Pragmatic neural tissue management improves short-term pain and disability in patients with sciatica: a single-arm clinical trial

Objectives: To evaluate the clinical effect of sciatic neural mobilization in combination with the treatment of surrounding structures for sciatica patients. Secondly, we were also interested in identifying possible baseline characteristics that may be associated with improvements in pain and disabi...

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Bibliographic Details
Published in:	The Journal of manual & manipulative therapy Vol. 27; no. 4; pp. 208 - 214
Main Authors:	Almeida, Renato Santos de, Machado, Eduardo, Yamato, Tiê Parma, Santos De Melo, Luciano, Nogueira, Leandro Alberto Calazans
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 08-08-2019
Subjects:	disability evaluation Lumbosacral plexus manual therapies Original Research Papers physical therapy modalities Lumbosacral plexus manual therapies physical therapy modalities disability evaluation
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Summary:	Objectives: To evaluate the clinical effect of sciatic neural mobilization in combination with the treatment of surrounding structures for sciatica patients. Secondly, we were also interested in identifying possible baseline characteristics that may be associated with improvements in pain and disability for sciatica patients. Methods: Twenty-eight patients with a clinical diagnosis of sciatica were treated with neural mobilization, joint mobilization 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. The research protocol was registered under the number NCT03663842. Results: Participants attended an average of 16 (SD±5.6) treatment sessions over an average of 12 weeks. Decrease in pain scores (before median = 8, after median = 2; p < 0.001) and improvement in lumbar disability scores (before median = 33.3%, after median = 15.6%; p < 0.001) were observed. A multiple linear regression analysis showed that duration of pain and age of the patient predicted the disability improvement: F (2, 24) = 4.084, p < 0.030, R 2 = 0.254. Discussion: Patients with sciatica may benefit from neural mobilization in combination with manual therapy for pain and lumbar disability. Longer pain duration and younger age had a negative influence on lumbar disability improvement.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	1066-9817 2042-6186
DOI:	10.1080/10669817.2019.1580420