PDF(Pubmed)
Abstract：
Introduction Sciatica refers to a pain that travels along the course of the sciatic nerve. Patients also often experience paresthesia along with the pain in thighs, which may further radiate to the legs. Most commonly, compression of the lumbosacral nerve root is the cause of this syndrome. Neurodynamics and conventional exercises are considered effective treatment procedures for sciatica. This study aims to find out the efficacy of neurodynamics along with conventional exercises and conventional exercises alone. Methods A total of 58 patients with sciatica aged between 30 and 60 years of both genders were included in the study and randomly divided into a neurodynamic group (n=29) and a conventional group (n=29). Pre-test data were collected before the interventions, and post-test data were collected on the 14th day. The 101 numeric pain rating scale (NPRS) was used to measure data of sciatic pain, the patient-specific functional scale (PSFS) was used to measure the health-related quality of life (HRQL), and a surface electromyography (EMG) biofeedback instrument was used to measure the peak and average muscle activation of the biceps femoris muscle. Results The pre-post data analysis of the neurodynamics and conventional group showed significant (p<0.05) improvement in 101 NPRS, PSFS, and peak EMG values. Insignificant (p>0.05) improvements were seen in average EMG values in the conventional group, and significant (p<0.05) improvement were seen in the neurodynamic group. Between-group analysis showed insignificant (p>0.05) differences in 101 NPRS as well as peak and average EMG values and showed significant (p<0.05) differences in PSFS values. Conclusion Neurodynamics with conventional exercises can help in reducing pain, improving muscle activation of the biceps femoris, and elevating the HRQL of the patient.
摘要：
介绍坐骨神经痛是指沿着坐骨神经的过程传播的疼痛。患者还经常经历感觉异常以及大腿疼痛，这可能会进一步辐射到腿。最常见的是,腰骶神经根受压是这种综合征的原因。神经动力学和常规锻炼被认为是坐骨神经痛的有效治疗程序。这项研究旨在找出神经动力学的功效以及常规练习和常规练习。方法将58例年龄在30～60岁的不同性别的坐骨神经痛患者随机分为神经动力学组(n=29)和常规组(n=29)。在干预之前收集了测试前的数据，并在第14天收集试验后数据.采用101数字疼痛评定量表(NPRS)测量坐骨神经疼痛的数据,患者特异性功能量表（PSFS）用于测量健康相关生活质量（HRQL），并使用表面肌电图（EMG）生物反馈仪测量股二头肌的峰值和平均肌肉激活。结果神经动力学和常规组的术前数据分析显示101NPRS显著改善(p<0.05),PSFS,和峰值EMG值。常规组的平均肌电图值无显著改善(p>0.05),在神经动力学组中观察到显着（p<0.05）改善。组间分析显示，101NPRS以及峰值和平均EMG值差异不显著（p>0.05），PSFS值差异显著（p<0.05）。结论神经动力学结合常规运动有助于减轻疼痛,改善股二头肌的肌肉激活，并提高患者的HRQL。
