Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study
The objective is to determine if pain and disability outcomes of patients treated with neural mobilisation differ for sub-classifications of low back and leg pain (LB&LP). Radiating leg pain is a poor prognostic factor for recovery in patients with LBP. To improve outcome, a new pathomechanism-b...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Published: |
Springer
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/49158 |
| _version_ | 1848758177755037696 |
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| author | Schäfer, Axel Hall, Toby Müller, G. Briffa, Kathy |
| author_facet | Schäfer, Axel Hall, Toby Müller, G. Briffa, Kathy |
| author_sort | Schäfer, Axel |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The objective is to determine if pain and disability outcomes of patients treated with neural mobilisation differ for sub-classifications of low back and leg pain (LB&LP). Radiating leg pain is a poor prognostic factor for recovery in patients with LBP. To improve outcome, a new pathomechanism-based classification system was proposed: neuropathic sensitization (NS), denervation (D), peripheral nerve sensitization (PNS) and musculoskeletal (M). Seventy-seven patients with unilateral LB&LP were recruited. Following classification, all subjects were treated seven times with neural mobilisation techniques. A successful outcome was defined as achieving a minimal clinically important change in pain intensity (11-point numerical rating scale), physical function (Roland Morris disability questionnaire) and global perceived change (7-point Likert scale: from 1 = “completely recovered” to 7 = “worse than ever”). The proportion of responders was significantly greater in PNS (55.6%) than the other three groups (NS 10%; D 14.3% and M10%). After adjusting for baseline differences, mean magnitude of improvement of the outcome measures were significantly greater in PNS compared to the other groups. Patients classified as PNS have a more favourable prognosis following neural mobilisation compared to the other groups. |
| first_indexed | 2025-11-14T09:39:51Z |
| format | Journal Article |
| id | curtin-20.500.11937-49158 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:39:51Z |
| publishDate | 2011 |
| publisher | Springer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-491582018-03-29T09:07:45Z Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study Schäfer, Axel Hall, Toby Müller, G. Briffa, Kathy The objective is to determine if pain and disability outcomes of patients treated with neural mobilisation differ for sub-classifications of low back and leg pain (LB&LP). Radiating leg pain is a poor prognostic factor for recovery in patients with LBP. To improve outcome, a new pathomechanism-based classification system was proposed: neuropathic sensitization (NS), denervation (D), peripheral nerve sensitization (PNS) and musculoskeletal (M). Seventy-seven patients with unilateral LB&LP were recruited. Following classification, all subjects were treated seven times with neural mobilisation techniques. A successful outcome was defined as achieving a minimal clinically important change in pain intensity (11-point numerical rating scale), physical function (Roland Morris disability questionnaire) and global perceived change (7-point Likert scale: from 1 = “completely recovered” to 7 = “worse than ever”). The proportion of responders was significantly greater in PNS (55.6%) than the other three groups (NS 10%; D 14.3% and M10%). After adjusting for baseline differences, mean magnitude of improvement of the outcome measures were significantly greater in PNS compared to the other groups. Patients classified as PNS have a more favourable prognosis following neural mobilisation compared to the other groups. 2011 Journal Article http://hdl.handle.net/20.500.11937/49158 10.1007/s00586-010-1632-2 Springer restricted |
| spellingShingle | Schäfer, Axel Hall, Toby Müller, G. Briffa, Kathy Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title | Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title_full | Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title_fullStr | Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title_full_unstemmed | Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title_short | Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| title_sort | outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study |
| url | http://hdl.handle.net/20.500.11937/49158 |