Effect of Neural Mobilsation on EMG and Disabilty Index in Lumbar Radicular Pathology
Journal Title: Indian Journal of Forensic Medicine and Pathology - Year 2018, Vol 11, Issue 4
Abstract
Background: Adverse neurodynamic tension is a commonly seen clinical condition. It is found in across all age groups. The lumbar radiculopathy can be quite disabling as well. Therefore we sought to find out the effect of neural mobilisation on muscle activity and the disability caused by this problem. Methods: 24 male athletes were recruited from university clinic after clinical diagnosis. They were allocated to two different arms ie experimental arm (Group A n=12, age-22.2±3.51) and conventional PT arm (Group B n=12, age 24.8±4.06). Measurements for s EMG of ipsilateral and contralateral multifidus and disability (Oswestry disability index) were taken at baseline and after 14 treatment sessions. Results: Mixed model ANOVA showed significant main effects for time F (1,21) = 32.11, p <0.001 and time-group interaction F (1,21) = 6.871, p = 0.016 while for group F (1,21) = 0.931, p = 0.346. there was more interaction effect in neural mobilisation group than conventional treatment group which implies that increase in ipsilateral and contralateral EMG is more in neural mobilization group. The disability index (ODI) improvement in both groups remained the same. Conclusion: lumbar radiculopathy patients had better clinical outcomes in terms of ipsilateral and contralateral EMG .The improvement is related to correction of the neural mobility impairment. Further studies are needed including randomized controlled trials to confirm these findings, neural mobilization effects as a standalone treatment and establish possible mechanism for neurodynamic treatment in lumbar radiculopathy. Keywords: Lumbar Radiculopathy; Disc Herniation; Neural Mobilisation; EMG; ODI.
Authors and Affiliations
Saurabh Sharma
Keywords
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- EP ID EP567601
- DOI 10.21088/ijfmp.0974.3383.11418.6
- Views 88
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