Effect of Self Neural Mobilization in Low Back Pain with Radiculopathy on Pain, ROM and Functional Disability - An Interventional Study

Abstract

BACKGROUND: Leg pain extending below the knee into the foot and toes is lumbar radiculopathy, often accompanied by sensory, reflex or motor neurological problems along the lumbosacral nerves or nerve roots. Neural tissue mobilization techniques involve assessing and relieving neural tension through movements, restoring the nervous system's capacity to handle daily forces. These manual methods aid movement within neural structures and have been found, in research on both humans and animals, to reduce edema, enhance fluid dispersion, alleviate pain sensitivity, and reverse heightened immune responses resulting from nerve injuries. Nerve gliding exercises aim to improve nerve mobility and reduce irritation. They involve stretching and releasing a nerve in a controlled manner to potentially reduce swelling and alleviate symptoms. These exercises should be performed with caution and under the guidance of a healthcare professional. OBJECTIVES: To study the effect of self-neural mobilization on pain by NPRS. To study the effect of self-neural mobilization in ROM by Goniometry. To study the effect of self-neural mobilization on functional disability by ODI. METHODOLOGY: 36 patients were screened according to inclusion and exclusion criteria and divided into two groups; each consist of 18 patients. Group A received nerve mobilization and conventional treatment and Group B received conventional treatment. Post outcome measures such as NPRS, ODI and SLR ROM were taken after 6 weeks of treatment. RESULTS: After six-week data analysis was done suggest both group’s p value is < 0.05 but interventional group has significant better improvement compared to control group. CONCLUSION: From the current study it has been concluded that nerve mobilization technique is effective in reducing pain, reduce functional disability and improves SLR ROM. Keywords: Low back pain, Radiculopathy, Nerve mobilization