腰痛伴神经根病的自我神经调动对疼痛、活动度和功能障碍的影响--一项干预性研究

Mahima Umeshbhai Joshi, Y. Shukla
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引用次数: 0

摘要

背景:膝盖以下延伸到脚和脚趾的腿部疼痛属于腰椎病,通常伴有腰骶部神经或神经根的感觉、反射或运动神经问题。神经组织动员技术包括通过运动评估和缓解神经紧张,恢复神经系统处理日常压力的能力。这些徒手方法有助于神经结构内的运动,在对人类和动物的研究中发现,这些方法可以减轻水肿,促进液体分散,减轻疼痛敏感性,扭转神经损伤导致的免疫反应增强。神经滑动练习旨在改善神经活动性,减少刺激。这些运动包括以可控的方式拉伸和释放神经,以减轻肿胀并缓解症状。这些运动应谨慎进行,并应在专业医护人员的指导下进行:通过 NPRS 研究自我神经活动对疼痛的影响。通过动态关节角度计研究自我神经活动对关节活动度的影响。方法:根据纳入和排除标准筛选出36名患者,将其分为两组,每组18人。结果:六周后的数据分析显示,两组的 P 值均小于 0.05,但干预组与对照组相比有明显改善。结论:从目前的研究中可以得出结论,神经动员技术能有效减轻疼痛、减少功能障碍并改善 SLR ROM:腰背痛 根性神经病 神经动员
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Self Neural Mobilization in Low Back Pain with Radiculopathy on Pain, ROM and Functional Disability - An Interventional Study
BACKGROUND: Leg pain extending below the knee into the foot and toes is lumbar radiculopathy, often accompanied by sensory, reflex or motor neurological problems along the lumbosacral nerves or nerve roots. Neural tissue mobilization techniques involve assessing and relieving neural tension through movements, restoring the nervous system's capacity to handle daily forces. These manual methods aid movement within neural structures and have been found, in research on both humans and animals, to reduce edema, enhance fluid dispersion, alleviate pain sensitivity, and reverse heightened immune responses resulting from nerve injuries. Nerve gliding exercises aim to improve nerve mobility and reduce irritation. They involve stretching and releasing a nerve in a controlled manner to potentially reduce swelling and alleviate symptoms. These exercises should be performed with caution and under the guidance of a healthcare professional. OBJECTIVES: To study the effect of self-neural mobilization on pain by NPRS. To study the effect of self-neural mobilization in ROM by Goniometry. To study the effect of self-neural mobilization on functional disability by ODI. METHODOLOGY: 36 patients were screened according to inclusion and exclusion criteria and divided into two groups; each consist of 18 patients. Group A received nerve mobilization and conventional treatment and Group B received conventional treatment. Post outcome measures such as NPRS, ODI and SLR ROM were taken after 6 weeks of treatment. RESULTS: After six-week data analysis was done suggest both group’s p value is < 0.05 but interventional group has significant better improvement compared to control group. CONCLUSION: From the current study it has been concluded that nerve mobilization technique is effective in reducing pain, reduce functional disability and improves SLR ROM. Keywords: Low back pain, Radiculopathy, Nerve mobilization
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