G, Stieven F, Araujo F, Wiebusch M, Rosa C, Plentz R, Silva M. Neurodynamic treatment did not improve pain and disability at two weeks in patients with chronic nerve-related leg pain: a randomised trial. J Physiother. 2016 Oct;62(4):197-202. doi: 10.1016/j.jphys.2016.08.007. Epub 2016 Aug 24.