Physical Therapy Treatments, Including Neural Mobilization and Hip/Back Stretches for People Between 50-89 With Lumbar Spinal Stenosis and Leg Pain Provoked by Walking
NCT ID: NCT03368638
Last Updated: 2021-01-25
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
8 participants
Study Classification
INTERVENTIONAL
Study Start Date
2018-01-01
Study Completion Date
2019-04-22
Brief Summary
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Aging of the back is common in the older people and can result in difficulties standing and walking. Conservative treatment is recommended before considering surgery. Some recommended exercises involve the use of expensive equipment. The present study plans to evaluate if specifically moving the nerves in the legs/back and improving flexibility of the hip and back can benefit patients. These exercises require no equipment, are simple to perform, and can provide patients a way to continue to perform these exercises at home. The purposes of this study are to (1) observe the benefit of a treatment program involving moving the nerves of the leg/back, stretching the legs and low back in patients with low back pain and difficulties walking; and (2) determine if benefits received remain at a 3-month follow-up.
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Detailed Description
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Conditions
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Lumbar Spinal Stenosis
Study Design
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Allocation Method
NA
Intervention Model
SINGLE_GROUP
Case Series
Primary Study Purpose
TREATMENT
Blinding Strategy
NONE
Study Groups
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Intervention
Group Type
EXPERIMENTAL
Physical therapy intervention
Intervention Type
OTHER
Double knee to chest stretches, hip extension mobilization, neural mobilizations, home exercises program
Interventions
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Physical therapy intervention
Double knee to chest stretches, hip extension mobilization, neural mobilizations, home exercises program
Intervention Type
OTHER
Eligibility Criteria
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Inclusion Criteria
* Adults aged between 50-89 years old
* Intermittent unilateral or bilateral leg pain occurring with walking and standing activities that is relieved only with sitting or by assuming flexed positions
* Magnetic Resonance Imaging (MRI) confirmation of lumbar spinal stenosis
* Leg symptoms greater than 4/10 and provoked within 15 minutes of walking
* Intermittent unilateral or bilateral leg pain occurring with walking and standing activities that is relieved only with sitting or by assuming flexed positions
* Magnetic Resonance Imaging (MRI) confirmation of lumbar spinal stenosis
* Leg symptoms greater than 4/10 and provoked within 15 minutes of walking
Exclusion Criteria
* Prior lumbar surgery
* Spinal injection in last 6 weeks
* Impaired walking tolerance due to factors other than neurogenic claudication
* Inability to follow the rater's instructions
* Any medical contra-indication for hip mobilizations in extension or flexion
* Current medico-legal issues
* Spinal injection in last 6 weeks
* Impaired walking tolerance due to factors other than neurogenic claudication
* Inability to follow the rater's instructions
* Any medical contra-indication for hip mobilizations in extension or flexion
* Current medico-legal issues
Minimum Eligible Age
50 Years
Maximum Eligible Age
89 Years
Eligible Sex
ALL
Accepts Healthy Volunteers
No
Sponsors
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Texas Tech University Health Sciences Center
OTHER
Sponsor Role
lead
Responsible Party
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Responsibility Role
SPONSOR
Principal Investigators
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Reid D Gehring, DPT
Role: PRINCIPAL_INVESTIGATOR
Texas Tech University Health Sciences Center
Jean-Michel Brismee, ScD
Role: STUDY_CHAIR
Texas Tech University Health Sciences Center
Locations
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Texas Tech University Health Sciences Center
Amarillo, Texas, United States
Site Status
Countries
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United States
References
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Ammendolia C, Chow N. Clinical outcomes for neurogenic claudication using a multimodal program for lumbar spinal stenosis: a retrospective study. J Manipulative Physiol Ther. 2015 Mar-Apr;38(3):188-94. doi: 10.1016/j.jmpt.2014.12.006. Epub 2015 Jan 22.
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Bade M, Cobo-Estevez M, Neeley D, Pandya J, Gunderson T, Cook C. Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. J Eval Clin Pract. 2017 Aug;23(4):734-740. doi: 10.1111/jep.12705. Epub 2017 Jan 27.
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Burns SA, Mintken PE, Austin GP, Cleland J. Short-term response of hip mobilizations and exercise in individuals with chronic low back pain: a case series. J Man Manip Ther. 2011 May;19(2):100-7. doi: 10.1179/2042618610Y.0000000007.
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BACKGROUND
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BACKGROUND
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BACKGROUND
Gilbert KK, Smith MP, Sobczak S, James CR, Sizer PS, Brismee JM. Effects of lower limb neurodynamic mobilization on intraneural fluid dispersion of the fourth lumbar nerve root: an unembalmed cadaveric investigation. J Man Manip Ther. 2015 Dec;23(5):239-45. doi: 10.1179/2042618615Y.0000000009.
Reference Type
BACKGROUND
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BACKGROUND
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BACKGROUND
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BACKGROUND
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Morishita Y, Hida S, Naito M, Arimizu J, Takamori Y. Neurogenic intermittent claudication in lumbar spinal canal stenosis: the clinical relationship between the local pressure of the intervertebral foramen and the clinical findings in lumbar spinal canal stenosis. J Spinal Disord Tech. 2009 Apr;22(2):130-4. doi: 10.1097/BSD.0b013e318167b054.
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Pua YH, Cai CC, Lim KC. Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for lumbar spinal stenosis: a randomised controlled trial. Aust J Physiother. 2007;53(2):83-9. doi: 10.1016/s0004-9514(07)70040-5.
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BACKGROUND
Rademeyer I. Manual therapy for lumbar spinal stenosis: a comprehensive physical therapy approach. Phys Med Rehabil Clin N Am. 2003 Feb;14(1):103-10, vii. doi: 10.1016/s1047-9651(02)00077-3.
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BACKGROUND
Sugioka T, Hayashino Y, Konno S, Kikuchi S, Fukuhara S. Predictive value of self-reported patient information for the identification of lumbar spinal stenosis. Fam Pract. 2008 Aug;25(4):237-44. doi: 10.1093/fampra/cmn031. Epub 2008 Jun 13.
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Tomkins-Lane CC, Holz SC, Yamakawa KS, Phalke VV, Quint DJ, Miner J, Haig AJ. Predictors of walking performance and walking capacity in people with lumbar spinal stenosis, low back pain, and asymptomatic controls. Arch Phys Med Rehabil. 2012 Apr;93(4):647-53. doi: 10.1016/j.apmr.2011.09.023. Epub 2012 Feb 23.
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BACKGROUND
Whitman JM, Flynn TW, Fritz JM. Nonsurgical management of patients with lumbar spinal stenosis: a literature review and a case series of three patients managed with physical therapy. Phys Med Rehabil Clin N Am. 2003 Feb;14(1):77-101, vi-vii. doi: 10.1016/s1047-9651(02)00076-1.
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Whitman JM, Flynn TW, Childs JD, Wainner RS, Gill HE, Ryder MG, Garber MB, Bennett AC, Fritz JM. A comparison between two physical therapy treatment programs for patients with lumbar spinal stenosis: a randomized clinical trial. Spine (Phila Pa 1976). 2006 Oct 15;31(22):2541-9. doi: 10.1097/01.brs.0000241136.98159.8c.
Reference Type
BACKGROUND
Other Identifiers
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A17-4019
Identifier Type: -
Identifier Source: org_study_id
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