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

NCT ID: NCT01402895

Last Updated: 2012-02-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2011-10-31

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.

Detailed Description

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Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Mobilizations

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

Group Type ACTIVE_COMPARATOR

Mobilizations

Intervention Type OTHER

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

Exercise

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.

Group Type ACTIVE_COMPARATOR

Exercise

Intervention Type OTHER

Transversus abdominus exercise

Interventions

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Exercise

Transversus abdominus exercise

Intervention Type OTHER

Mobilizations

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

Intervention Type OTHER

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)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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McMaster University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Victoria Galea, PhD

Role: STUDY_DIRECTOR

McMaster University

Joy MacDermid, PhD

Role: STUDY_CHAIR

McMaster University

Linda Woodhouse, PhD

Role: STUDY_CHAIR

University of Alberta

Anita Gross, MSc

Role: STUDY_CHAIR

McMaster University

Locations

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McMaster University

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Reference Type BACKGROUND
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Butler, D.S. (1991). SLR, The Slump Test in Mobilisation of the Nervous System (pp.130-135, 139-146). London (UK): Elsevier Limited.

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Reference Type BACKGROUND
PMID: 6883862 (View on PubMed)

Kimura, J. (1983). Tibial nerve, Sural nerve, The H-reflex and other late responses., Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice. (pp. 125-127, 130-134, 379-385). U.S.A.: F. A. Davis Company.

Reference Type BACKGROUND

Lundborg G, Rydevik B. Effects of stretching the tibial nerve of the rabbit. A preliminary study of the intraneural circulation and the barrier function of the perineurium. J Bone Joint Surg Br. 1973 May;55(2):390-401. No abstract available.

Reference Type BACKGROUND
PMID: 4707307 (View on PubMed)

Mahmud MA, Merlo AR, Gomes I, Becker J, Nora DB. [Relationship between adverse neural tension and nerve conduction studies in patients with symptoms of the carpal tunnel syndrome]. Arq Neuropsiquiatr. 2006 Jun;64(2A):277-82. doi: 10.1590/s0004-282x2006000200019. Epub 2006 Jun 9. Portuguese.

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Maitland GD. Negative disc exploration: positive canal signs. Aust J Physiother. 1979 Jul;25(3):129-34. doi: 10.1016/S0004-9514(14)61220-4.

Reference Type BACKGROUND
PMID: 25026403 (View on PubMed)

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Reference Type BACKGROUND
PMID: 7594983 (View on PubMed)

Ogata K, Naito M. Blood flow of peripheral nerve effects of dissection, stretching and compression. J Hand Surg Br. 1986 Feb;11(1):10-4. doi: 10.1016/0266-7681(86)90003-3.

Reference Type BACKGROUND
PMID: 3958526 (View on PubMed)

Schaafsma L, Sun H, Zochodne D. Exogenous opioids influence the microcirculation of injured peripheral nerves. Am J Physiol. 1997 Jan;272(1 Pt 2):H76-82. doi: 10.1152/ajpheart.1997.272.1.H76.

Reference Type BACKGROUND
PMID: 9038924 (View on PubMed)

Shacklock, M. (1995). Neurodynamics. Physiotherapy, 81, 9-16.

Reference Type BACKGROUND

Shacklock, M. (2005a). Clinical neurodynamics: A new system of musculoskeletal treatment (pp. 2-29, 98-104, 154-158). London (UK): Elsevier Butterworth Heinemann.

Reference Type BACKGROUND

Shacklock M. Improving application of neurodynamic (neural tension) testing and treatments: a message to researchers and clinicians. Man Ther. 2005 Aug;10(3):175-9. doi: 10.1016/j.math.2005.03.001. Epub 2005 Apr 20. No abstract available.

Reference Type BACKGROUND
PMID: 16038853 (View on PubMed)

Spadoni GF, Stratford PW, Solomon PE, Wishart LR. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sports Phys Ther. 2004 Apr;34(4):187-93. doi: 10.2519/jospt.2004.34.4.187.

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Reference Type BACKGROUND
PMID: 15375820 (View on PubMed)

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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Other Identifiers

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10-541

Identifier Type: -

Identifier Source: org_study_id

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