Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effects of Sciatic Nerve Mobilization Technique on Perceived Pain and Knee Strength in Patient With Chronic Low Back Pain

좌골신경가동화기법이 만성 요통 환자의 통증과 슬관절 신전근력에 미치는 영향

  • Cha, Hyon-Gyu (Dept. of Physical Therapy, Daejeon Eulgi University Hospital) ;
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health and Sports Science, DaeJeon University)
  • 차현규 (대전을지대학병원 물리치료실) ;
  • 오덕원 (대전대학교 보건스포츠과학대학 물리치료학과)
  • Received : 2010.06.17
  • Accepted : 2010.07.22
  • Published : 2010.09.17
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Abstract

The purpose of this study was to determine the effect of sciatic nerve mobilization technique on perceived pain, straight leg raise test (SLR), and strength of knee extensor, location of symptoms (LOS) in patients with chronic low back pain. 22 patients with chronic low back pain were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 11 patients in each group. All patients received a routine physical therapy (hot pack and transcutaneous electrical nerve stimulation). The mobilization technique of the sciatic nerve was performed for 10 min in the case of the EG subjects. Outcome measurements included the level of the perceived pain, SLR, and strength of the knee extensor, LOS. The measurements were recorded 3 times: before the intervention, after the intervention, and at 1 hour of follow up. The two groups did not significantly differ with regard to the level of perceived pain, SLR, and strength of the knee extensor, LOS before the test (p>.05). In the case of the EG subjects, all the variables measured after the intervention significantly differed from those measured before the intervention (p<.05). However, in the case of the CG subjects, a significant difference was noted only with regard to the level of perceived pain (p<.05). The findings indicate that sciatic nerve mobilization technique exerts a positive effect on the control of subjective symptoms and knee strength in patients with chronic low back pain. Further studies are required to generalize the result of this study.

Keywords

References

  1. Baysal O. Altay Z, Ozcan C, et al. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract. 2006;60(7):820-828. https://doi.org/10.1111/j.1742-1241.2006.00867.x
  2. Bjerket T, Johnsen LG, Kibsgaard L, et al. Surgical treatment of degenerative lumbar diseases. Tidsskr Nor Laegeforen. 2005;125(13):1817-1819.
  3. Borenstein DG. Epidemiology, etiology, diagnostic evaluation and treatment of low back pain. Curr Opin Rheumatol. 2001;13(2):128-134 https://doi.org/10.1097/00002281-200103000-00006
  4. Butler DS. The Sensitive Nervous System. Adelaide, Noigroup Publications, 2000.
  5. Chesterton LS, van der Windt DA, Sim J. et al. Transcutaneous electrical nerve stimulation for the management of tennis elbow: A pragmatic randomised controlled trial: The TATE trial(ISRCTN 87141084). BMC Musculoskelet Disord. 2009;10:156. https://doi.org/10.1186/1471-2474-10-156
  6. Cleland JA, Childs JD, Palmer JA, et al. Slump stretching in the management of non radicular low back pain: A pilot clinical trial. Man Ther. 2006;11(4):279-286. https://doi.org/10.1016/j.math.2005.07.002
  7. Coutinho EL, DeLuca C, Salvini TF, et al. Bouts of passive stretching after immobilization of the rat soleus muscle increase collagen macromolecular organization and muscle fiber area. Connect Tissue Res. 2006;47(5):278-286. https://doi.org/10.1080/03008200600995940
  8. Cowell IM, Phillips DR. Effectiveness of manipulative physiotherapy for the treatment of a neurogenic study exerimental design. Man Ther. 2002;7(1):31-38. https://doi.org/10.1054/math.2001.0429
  9. Denner A. The trainability of the trunk and neck musculature of deconditioned back pain patients. Manuelle Med. 1999;37:34-39. https://doi.org/10.1007/s003370050102
  10. Ewert T. Limm H, Wessels T, et al. The com parative effectiveness of a multimodal program versus exerdse alone for the secondary prevention of chronic low back pain and disability. PM R. 2009;1(9):798-808. https://doi.org/10.1016/j.pmrj.2009.07.006
  11. Fritz JM. Cleland JA, Speckman M. et al. Physical therapy for acute low back pain: Associations with subsequent healthcare costs. Spine. 2008;33(16):1800-1805. https://doi.org/10.1097/BRS.0b013e31817bd853
  12. Fuh JL. Wang SJ, Lu SR, et al. The Kinmen women-health investigation(KIWI): A menopausal study of a population aged 40-54. Maturitas. 2001;39(2):117-124. https://doi.org/10.1016/S0378-5122(01)00193-1
  13. George SZ. Characteristics of with lower extremity symptoms treated with slumop stretching: Acase series. J. Orthop Sports Ther. 2002;32(8):391-398. https://doi.org/10.2519/jospt.2002.32.8.391
  14. Kankaanpaa M, Taimela S' Airaksinen O, et al. The efficacyt of active rehabilitation in chronic low back pain. Effect on pain intensity, SELF-experienced disability and lumbar fatigability. Spine. 1999;24(10):1034-1042. https://doi.org/10.1097/00007632-199905150-00019
  15. Kendall FP, McCreary EK Provance PG. et al. Muscles Testing and Function. Baltimore. Williams and Wilkins, 1993.
  16. Kisner C, Collby LA. Therapeutic Exercise. 4th ed. Philadelphia. PA, F.A Davis Co., 2002.
  17. Kornberg C, Lew P. The effect of stretching neural structures on grade one hamstring injuries. J Ortho Sports Phys Ther. 1989;10(12):487-487.
  18. Maitland GD. The slump test: Examination and treatment. Aust J Physiother 1935;31(6):215-219.
  19. Marras WS. Occupational low back disorders causation and control. Ergonomics.2000;43(7):880-902. https://doi.org/10.1080/001401300409080
  20. Marshall PW, Mannion J. Murphy BA. The eccentric, concentric strength relationship of the hamstring muscles in chronic low back pain. J. Electromyogr Kinesiol. 2010;20(1):39-45. https://doi.org/10.1016/j.jelekin.2009.04.005
  21. Matthew F. Effect on hamstring flexibility of hamstring stretching compared to hamstring stretching and sacroiliac joint manipulation. Clinical Chiropractic. 2006;9(1):21-32. https://doi.org/10.1016/j.clch.2006.01.005
  22. Mayer TG. Smith SS, Keeley J, et al. Quanitification of lumbar funcition. part2: Sagittal plane trunk strength in chronic low back pain patients. Spine. 1985;10(8);765-772. https://doi.org/10.1097/00007632-198510000-00012
  23. Palmar M, Epler M. Fundamentals of Musculoskeletal Assesment Techniques. 2nd ed, Philadelphia, Lippincott Williams and Wilkins, 1988.
  24. Pinar L, Enhos A, Ada S, et al. Can we use nerve gliding exercises in women with carpal tunnel syndrome? Adv Ther. 2005;22(5):467-475. https://doi.org/10.1007/BF02849867
  25. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to practice. 2nd ed. New Jersey, Prentice-Hall, 2000:486-490.
  26. Rainville J, Nguyen R, Suri P. Effective conservative treatment for low back pain. Semin Spine Surg. 2009;21(4):257-263. https://doi.org/10.1053/j.semss.2009.08.009
  27. Scrimshaw SV, Maher CG. Randomized controlled trial of neural mobilization after spinal surgery. Spine. 2001;26(24):2647-2652.
  28. Slade SC, Keating JL. Trunk strengthening exercises for chronic low back pain: A systematic review. J Manipulative Physiol Ther. 2006;29(2):163-173. https://doi.org/10.1016/j.jmpt.2005.12.011
  29. Symons TB, Vandervoort AA, Rice CL, et al. Reliability of a single session iso-kinetic and isometric strength measurement protocol in older men. J Gerontol A Biol Sci Med Sci. 2005;60(1):114-119. https://doi.org/10.1093/gerona/60.1.114
  30. Turl SE, George KP. Adverse neural tension: A factor in repetitive hamstring strain? J Orthop Sports Phys Ther. 1998;27(1):16-21. https://doi.org/10.2519/jospt.1998.27.1.16
  31. Wagner DR, Tatsugawa K. Parker D. et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  32. Webright WG, Randolph BJ, Perrin DH. Comparison of nonballistic active knee extension in neural slump position and static stretch techniques on hamstring flexibility. J Orthop Sports Phys Ther. 1997;26(1):7-13. https://doi.org/10.2519/jospt.1997.26.1.7
  33. Werneke M, Hart DL, Cook D. A descriptive study of the centralization phenomenon: A prospective analysis. Spine. 1999;27(7):676-683.
  34. Wilkie D, Lovejoy N, Dodd M, et al. Cancer pain intensity measurement: Concurrent validity of three tools finger dynamometer, pain intensity number scale, visual analogue scale. Hosp J. 1990;6(1):1-13. https://doi.org/10.1300/J011v06n02_01
  35. Wilson GJ, Elliott BC, Wood GA. Stretch shorten cycle performance enhancement through through flexibility training. Med Sci Sports Exerc. 1992;24(1):116-123.