Neurodynamic exercises provide no additional benefit to extension-oriented exercises in people with chronic low back-related leg pain and a directional preference: a randomized clinical trial

Review written by Dr Sarah Haag info

Key Points

  1. Current guidelines support many interventions for addressing chronic low back-related leg pain.
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BACKGROUND & OBJECTIVE

Low back-related leg pain impacts 3-5% of the population (1). Current guidelines recommend exercise, manual therapy and neural mobilization for chronic low back pain with leg pain (2). These guidelines specifically state that neural mobilization should be used in conjunction with other treatments for short term improvements.

Exercise is widely recommended as an intervention for low back pain with leg pain, though there is not one “best” exercise. The purpose of this study was to verify the effects of the addition of neurodynamic exercises to extension-oriented exercises for individuals with chronic low back-related leg pain.

Low back-related leg pain impacts 3-5% of the population.
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This study indicates that more is not always better and that starting with extension exercises for people with a directional preference may be sufficient.

METHODS

  • In this two-arm, single blind, randomized clinical trial, participants were randomly allocated to receive either extension exercises (EE) or EE plus neurodynamic exercises. See the video for these exercises.
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