| Titre : | Neurodynamic exercises provide no additional benefit to extension-oriented exercises in people with chronic low back-related leg pain and a directional preference: A randomized clinical trial (2022) |
| Auteurs : | Luis Fernando Sousa Filho ; Luis Fernando Sousa Filho ; Marta Maria Barbosa Santos ; Danielle Brito Matos Vasconcelos ; Erilaine Araujo Soares ; Walderi Monteiro da Silva Junior ; Walderi Monteiro da Silva Junior |
| Type de document : | Article |
| Dans : | Journal of Bodywork and Movement Therapies (Vol. 30, April 2022) |
| Article en page(s) : | p. 140-147 |
| Note générale : | https://doi.org/10.1016/j.jbmt.2022.01.007 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Douleur chronique ; Lombalgie ; Traitement par les exercices physiques |
| Résumé : | Background Chronic low back-related leg pain may involve mixed pain mechanisms. A strategy to address both neuropathic and nociceptive pain symptoms would be combining treatments. Objective To assess the effects of adding neurodynamic exercises to extension-oriented exercises in patients with chronic low back-related leg pain and a directional preference. Design Two arm, single blind, randomized clinical trial. Method Eligible participants were aged between 18 and 65 years, had low back pain radiating below gluteus for at least 3 months, pain intensity greater than 3 points in the numerical pain rating scale, positive SLR test and a directional preference for lumbar extension movements. Thirty-one participants were randomly allocated into one of two groups: extension-oriented exercises (EE) or extension exercises plus neurodynamic exercises (EEN). Primary outcomes were leg pain intensity and function at 3 weeks. Secondary outcomes were low back pain intensity, disability, global perceived effect and quality of life at 3 weeks and at 1 month. Results Retention rate was 100% (n = 14) in EE and 94% (n = 16) in EEN for primary outcome analysis. There was no between-group difference for the primary outcomes and for low back pain intensity, GPE and quality of life at 3 weeks. For some outcomes, EE was superior to EEN. Conclusions We found no benefits in adding neurodynamic exercises to extension-oriented exercises for patients with nerve-related leg pain and a directional preference. As this study has a small and very specific sample, results may be interpreted with caution. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S136085922200016X |
Bibliothèques HE Vinci
