Spinal and neurodynamic mobilisation for radiculopathy

Does the addition of neurodynamic sliders to spinal mobilisation improve outcomes in lumbar radiculopathy?

Lumbar radiculopathy involves compromise of a lumbar nerve root resulting in sensory and/or motor deficits; it also can be associated with pain.

This study found that the addition of ‘Spinal Mobilisation with Leg Movement’ (SMWLM) to an exercise and electrotherapy program resulted in greater outcomes for people with lumbar radiculopathy.

In conclusion, the results this study suggests that the addition of SMWLM on selected patients presenting with lumbar radiculopathy may be beneficial.

> From: Satpute, Arch Phys Med Rehabil 100 (2019) 828-836 . All rights reserved to American College of Rehabilitation Medicine. Click here for the online summary.

Expert opinion by Patricia Velázquez

This well designed trial provides promising support for Mulligan's SMWLT.

It would have been interesting to omit the TENS application in both groups to determine the effect of the neural mobilisation exercises. 

It does need to be emphasized that like all Mulligan techniques, a trial of the technique of at least 1 repetition must result in some objective improvement to be worthwile continuing. 

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