EFFECTIVENESS OF SCIATIC NERVE MOBILIZATION VERSUS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN LUMBOSACRAL RADICULOPATHY IN A TERTIARY CARE HOSPITAL.

Slides:



Advertisements
Similar presentations
RAHelp.org: An online intervention for rheumatoid arthritis Shigaki, C.L., 1 Smarr, K., 2,3 Siva, C., 3 Ge, B., 4 Musser, D., 5 Johnson, R. 6 1 Dept. Health.
Advertisements

1 Chapter 20: Statistical Tests for Ordinal Data.
Example: In a heart study the systolic blood pressure was measured for 24 men aged 25 and for 30 men aged 40. Do these data show sufficient evidence to.
Example: In a heart study the systolic blood pressure was measured for 24 men aged 25 and for 30 men aged 40. Do these data show sufficient evidence to.
Evidence-Based Physical Therapy Han, Yueh-Chin Graduate Institute of Physical Therapy National Taiwan University 2004/11/1 -- Critical appraisal of diagnosis.
Effectiveness of Teamwork Education Program for Multidisciplinary Undergraduates Mei-Jin Chen-Sea 1, Jer-Hao Chang 2, Ling-Yi Lin 2, Yea-Shwu Hwang 2,
Effectiveness of Orthoses and Foot Training in patients with Patellofemoral Pain and hyperpronation Mølgaard C. (1+2), Kaalund S.(3), Christensen M.(1),
Are Your Employees Receiving The Most Effective Physical Therapy? Stephen Hunter PT, OCS Administrator, Intermountain Rehabilitation Agency.
A Randomized Trial Comparing Interventions in Patients with Lumber Posterior Derangement. Author: Schenk. Journal of Manual & Manipulative Therapy, Volume.
Descriptive Statistics: Part One Farrokh Alemi Ph.D. Kashif Haqqi M.D.
September 5 th – 8 th 2013 Nottingham Conference Centre, United Kingdom
FINDINGS SUGGEST : The implementation of the small test of change educational session and exercise regimen decreased pain scale ratings and reduced the.
AN EVALUATION OF THE FALLS EXERCISE SERVICE FOR OLDER PEOPLE (AGED 65+) WHO HAVE FALLEN IN GLASGOW, SCOTLAND. The Community Falls Prevention Programme.
Amany M. Shebl Professor Of Medical-surgical Nursing Dean. Nursing Faculty, Mansoura University, Egypt.
Effect of hydrotherapy in the rehabilitative treatment of Multiple Sclerosis (MS) Volanti P, Scialabba G, De Cicco D. Neurorehabilitation Unit Fondazione.
Ardiana Murtezani MD, PhD 1, 2, Nerimane Abazi MD 1,2, Zana Ibraimi PHARM PhD 2,Fatime Haxholli MD 1,2, Zana Agani DDS PhD 2,3, Elena Kamberi DDS 2.
Immediate effect of transcutaneous Electrical Nerve Stimulation on Pain and flexibility in chronic nonspecific low back pain: A pilot study Authors: N.
INTRODUCTION:Common warm-up techniques attempt to prepare the body for tasks that may require higher physiological response. The increase in temperature.
Long-term functional deficiencies of ICU-acquired weakness: a prospective study I Patsaki, G Sidiras, V Gerovasili, A Kouvarakos, E Polimerou, G Mitsiou,
Relational Discord at Conclusion of Treatment Predicts Future Substance Use for Partnered Patients Wayne H. Denton, MD, PhD; Paul A. Nakonezny, PhD; Bryon.
Neuro Anatomy Lumbar Spine.
Handbook for Health Care Research, Second Edition Chapter 12 © 2010 Jones and Bartlett Publishers, LLC CHAPTER 12 Statistical Methods for Ordinal Measures.
Proposals by Paramedical Staff to Initiate Rehabilitation in Patients with Critical Illness on Mechanical Ventilation Acknowledgements This study was approved.
Table 1.Total Interventional Procedures Background Degenerative lumbar spondylolisthesis is a spinal instability that results from progressive degeneration.
Musculoskeletal Disorders among Dentists in Alexandria Prof. Dr. Samy A. Nassif PhD, PT Dean of Faculty of Physical Therapy - PUA Professor of Physical.
Association of Body Mass Index (BMI) and Depression Severity
Dr. Quan, Dr. Mirhashemi, Dr. Chiang
Joseph A. Sclafani MD1,2, Kevin Liang PhD 2, Choll W Kim MD,PhD1
Kaitlyn Patterson & Wendy Wolfe
NUZHAT SULTANA Online Phd Nursing Student Texila American University
Intra-articular Platelet Rich Plasma and Hyaluronic Acid are effective in Knee Osteoarthritis: A Comparative, Randomized Study Dr (Prof) Raju Vaishya MS(Ortho),FRCS,MCh.
How To Design a Clinical Trial
Dr. Iram Shad PGT-Medicine MU-1, HFH,RWP
Why anxiety associates with non-completion of pulmonary rehabilitation program in patients with COPD? Dr Abebaw Mengistu Yohannes Associate Professor.
Job Satisfaction and Its Determinants Among Health Staffs in An Lao District Hospital, Hai Phong Tran Thi Thuy Ha Haiphong University of Medecine and Pharmacy,
A PSYCHOLOGICAL WELL-BEING GROUP FOR STROKE PATIENTS
Clinical outcomes among patients with chronic low back pain treated with pregabaline monotherapy in fort portal regional referral hospital, “case series”
No conflicts of interest to declare.
Figure 1. Onset of PIV catheter complications
NONPARAMETRIC STATISTICS
Effects of Exercise Therapy with Trunk and Pelvic Fixation
Correspondence to Mohd Hashairi Fauzi
Lako S, Daka A, Nurka T, Dedej T, Memishaj S
The long-term impact of psychotherapy in patients with refractory angina Patel PA2, Ali N1, Thapar S1, Sainsbury PA1 1Department of Cardiology, Bradford.
Patient Registries and Health Outcomes in Diabetes: A Retrospective Study Nipa Shah, MD1; Fern Webb, PhD1; Liane Hannah, BSH1; Carmen Smotherman, MS2;
A Randomised Controlled Trial of an Accelerometer Triggered Functional Electrical Stimulation Device For Recovery of Upper Limb Function in Chronic Stroke.
ERFCON th International Conference of the Faculty of Education and Rehabilitation Sciences University of Zagreb 17 – 19 May 2017, Zagreb SOCIAL COMPETENCE.
ACUPUNCTURE A TREATMENT FOR PAINFUL DIABETIC NEUROPATHY
QUALITY OF POST GRADUATE MEDICAL TRAINING IN PUBLIC AND PRIVATE
Introduction Intervention Results Aim Methods Conclusions
Vrushali Patwardhan, Dinesh Kumar, Varun Goel, Sarman Singh
PATIENT’S ROAD TO DISK HERNIATION SURGERY
Lund University Department of Health Sciences, Lund, Faculty of Medicine, Lund University, Sweden Acute abdominal pain; pre hospital evaluation of ketobemidone.
Distraction Techniques during pediatric medical procedures
Frailty and its association with conventional risk factors for CAD among elderly patients with acute coronary syndrome.
Ruth McCullagh Physiotherapy, UCC
Executive Summary Tyler Masar.
Population, Samples, and Sampling Descriptions
Research amongst Physical Therapists in the State of Kuwait: Participation, Perception, Attitude and Barriers Presented by Sameera Aljadi, PT, PhD Assistant.
The Most Gracious and The Most Merciful.
MHEALTH to Improve Health: Effectiveness of a weekly text messaging intervention to improve ART adherence and HIV Viral Load: WelTel OAKTREE. M.C.M. Murray1,2,3,
Jill Alexander, Ambreen Chohan, James Selfe, Karen May, Jim Richards
Tree Planting Research Project 2017
Laura Donato [Mentor: Wendy Bjerke] College of Health Professions
Management of Type II Diabetes
Rhematoid Rthritis Respiratory disorders
Self-collection Of Stool: An Alternative To Digital Rectal Examination For Fecal Occult Blood Testing In The Emergency Department P. B. Lovett, J. D. D'Angelo,
Results of corrective surgery: secondary lens implantation at a cataract surgery training centre Mehul Shah,shreya shah, adway appalware,pramod upadhyay,
Basic Biostatistics Measures of central tendency and dispersion
Public Health Implications
Presentation transcript:

EFFECTIVENESS OF SCIATIC NERVE MOBILIZATION VERSUS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN LUMBOSACRAL RADICULOPATHY IN A TERTIARY CARE HOSPITAL Umesh Kumar, Nabila Soomro, Syed Shahzad Ali Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences Karachi, Pakistan. Results: The study results employed Wilcoxon signed ranked test to identify any difference in pain score. Post treatment evaluation median pain scores in neural mobilization (4) and TENS (6). P-Value is than 0.05 which was significant that nerve mobilization is more effective as compare to TENS in the management of lumbar disc disease. Pre and Post treatment median pain Scores in Nerve Mobilization and TENS groups. It can be easily noted that post treatment median pain scores in nerve mobilization is lesser than in TENS group. Background: BACKGROUND: Globally among various health disorders lower back pain is considered a major health problem. Lumbo-sacral radiculopathy is a clinical condition that involves irritation of nerve roots which causes pain that radiate down to the corresponding dermatome. Lumbo-sacral radiculopathy rehabilitation commonly includes physical therapy interventions such as, Neurodynamics, manual therapy, exercise therapy, traction, acupuncture, acupressure and Transcutaneous electrical nerve stimulation. Nervous system composed of physiological and mechanical components and its interconnections. Table 1: Subjects Age and Gender distribution between Nerve Mobilization and TENS group. STUDY GROUPS n AGE GENDER Male Female Nerve Mobilization 30 45.03 (7.294) 17 (56.7%) 13 (43.3%) TENS 45.93(6.902) 15 (50%) Objective: To find out the efficacy of sciatic nerve mobilization versus Transcutaneous Electric Nerve Stimulation in Lumbosacral Radiculopathy in tertiary care hospital. Table 2: Pre and post treatment evaluation for pain using NPRS in Nerve Mobilization Group  Study variable Pre treatment Median (Range) Post treatment P-value NPRS 8 (4) 4 (6) < 0.0001* P-values are obtained by using Wilcoxon signed ranked test *P-values < 0.05 are considered as significant Table 2: Pre and post treatment evaluation for pain in TENS Group Study Variable Pre treatment Median (Range) Post treatment P-value NPRS 7 (4) 6 (5) < 0.0001* P-values are obtained by using Wilcoxon signed ranked test *P-values < 0.05 are considered as significant MATERIAL & METHOD: This study was conducted at IPMR, DUHS Karachi Pakistan. Sixty patients with sciatic lumbosacral radiculopathy, were selected on voluntary basis those who fulfill the inclusion criteria. Patient were assessed and referred by physiatrist of Institute of Physical Medicine & Rehabilitation (IPM&R) and consultant Neurologist and Neuro-surgeon of civil hospital Karachi. All the patients were randomly assigned and equally divided into group A and group B, using simple purposive sampling technique. Group A received neural mobilization technique along with standard care and group B received TENS along with standard care (stabilization exercises & Postural advise). Patients in both groups received total eight treatment sessions, three treatment sessions on alternative day for three consecutive weeks .Assessment was performed to evaluate the outcome of initial session and final session of treatment using Numerical Pain Rating Scale. Table 3: Post treatment evaluation for pain in Nerve mobilization group and TENS group STUDY VARIABLE NERVE MOBILIZATION GROUP TENS GROUP   P-VALUE MEDIAN (RANGE) NPRS (Pain) 4(6) 6 (5) 0.001* P-values are obtained by using Mann-Whitney Test *P-values < 0.05 are considered as significant Figure 1: Pre and post treatment median pain scores in nerve mobilization and TENS groups.   Figure 3 shows pre and post treatment median pain scores in nerve mobilization and TENS groups. It can be easily noted that post treatment median pain scores in nerve mobilization is much lesser than in TENS group. Conclusion: Both groups shown significant improvement. However neural mobilization group shown relatively more improvement than TENS group. KEY WORDS: Neurodynamics, Nerve mobilization, Lumbosacral radiculopathy, sciatica, TENS