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Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica

Primary Purpose

Sciatica Pain, Physical Therapy Modalities, Manual Therapies

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Physical therapy treatment
Sponsored by
Centro Universitário Augusto Motta
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sciatica Pain focused on measuring Lumbosacral Plexus, Physical Therapy Modalities, Manual Therapies, Disability Evaluation.

Eligibility Criteria

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

Inclusion Criteria:

  • Low back pain with radiating leg pain and/or paresthesia below the knee that follows the L5 and/or S1 dermatomal pattern.

Exclusion Criteria:

  • History of lumbar and abdominal surgery
  • Rheumatologic syndromes (e.g. Rheumatoid arthritis);
  • Lumbar stenosis.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Neural tissue management

    Arm Description

    Myofascial release technique; Hip joint mobilization technique; Cross-fiber friction over the sacroiliac joints; Neural mobilization to improve sciatic nerve excursion.

    Outcomes

    Primary Outcome Measures

    Pain intensity
    Measured by the Numerical Rating Scale (NRS 0-10)
    Lumbar disability
    Assessed by the Oswestry Disability Index (ODI).It consists of 10 items addressing different aspects of disability. Each item is scored from 0 to 5, with higher values representing greater disability. The sum of the item scores is divided by the total possible score (50 if all sections are completed), and the resulting total is multiplied by 100 to be described as a percentage score.

    Secondary Outcome Measures

    Full Information

    First Posted
    September 5, 2018
    Last Updated
    September 6, 2018
    Sponsor
    Centro Universitário Augusto Motta
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03663842
    Brief Title
    Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica
    Official Title
    Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    May 10, 2010 (Actual)
    Primary Completion Date
    November 10, 2010 (Actual)
    Study Completion Date
    December 10, 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Centro Universitário Augusto Motta

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Objectives: To analyse the effects of sciatic neural mobilisation, in combination to the treatment of the surrounding structures, on pain and disability. Secondly, to investigate baseline characteristics that may be associated with improvements in pain and lumbar disability. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilisation and soft tissue techniques. Pain intensity and lumbar disability were assessed at baseline and after treatment using a Numerical Rating Scale (0-10) and the Oswestry Disability Index (0-100), respectively. The pre- and post-intervention data were compared.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sciatica Pain, Physical Therapy Modalities, Manual Therapies, Disability Evaluation
    Keywords
    Lumbosacral Plexus, Physical Therapy Modalities, Manual Therapies, Disability Evaluation.

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    44 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Neural tissue management
    Arm Type
    Experimental
    Arm Description
    Myofascial release technique; Hip joint mobilization technique; Cross-fiber friction over the sacroiliac joints; Neural mobilization to improve sciatic nerve excursion.
    Intervention Type
    Other
    Intervention Name(s)
    Physical therapy treatment
    Intervention Description
    All patients underwent the same techniques, and there was no modification of the intervention protocol during the study: (1) Myofascial release technique - piriformis muscle and biceps femoral muscle; (2) Hip joint mobilization; (3) Cross-fiber friction over the sacroiliac joints; (4) Neural mobilization to improve sciatic nerve excursion.
    Primary Outcome Measure Information:
    Title
    Pain intensity
    Description
    Measured by the Numerical Rating Scale (NRS 0-10)
    Time Frame
    From enrollment to end of treatment at 12 weeks
    Title
    Lumbar disability
    Description
    Assessed by the Oswestry Disability Index (ODI).It consists of 10 items addressing different aspects of disability. Each item is scored from 0 to 5, with higher values representing greater disability. The sum of the item scores is divided by the total possible score (50 if all sections are completed), and the resulting total is multiplied by 100 to be described as a percentage score.
    Time Frame
    From enrollment to end of treatment at 12 weeks.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Low back pain with radiating leg pain and/or paresthesia below the knee that follows the L5 and/or S1 dermatomal pattern. Exclusion Criteria: History of lumbar and abdominal surgery Rheumatologic syndromes (e.g. Rheumatoid arthritis); Lumbar stenosis.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Renato Almeida, PhD
    Organizational Affiliation
    Centro Universitário Augusto Motta
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Effectiveness of a Novel Neural Tissue Management to Improve Short-term Pain and Disability in Patients With Sciatica

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