Effects of Early Neural Mobilization on Patients After Lumbar Surgery

UMIN ID: UMIN000054350

Registered date:09/05/2024

Basic Information

• Recruitment status: Pending
• Health condition(s) or Problem(s) studied: Lumbar spinal stenosis
• Date of first enrollment: 2024/05/05
• Target sample size: 52
• Countries of recruitment: Japan
• Study type: Interventional

Intervention(s)

Control group: From immediate postoperative period Starting from the awakening from surgery, ankle plantar and dorsiflexion exercises and patella setting are performed 50 times in three sets daily to prevent deep vein thrombosis. The postoperative day 1(Intervention is done only once on this day): The patients get out of bed and start walking exercises by walker. From the postoperative day 2 to discharge (interventions are done twice daily, and only once on the day of discharge): ADL (Activities of Daily Living) training is conducted, including walking exercises, ascending and descending stairs, floor transfer, and outdoor walking training. Stretching and strength training of the hip, knee, and ankle muscles, and core stabilization exercises, are performed according to the patient's condition.
Neural Mobilization Group: In addition to the interventions performed in the control group, neural mobilization using cervical flexion movements is implemented. The postoperative day 1: Passive cervical flexion exercises are performed in 10 repetitions for three sets. As a self-exercise, active cervical flexion movements are also done in 10 repetitions for three sets. From the postoperative day 2 to discharge: Passive cervical flexion exercises are performed in 10 repetitions for five sets. As a self-exercise, active cervical flexion movements are also done in 10 repetitions for five sets.

Outcome(s)

• Primary Outcome: Oswestry Disability Index
• Secondary Outcome: Visual analog scale(Assess intesity of low back pain, leg pain, numbness) Passive straight leg raising test Active straight leg raising test JOA back pain evaluation questionnaire

Key inclusion & exclusion criteria

• Age minimum: Not applicable
• Age maximum: Not applicable
• Gender: Male and Female
• Exclude criteria: Has a history of surgery on the cervical or thoracic spine. Inability to move the cervical spine. No preoperative cauda equina symptoms. Patients with a history of diabetes mellitus. Patients with muscle weakness with a manual muscle test of less than 3 in the segment of the spinal canal stenosis.

Related Information

• Primary Sponsor: Funabashi Orthopedic Hospital
• Secondary Sponsor: Tokyo Metropolitan University
• Source(s) of Monetary Support: Funabashi Orthopedic Hospital