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Efficacy of nerve flossing technique on improving sciatic nerve function in patients with sciatica -- a randomized controlled trial
Pallipamula K, Singaravelan RM
Revista Romana de Kinetoterapie [Romanian Journal of Physical Therapy] 2012;18(30):13-22
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The purpose of this study was to evaluate the efficacy of nerve flossing technique (NFT) in the relief of pain and sensory symptoms, restoration of spinal mobility and minimizing functional disability. DESIGN: Randomized controlled trial. SETTING: Department of Neurophyisotherapy, Pravara Rural Hospital (Tertiary Hospital), Loni, Tal-Rahata, Dist Ahmednagar, Maharashtra, India 413736. PARTICIPANTS: Thirty-nine participants between 20 to 55 years of age having clinical diagnosis of sub acute sciatica due to prolapsed and extruded intervertebral disc. INTERVENTIONS: Study group received the nerve flossing technique along with conventional physiotherapy and control group received only conventional physiotherapy. In NFT technique, participant performs knee extension with neck extension with hold of 5 seconds and then flexes both the knee and neck simultaneously and holds it for five seconds. Total five sets of the above were given for six consecutive days. MAIN OUTCOME MEASUREMENTS: The outcome was assessed in terms of visual analogue scale (VAS), Sciatica Bothersomeness Index, passive straight leg raise (PSLR), active lumbar flexion range and Modified Oswestry Disability Questionnaire (MODQ) score. RESULTS: Study group had statistically significant improvement in VAS score (p < 0.01), Sciatica Bothersomeness Index score (p < 0.01), PSLR (p < 0.01), active lumbar flexion range (p < 0.01), and in MODQ score (p < 0.01) compared to control group after 6 days of treatment. CONCLUSION: Nerve flossing technique can be utilized with other modalities in the treatment of sub-acute sciatic patients due to prolapsed and extruded disc. CLINICAL TRIAL REGISTRATION NUMBER: PMT/PIMS/RC/2011/09.

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