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The effect of spinal mobilization with leg movement in patients with lumbar radiculopathy

13-01-2019
This research, aimed at the effect of spinal mobilization with leg movement in patients with lumbar radiculopathy, aims 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 lumbar radiculopathy subjects. The design of the study concerns a double-blind randomized controlled trial which was held in a general hospital. The participants consist of sixty adults (mean age 44 years) with subacute lumbar radiculopathy.

To receive SMWLM exercises and electrotherapy (n = 30) or physical exercise and electrotherapy alone (n = 30), subjects were assigned randomly. For 2 weeks, all subjects were assigned 6 sessions.

The intensity of the leg pain and the Oswestry index of the disability index were the primary outcomes. Secondary variables were described as low back pain intensity, global assessment of change (GROC), straight leg height (SLR) and lumbar range of motion (ROM). Variables were blindly assessed at the base line, after the intervention and after 3 and 6 months of follow-up. Significant and clinically meaningful improvement occurred in all outcome variables. The SMWLM group experienced significantly greater improvement after 2 weeks than the control in pain in the legs (MD 2.4, 95% CI 2.0 to 2.7) and disability (MD 3.9 (5.5 to 2). 2) After 6 months, the SMWLM group had a significantly greater improvement than the control group for 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 a greater improvement in the GROC and in SLR ROM.

The addition of SMWLM in patients with lumbar radiculopathy has significantly improved benefits in terms of leg and back pain, disability, SLR ROM and patient satisfaction. This in both the short and the long term.

Elsevier Inc. 2018

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