Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: a randomized controlled trial [with consumer summary]
Sharaf MA, Rezkallah SS, Fouda KZ, Gharib NMM
Clinical Rehabilitation 2021 Jul 23:Epub ahead of print
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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: To investigate whether adding neural mobilization to a standard postoperative physical therapy program could improve the outcomes of patients after lumbar laminectomy. DESIGN: A single blinded randomized controlled trial. SETTING: Outpatient setting. PARTICIPANTS: Sixty participants of both sexes who had undergone lumbar laminectomy. INTERVENTIONS: Participants were allocated randomly to two groups; study and control groups. All patients received a standard postoperative physical therapy program. Those in the study group received additional neural mobilization in the form of straight leg raising and dorsiflexion with two-ended slider. Treatment was administered three times/week for six successive weeks. OUTCOME MEASURES: Visual analog scale (VAS), Oswestry Disability Index (ODI), and H-reflex latency were measured pre and post-treatment. RESULTS: The mean age of participants was 44.23 +/- 4.64 and 45.3 +/- 5.3 in study and control groups respectively (p > 0.05). There were statistically significant differences in VAS, ODI, and H-reflex latency in favor of the study group (p < 0.05). The mean +/- SD for VAS, ODI, and H-reflex latency pre versus post treatment was 6.13 +/- 1.22 versus 1.40 +/- 0.77, 64.46 +/- 4.05 versus 16.86 +/- 2.55, and 32.07 +/- 2.76 versus 27.46 +/- 1.79 in study group and 5.86 +/- 1.07 versus 2.46 +/- 0.73, 63.93 +/- 3.91 versus 23.40 +/- 2.93, and 31.76 +/- 2.69 versus 29.4 +/- 1.94 in control group, respectively. CONCLUSIONS: Neural mobilization combined with traditional physical therapy program achieved better improvement in pain, functional disability and H-reflex in patients who underwent decompressive laminectomy than traditional physical therapy program only.

Full text (sometimes free) may be available at these link(s):      help