Validation of a sham novel neural mobilization technique in patients with non-specific low back pain: A randomized, placebo-controlled trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(16):15 Musculoskelet Sci Pract. 2021 Jun;53: 102378What this means for my practice?
Results of this trial suggest that the sham neural mobilization intervention was believable compared to real neural mobilization technique in patients with subacute, non-specific low back pain, but no significant difference was observed with respect to pain and range of motion between the 2 interventions. Limitations of this study included the small sample size of 54 patients, lack of long-term follow-up (>1 week post-intervention), and lack of control group. Therefore, future randomized controlled trials with a larger sample size (>100 patients) including >1 month follow-up, and a control group are needed to confirm the findings of this study.
Study Summary
Fifty-four patients with subacute, non-specific low back pain (LBP) were randomized to receive a novel sham neural mobilization (NM) technique (n=26) or real NM (n=28). The primary outcome of interest was believability of the sham technique by asking patients 1 week post-treatment which intervention they believed they had received. The secondary outcome of interest was pain on the visual analogue scale (VAS), immediately after the intervention and 1 week post-intervention. Results revealed no significant difference was observed between the 2 groups for the primary outcome (p=0.329) nor the secondary outcome when measured immediately after the intervention, and 1 week post-intervention (p>0.05 for all).
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