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The addition of neurodynamic exercises to extension-oriented exercises among patients with chronic back-related leg pain: A study protocol
Affiliation:1. Master''s Program in Physical Education, Universidade Federal de Sergipe, São Cristovão, Sergipe, Brazil;2. Department of Physiotherapy, Universidade Federal de Sergipe, São Cristovão, Sergipe, Brazil;1. Rehabilitation Sciences Post-graduate Programme, Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil;2. Department of Medical Imaging, Allergology and Physiotherapy, Faculty of Dental Medicine, Medical University of Plovdiv, Bulgaria;3. Department of Kinesitherapy, Faculty of Public Health, Medical University of Sofia, Bulgaria;4. Post-graduate Programme in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil;1. Laboratório de Biomecânica, Universidade Federal de Santa Catarina, Florianóplis, SC, Brazil;2. Laboratório de Pesquisa do Exercício, Universidade Federal de Rio Grande do Sul, Porto Alegre, RS, Brazil;1. Rehabilitation Sciences Post-graduate Program, Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil;2. Neuroendocrinology Research Center/Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil;3. Neuroendocrine Unit, Instituto Estadual do Cérebro Paulo Niemeyer, Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro, Brazil;4. Post-graduate Program in Medical Sciences, School of Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
Abstract:BackgroundPatients with back-related leg pain exhibit nociceptive and neuropathic characteristics. Few studies have investigated the combination of interventions considering these characteristics.ObjectivesTo investigate if the addition of neurodynamic exercises (EEN) to extension-oriented exercises (EE) promotes additional benefits in individuals with back-related leg pain and a directional preference.MethodsPatients will be randomized to either EE or EEN. Patients from both groups will receive 7 sessions over 3 weeks. Low back and leg pain, function, quality of life, disability, and global perceived effect will be evaluated at baseline, 3 weeks after randomization and 1-month follow-up. A linear mixed model will be used for outcomes analysis.
Keywords:Low back pain  Exercise therapy  Chronic disease
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