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

Primary Purpose

Low Back Pain

Status

Completed

Phase

Not Applicable

Locations

Canada

Study Type

Interventional

Intervention

Exercise

Mobilizations

About this trial

This is an interventional treatment trial for Low Back Pain focused on measuring Nerve conduction, H-reflex, mobilizations, with neurodynamic component

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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)

Sites / Locations

McMaster University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Arm Label

Mobilizations

Exercise

Arm Description

The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.

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.

Outcomes

Primary Outcome Measures

Change in nerve conduction studies

Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle)

Secondary Outcome Measures

Change of knee extension in sitting slump test

Change in score of Visual Analog Scale for pain

Full Information

NCT ID

NCT01402895

First Posted

July 22, 2011

Last Updated

February 7, 2012

Sponsor

McMaster University

1. Study Identification

Unique Protocol Identification Number

NCT01402895

Brief Title

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

Official Title

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

Study Type

Interventional

2. Study Status

Record Verification Date

July 2011

Overall Recruitment Status

Completed

Study Start Date

May 2011 (undefined)

Primary Completion Date

October 2011 (Actual)

Study Completion Date

October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

McMaster University

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Low Back Pain

Keywords

Nerve conduction, H-reflex, mobilizations, with neurodynamic component

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

ParticipantInvestigatorOutcomes Assessor

Allocation

Randomized

Enrollment

9 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Mobilizations

Arm Type

Active Comparator

Arm Description

The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.

Arm Title

Exercise

Arm Type

Active Comparator

Arm Description

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.

Intervention Type

Other

Intervention Name(s)

Exercise

Intervention Description

Transversus abdominus exercise

Intervention Type

Other

Intervention Name(s)

Mobilizations

Intervention Description

The physiotherapist will perform mobilizations to the L-spine and SI joints with the participant in a specific position.

Primary Outcome Measure Information:

Title

Change in nerve conduction studies

Description

Motor conduction of the tibial nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (soleus muscle)

Time Frame

Change from baseline after intervention, on average 1.5 hours after baseline measure

Secondary Outcome Measure Information:

Title

Change of knee extension in sitting slump test

Time Frame

Change from baseline after intervention, on average 1.5 hours after baseline measure

Title

Change in score of Visual Analog Scale for pain

Time Frame

Change from baseline after intervention, on average 1.5 hours after baseline measure

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

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)

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Victoria Galea, PhD

Organizational Affiliation

McMaster University

Official's Role

Study Director

First Name & Middle Initial & Last Name & Degree

Joy MacDermid, PhD

Organizational Affiliation

McMaster University

Official's Role

Study Chair

First Name & Middle Initial & Last Name & Degree

Linda Woodhouse, PhD

Organizational Affiliation

University of Alberta

Official's Role

Study Chair

First Name & Middle Initial & Last Name & Degree

Anita Gross, MSc

Organizational Affiliation

McMaster University

Official's Role

Study Chair

Facility Information:

Facility Name

McMaster University

City

Hamilton

State/Province

Ontario

Country

Canada

12. IPD Sharing Statement

Citations:

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157532

Citation

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

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