Year :
2024
| Month :
April
| Volume :
18
| Issue :
4
| Page :
YC05 - YC09
Full Version
Effectiveness of Hamstring Release and Neural Mobilisation in Improving Walking Capability and Physical Activity Associated with Intermittent Neurogenic Claudication in Patients with Lumbar Spinal Stenosis: A Quasi-experimental Study
Published: April 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/67663.19273
Geeta Yadav, Saurabh Kumar, Vinika Choudhary, Priyanka Rishi
1. Postgraduate Student, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.
2. Associate Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.
3. Assistant Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.
4. Associate Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.
Correspondence Address :
Dr. Saurabh Kumar,
Associate Professor, Department of Physiotherapy, SGT University, Gurugram-400001, Haryana, India.
E-mail: saurabh04pt@gmail.com
Abstract
Introduction: In India, one of the most prevalent spinal pathologies is Lumbar Spinal Stenosis (LSS). It is characterised by the compression of neural structures in the spinal canal, resulting in symptoms such as neurogenic claudication, lower extremity radiculopathy, and gait impairment. Treatment involves various therapeutic modalities, with present study focusing on an integrated exercise method.
Aim: To evaluate the potential efficacy of hamstring release and neural mobilisation in LSS patients.
Materials and Methods: This quasi-experimental study was conducted at SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India from September 2021 to May 2022. Total of 30 patients diagnosed with LSS were divided into two groups based on inclusion criteria: group A (experimental) and group B (control). Pain, neural flexibility, walking capacity, disability, and physical activity were assessed at baseline and after the 3rd week of the intervention. Treatment sessions were administered for 30 minutes per day, three times per week (on alternate days), for a duration of three weeks in both groups. Data analysis was done using the Windows version of Statistical Package for Social Sciences version 26.0 (SPSS, Chicago, IL, USA). The paired t-test was used to compare mean data within each group before and after the intervention. The Independent t-test formula was applied to compare pre and postintervention changes between group A and group B. Group B. A significance level of p-value <0.05 was considered statistically significant.
Results: Group A and group B had respective mean ages of 37.07±8.66 years and 41.07±8.66 years. Total of 30 LSS patients were treated. Significant differences were observed in the Numeric Pain Rating Scale (NPRS) (p-value<0.0001), Straight Leg Raise (SLR) (p < 0.001), Slump Test (p-value<0.0001), and Self-paced Walking Test (SPWT) (p-value <0.0001). Minimal significance was noted in the Modified Oswestry Disability Index (MODI) (p-value=0.027) and Swiss Spinal Stenosis Questionnaire (SSSQ) (p-value=0.029).
Conclusion: Hamstring release and neural mobilisation improve pain, neural flexibility, walking capacity, disability, and physical activity in LSS patients.
Keywords
Neural flexibility, Radiculopathy, Spinal pathologies
DOI: 10.7860/JCDR/2024/67663.19273
Date of Submission: Sep 22, 2023
Date of Peer Review: Dec 23, 2023
Date of Acceptance: Feb 03, 2024
Date of Publishing: Apr 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 22, 2023
• Manual Googling: Jan 26, 2024
• iThenticate Software: Feb 01, 2024 (16%)
ETYMOLOGY: Author Origin
EMENDATIONS: 7
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