神经滑块术治疗腰痛患者不同体位的比较:一项随机对照试验。

IF 3.4 3区 医学 Q1 REHABILITATION
Hamza M Shaheen, Beliz Belgen Kaygisiz
{"title":"神经滑块术治疗腰痛患者不同体位的比较:一项随机对照试验。","authors":"Hamza M Shaheen, Beliz Belgen Kaygisiz","doi":"10.23736/S1973-9087.24.08541-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) accompanied by sciatica is a widespread musculoskeletal issue with multifactorial etiology, impacting individuals across various demographics. Conservative treatments, notably physiotherapy, are key in managing LBP with sciatica, with neural mobilization techniques emerging as beneficial adjuncts.</p><p><strong>Aim: </strong>This research aims to assess the effectiveness of utilizing the sciatic slider technique (SST) in both supine and slump positions, compared to conventional physiotherapy alone, in alleviating pain severity, improving lumbar flexibility, lumbar lordosis, lower limb muscle strength, and functional ability in patients with LBP associated with sciatica.</p><p><strong>Design: </strong>randomized controlled trial.</p><p><strong>Setting: </strong>Department of Physiotherapy at Alia Hospital.</p><p><strong>Population: </strong>Sixty participants with LBP associated with sciatica.</p><p><strong>Methods: </strong>The participants were randomly allocated into three groups: Group (A) N.=20 received the SST in a slump position alongside conventional physiotherapy, Group (B) N.=20 received the same technique in a supine position with conventional physiotherapy, and Group (C) or (control) N.=20 underwent only conventional physiotherapy. Each group underwent three sessions per week for four weeks. Outcome measures included pain intensity (Numerical Pain Rating Scale), functional disability (Oswestry Disability Index), lumbar flexibility (Modified Schober test), lower limb muscle strength (Hand-held dynamometry), and lumbar lordosis (Flexible ruler).</p><p><strong>Results: </strong>Analysis revealed significant differences between treatment groups. The slump position exhibited superior effectiveness in reducing pain intensity (P<0.001), and improving disability (P<0.001), with greater improvements in pain scores and disability index percentages. Additionally, slump position therapy led to significantly greater enhancements in range of motion (P<0.001), and hip abductor (P=0.007) when compared to the supine position. However, both techniques showed similar effects on lumbar lordosis angle and various lower limb muscle strength.</p><p><strong>Conclusions: </strong>The sciatic nerve slider technique, whether applied in the slump or supine position, demonstrated superior outcomes compared to conventional physiotherapy alone in managing LBP with sciatica. Nevertheless, the slump position showed greater efficacy in reducing pain, improving disability, and enhancing certain functional parameters.</p><p><strong>Clinical rehabilitation impact: </strong>These findings advocate for the inclusion of neural mobilization techniques, particularly in the slump position, in the management of LBP with sciatica.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"82-92"},"PeriodicalIF":3.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948043/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.\",\"authors\":\"Hamza M Shaheen, Beliz Belgen Kaygisiz\",\"doi\":\"10.23736/S1973-9087.24.08541-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Low back pain (LBP) accompanied by sciatica is a widespread musculoskeletal issue with multifactorial etiology, impacting individuals across various demographics. Conservative treatments, notably physiotherapy, are key in managing LBP with sciatica, with neural mobilization techniques emerging as beneficial adjuncts.</p><p><strong>Aim: </strong>This research aims to assess the effectiveness of utilizing the sciatic slider technique (SST) in both supine and slump positions, compared to conventional physiotherapy alone, in alleviating pain severity, improving lumbar flexibility, lumbar lordosis, lower limb muscle strength, and functional ability in patients with LBP associated with sciatica.</p><p><strong>Design: </strong>randomized controlled trial.</p><p><strong>Setting: </strong>Department of Physiotherapy at Alia Hospital.</p><p><strong>Population: </strong>Sixty participants with LBP associated with sciatica.</p><p><strong>Methods: </strong>The participants were randomly allocated into three groups: Group (A) N.=20 received the SST in a slump position alongside conventional physiotherapy, Group (B) N.=20 received the same technique in a supine position with conventional physiotherapy, and Group (C) or (control) N.=20 underwent only conventional physiotherapy. Each group underwent three sessions per week for four weeks. Outcome measures included pain intensity (Numerical Pain Rating Scale), functional disability (Oswestry Disability Index), lumbar flexibility (Modified Schober test), lower limb muscle strength (Hand-held dynamometry), and lumbar lordosis (Flexible ruler).</p><p><strong>Results: </strong>Analysis revealed significant differences between treatment groups. The slump position exhibited superior effectiveness in reducing pain intensity (P<0.001), and improving disability (P<0.001), with greater improvements in pain scores and disability index percentages. Additionally, slump position therapy led to significantly greater enhancements in range of motion (P<0.001), and hip abductor (P=0.007) when compared to the supine position. However, both techniques showed similar effects on lumbar lordosis angle and various lower limb muscle strength.</p><p><strong>Conclusions: </strong>The sciatic nerve slider technique, whether applied in the slump or supine position, demonstrated superior outcomes compared to conventional physiotherapy alone in managing LBP with sciatica. Nevertheless, the slump position showed greater efficacy in reducing pain, improving disability, and enhancing certain functional parameters.</p><p><strong>Clinical rehabilitation impact: </strong>These findings advocate for the inclusion of neural mobilization techniques, particularly in the slump position, in the management of LBP with sciatica.</p>\",\"PeriodicalId\":12044,\"journal\":{\"name\":\"European journal of physical and rehabilitation medicine\",\"volume\":\" \",\"pages\":\"82-92\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948043/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European journal of physical and rehabilitation medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.23736/S1973-9087.24.08541-1\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of physical and rehabilitation medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S1973-9087.24.08541-1","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/28 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

摘要

背景:腰痛(LBP)伴随坐骨神经痛是一种广泛的肌肉骨骼问题,具有多因素病因,影响不同人群的个体。保守治疗,特别是物理治疗,是治疗腰痛伴坐骨神经痛的关键,神经活动技术是有益的辅助手段。目的:本研究旨在评估坐骨滑块技术(SST)在仰卧位和俯卧位的有效性,与传统的物理治疗相比,在缓解疼痛严重程度,改善腰椎柔韧性,腰椎前凸,下肢肌肉力量和功能能力方面与坐骨神经痛相关的腰痛患者。设计:随机对照试验。地点:Alia医院物理治疗科。人群:60名伴有坐骨神经痛的腰痛患者。方法:将参与者随机分为三组:A组(n =20)在进行常规物理治疗的同时采用俯卧位进行SST, B组(n =20)在进行常规物理治疗的同时采用相同的方法进行仰卧位,C组(对照)n =20只进行常规物理治疗。每组每周进行三次训练,持续四周。结果测量包括疼痛强度(数值疼痛评定量表)、功能残疾(Oswestry残疾指数)、腰椎柔韧性(改良Schober试验)、下肢肌肉力量(手持式测力法)和腰椎前倾(柔性尺)。结果:两组间差异有统计学意义。结论:与传统物理疗法相比,坐骨神经滑块技术在治疗腰痛伴坐骨神经痛方面的效果更佳,无论是在坐骨神经痛的俯卧位还是仰卧位。然而,俯卧位在减轻疼痛、改善残疾和增强某些功能参数方面表现出更大的功效。临床康复影响:这些研究结果提倡将神经活动技术纳入腰痛伴坐骨神经痛的治疗中,特别是在俯卧位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.

Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.

Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.

Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.

Background: Low back pain (LBP) accompanied by sciatica is a widespread musculoskeletal issue with multifactorial etiology, impacting individuals across various demographics. Conservative treatments, notably physiotherapy, are key in managing LBP with sciatica, with neural mobilization techniques emerging as beneficial adjuncts.

Aim: This research aims to assess the effectiveness of utilizing the sciatic slider technique (SST) in both supine and slump positions, compared to conventional physiotherapy alone, in alleviating pain severity, improving lumbar flexibility, lumbar lordosis, lower limb muscle strength, and functional ability in patients with LBP associated with sciatica.

Design: randomized controlled trial.

Setting: Department of Physiotherapy at Alia Hospital.

Population: Sixty participants with LBP associated with sciatica.

Methods: The participants were randomly allocated into three groups: Group (A) N.=20 received the SST in a slump position alongside conventional physiotherapy, Group (B) N.=20 received the same technique in a supine position with conventional physiotherapy, and Group (C) or (control) N.=20 underwent only conventional physiotherapy. Each group underwent three sessions per week for four weeks. Outcome measures included pain intensity (Numerical Pain Rating Scale), functional disability (Oswestry Disability Index), lumbar flexibility (Modified Schober test), lower limb muscle strength (Hand-held dynamometry), and lumbar lordosis (Flexible ruler).

Results: Analysis revealed significant differences between treatment groups. The slump position exhibited superior effectiveness in reducing pain intensity (P<0.001), and improving disability (P<0.001), with greater improvements in pain scores and disability index percentages. Additionally, slump position therapy led to significantly greater enhancements in range of motion (P<0.001), and hip abductor (P=0.007) when compared to the supine position. However, both techniques showed similar effects on lumbar lordosis angle and various lower limb muscle strength.

Conclusions: The sciatic nerve slider technique, whether applied in the slump or supine position, demonstrated superior outcomes compared to conventional physiotherapy alone in managing LBP with sciatica. Nevertheless, the slump position showed greater efficacy in reducing pain, improving disability, and enhancing certain functional parameters.

Clinical rehabilitation impact: These findings advocate for the inclusion of neural mobilization techniques, particularly in the slump position, in the management of LBP with sciatica.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
8.50
自引率
4.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: The European Journal of Physical and Rehabilitation Medicine publishes papers of clinical interest in physical and rehabilitation medicine.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信