Effect of Adding Neural Mobilization Versus Myofascial Release to Stabilization Exercises after Lumbar Spine Fusion: A Randomized Controlled Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(5):25 Arch Phys Med Rehabil . 2021 Feb;102(2):251-260What this means for my practice?
Findings of this randomized controlled trial suggest that utilizing physical therapy consisting of stabilization exercises combined with neural mobilization can help improve pain and disability up to 2 months after patients have undergone a lumbar spine fusion for treating their degenerative disc disease. Yet, this study had a small number of patients and a short follow-up time period, which are limitations of the study. Therefore, future randomized controlled trials with larger sample sizes and longer follow-up time periods are needed to confirm the results of this study.
Resumo do estudo
Sixty 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).
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