Effects of Active and Passive Lower Extremity Neural Mobilization on Pain and Functional Level in Patients with Lumber Radiculopathy

    Abdul Rehman(1), Binash Afzal(2), Danish Hassan(3*), Arshad Nawaz Malik(4), Rabiya Noor(5)

Abstract

Background: There is increasing evidence of effectiveness of neural mobilzation in mangement of lumber radiculopathy but definite conclusion of effects of active versus passive nerve mobilzation in relieving pain and improving functional level are still uncertain.

Objective: To compare the effects of active versus passive lower extremity neural mobilizations to reduce pain improving the disability and Straight Leg Raise (SLR) in patients with lumbar radiculopathy.

Study type, settings & duration: This experimental trail (NCT-04581239) was conducted at Physiotherapy Department of Shalimar Hospital, Lahore from September 2019 to February 2020.  

Methodology: A sample of 26 patients of either gender with lumbar radiculopathy were included in the study and were assigned to two treatment groups; Active neural mobilization (Group A) and Passive neural mobilization (Group B). Both treatment groups received lumbar traction and mobilization along with group specific treatment. Outcome was reported in terms of Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI) and Straight Leg Raise (SLR) at the start and end of treatment. Data was entered and analyzed using SPSS Version 25.

Results: The result of across the group comparison showed no significant difference in NPRS and ODI (p value > 0.05) at baseline and post treatment measurement except for SLR (p value < 0.05). Within the group analysis revealed significant difference across each of the treatment group for NPRS and ODI (p value < 0.05) except for SLR (p value > 0.05) which showed non-significant improvement with active neural mobilization only.

Conclusion: Active and passive neural mobilization ........

Keywords: Neural Mobilization, lumbar radiculopathy, traction, mobilization

(1) Department of Physical Therapy, Shalimar Hospital, Lahore.
(2) Riphah College of Rehabilitation & Allied Health Sciences, Riphah International University, Lahore.
(3) Riphah College of Rehabilitation & Allied Health Sciences, Riphah International University, Lahore.
(4) Riphah College of Rehabilitation & Allied Health Sciences, Riphah International University, Lahore.
(5) Riphah College of Rehabilitation & Allied Health Sciences, Riphah International University, Lahore.
(*) Corresponding Author
Published
2022-05-12
How to Cite
Abdul Rehman, Binash Afzal, Hassan, D., Arshad Nawaz Malik, & Rabiya Noor. (2022). Effects of Active and Passive Lower Extremity Neural Mobilization on Pain and Functional Level in Patients with Lumber Radiculopathy. Pakistan Journal of Medical Research, 61(1), 19-23. Retrieved from https://pjmr.org.pk/index.php/pjmr/article/view/188