Neural Mobilization & Stabilization Exercises Improves Pain & Disability After Lumbar Spine Fusion .
Effect of Adding Neural Mobilization Versus Myofascial Release to Stabilization Exercises after Lumbar Spine Fusion: A Randomized Controlled Trial
Arch Phys Med Rehabil . 2021 Feb;102(2):251-260Sixty patients who were diagnosed with degenerative disc disease with or without spinal stenosis who underwent lumbar spine fusion (LSF) were randomized to undergo 4 weeks of physical therapy consisting of stabilization exercises alone (n=20), stabilization exercises combined with neural mobilization (NM; n=20), or stabilization exercises combined with myofascial release (MFR; n=20). Outcomes of interest included the following: pain scores on a Visual Analogue Scale (VAS), disability evaluated on the Oswestry Disability Index (ODI), and lumbar range of motion (ROM) (i.e. left lateral flexion, left rotation, right rotation, right lateral flexion). All outcomes were measured at the completion of intervention and 1 month post-intervention. Results revealed that VAS pain and ODI scores were statistically significantly in favour of the NM group compared to the MFR group, as well as in NM group when compared to stabilization exercise alone group, at all timepoints (p<0.05 for all). ODI and VAS pain scores were statistically significantly favored in the MFR group when compared to stabilization exercise alone group at all timepoints (p<0.05 for all). All other outcomes were not statistically significantly different between groups at all time periods (p>0.05 for all).
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics