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
| Autor: | Soheir S. Rezk-Allah, Nevein Mm Gharib, Moussa A Sharaf, Khalid Z Fouda |
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| Rok vydání: | 2021 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Pain Physical Therapy Sports Therapy and Rehabilitation law.invention H-Reflex 03 medical and health sciences 0302 clinical medicine Lumbar Randomized controlled trial Neural mobilization law medicine Humans In patient Physical Therapy Modalities Lumbar Vertebrae business.industry Rehabilitation Laminectomy Treatment Outcome Functional disability Physical therapy Female H-reflex 0305 other medical science business 030217 neurology & neurosurgery Lumbar laminectomy |
| Zdroj: | Clinical rehabilitation. 36(1) |
| ISSN: | 1477-0873 |
| Popis: | 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 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. |
| Databáze: | OpenAIRE |
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