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
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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2024-04-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/19273/67663_CE[Ra1]_F(SHU)_QC&Ref_PAT(PS_SHU)_PF1(VD_SHU_OM)_PFA(NC_OM)_PN(KM).pdf |
| _version_ | 1797229172704149504 |
|---|---|
| author | Geeta Yadav Saurabh Kumar Vinika Choudhary Priyanka Rishi |
| author_facet | Geeta Yadav Saurabh Kumar Vinika Choudhary Priyanka Rishi |
| author_sort | Geeta Yadav |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T15:08:22Z |
| format | Article |
| id | doaj.art-46757e568e36464ab1b7838416c00394 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-24T15:08:22Z |
| publishDate | 2024-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-46757e568e36464ab1b7838416c003942024-04-02T11:55:52ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-04-011804050910.7860/JCDR/2024/67663.19273Effectiveness 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 StudyGeeta Yadav0Saurabh Kumar1Vinika Choudhary2Priyanka Rishi3Postgraduate Student, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.Associate Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.Assistant Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.Associate Professor, Department of Physiotherapy, SGT University, Gurugram, Haryana, India.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.https://www.jcdr.net/articles/PDF/19273/67663_CE[Ra1]_F(SHU)_QC&Ref_PAT(PS_SHU)_PF1(VD_SHU_OM)_PFA(NC_OM)_PN(KM).pdfneural flexibilityradiculopathyspinal pathologies |
| spellingShingle | Geeta Yadav Saurabh Kumar Vinika Choudhary Priyanka Rishi 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 Journal of Clinical and Diagnostic Research neural flexibility radiculopathy spinal pathologies |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | neural flexibility radiculopathy spinal pathologies |
| url | https://www.jcdr.net/articles/PDF/19273/67663_CE[Ra1]_F(SHU)_QC&Ref_PAT(PS_SHU)_PF1(VD_SHU_OM)_PFA(NC_OM)_PN(KM).pdf |
| work_keys_str_mv | AT geetayadav effectivenessofhamstringreleaseandneuralmobilisationinimprovingwalkingcapabilityandphysicalactivityassociatedwithintermittentneurogenicclaudicationinpatientswithlumbarspinalstenosisaquasiexperimentalstudy AT saurabhkumar effectivenessofhamstringreleaseandneuralmobilisationinimprovingwalkingcapabilityandphysicalactivityassociatedwithintermittentneurogenicclaudicationinpatientswithlumbarspinalstenosisaquasiexperimentalstudy AT vinikachoudhary effectivenessofhamstringreleaseandneuralmobilisationinimprovingwalkingcapabilityandphysicalactivityassociatedwithintermittentneurogenicclaudicationinpatientswithlumbarspinalstenosisaquasiexperimentalstudy AT priyankarishi effectivenessofhamstringreleaseandneuralmobilisationinimprovingwalkingcapabilityandphysicalactivityassociatedwithintermittentneurogenicclaudicationinpatientswithlumbarspinalstenosisaquasiexperimentalstudy |