Abstract

IntroductionLow back pain is one of the most common musculoskeletal disorders andneural mobilization was usually rendered as a treatment for Nerve related low back pain (N-LBP). But warrants more support for its effectiveness and related outcomes. To find the effect of neural mobilization in improving nerve mobility and symptoms among individuals with N-LBP.MethodsAn experimental study was conducted in physiotherapy outpatient department with 23 subjects after obtaining written consent and were divided into two groups using simple random allocation as experimental (EG, <i>n</i> = 13) and control group (CG, <i>n</i> = 10). A standardized musculoskeletal evaluation was done prior to the treatment to quantify pain (numeric pain rating scale – NPRS), lumbar range (bubble inclinometer), sciatic nerve mobility (ultrasonogram – USG) and regional function (Oswestry Disability Index – ODI). Participants received therapy for pain modulation and spinal conditioning exercises with or without neural mobilization for 10 sessions spread over 3 weeks. The pre and post treatment data were analyzed using non parametric testing with significance (<i>p</i> < 0.05).ResultsBetween group analyses showed the following observation; pain intensity (<i>p</i> < 0.047), lumbar range (flexion – <i>p</i> < 0.555, extension – <i>p</i> < 0.294), nerve mobility (<i>p</i> < 0.001) and functional disability (ODI – <i>p</i> < 0.617), with significance only in pain intensity and nerve mobility among EG compared to CG. Within group analysis showed a statistical and clinical significance for all above variables post treatment in both the groups.ConclusionsNeural mobilization improves nerve mobility (sciatic nerve excursion) and symptom, can be rendered as a treatment in individuals with nerve related LBP.

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