Monday, December 3, 2018

The effect of spinal mobilization with leg movement in patients with lumbar radiculopathy – A double blind randomized controlled trial

Publication date: Available online 3 December 2018

Source: Archives of Physical Medicine and Rehabilitation

Author(s): Kiran Satpute, Toby Hall, Richa Bisen, Pramod Lokhande

Abstract
Objectives

To evaluate the effect of spinal mobilization with leg movement (SMWLM) on low back and leg pain intensity, disability, pain centralization and patient satisfaction in subjects with lumbar radiculopathy.

Design

A double blind randomized controlled trial.

Setting

General Hospital

Participants

Sixty adults (mean age 44 years) with sub-acute lumbar radiculopathy

Interventions

Subjects were randomly allocated to receive SMWLM, exercise and electrotherapy (n = 30) or exercise and electrotherapy alone (n = 30). All subjects received 6 sessions over 2 weeks.

Main Outcome Measures

The primary outcomes were leg pain intensity and Oswestry disability index score. Secondary variables were low back pain intensity, global rating of change (GROC), straight leg raise (SLR) and lumbar range of motion (ROM). Variables were evaluated blind at base line, post intervention, and 3 and 6 months follow-up.

Results

Significant and clinically meaningful improvement occurred in all outcome variables. At 2 weeks the SMWLM group had significantly greater improvement than the control group in leg pain (MD 2.4, 95% CI 2.0 to 2.7) and disability (MD 3.9 (5.5 to 2.2). Similarly at 6 months the SMWLM group had significantly greater improvement than the control group in leg pain (MD 4.4, 95% CI 4.0 to 4.8) and disability (MD 4.7 (6.3to 3.1). The SMWLM group also reported greater improvement in the GROC and in SLR ROM.

Conclusion

In patients with lumbar radiculopathy, the addition of SMWLM provided significantly improved benefits in terms of leg and back pain, disability, SLR ROM and patient satisfaction in the short-and long-term.



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