Neural mobilization versus somatosensory motor control in treating lumbar disc herniation with unilateral sciatica.

Document Type : Original Article

Authors

1 Department of musculoskeletal disorders - faculty of physical therapy - Cairo university

2 orthopedic, Physical Therapy, Cairo University, Giza, Egypt

Abstract

Abstract
Aim: This research was done to compare between the efficacy of neural mobilization and somatosensory motor control training on balance, nerve excitability, lumbar range of motion, pain, and functional disability in individuals with persistent low back pain and unilateral sciatica. Material and methods: Forty-five male and female patients with persistent lower back discomfort and unilateral sciatica were included in this investigation. They were between thirty and fifty years old. They were arbitrarily split into three treatment groups (groups A, B, and C) of equal size. Group A received traditional physiotherapy program (Transcutaneous Electrical Nerve Stimulation (TENS), hot pack, passive stretching, and core strengthening). Group B received the same traditional program followed by sciatic neural slider mobilization. Group C received the traditional program followed by somatosensory motor control training which consisted of proprioceptive neuromuscular facilitation (PNF), somatosensory exercises, and vestibular exercises. Results: All groups had statistical significant improvements in all outcome measures (p < 0.05) post treatment. No significant variations were recorded among the three groups in respect to balance scores, lumbar range of motion, and pain (p > 0.05). Group B and C similarly improved and higher than group A in respect to nerve excitability (H-latency). Group B improved significantly higher than group A and C in respect to function (P < 0.05). Conclusion: Adding the neural mobilization and/or somatosensory motor control training to traditional physiotherapy program is beneficial in management of individuals with persistent lower back discomfort and unilateral sciatica.

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