UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054350
Receipt number R000062044
Scientific Title Effects of Early Neural Mobilization on Patients After Lumbar Surgery
Date of disclosure of the study information 2024/05/09
Last modified on 2025/05/05 07:37:08

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Basic information

Public title

Effects of Early Neural Mobilization on Patients After Lumbar Surgery

Acronym

Effects of Early Neural Mobilization on Patients After Lumbar Surgery

Scientific Title

Effects of Early Neural Mobilization on Patients After Lumbar Surgery

Scientific Title:Acronym

Effects of Early Neural Mobilization on Patients After Lumbar Surgery

Region

Japan


Condition

Condition

Lumbar spinal stenosis

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects of neural mobilization using cervical flexion movements on the function of patients at discharge and one month after lumbar surgery

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Oswestry Disability Index

Key secondary outcomes

Visual analog scale(Assess intesity of low back pain, leg pain, numbness)
Passive straight leg raising test
Active straight leg raising test
JOA back pain evaluation questionnaire


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Control group:
From immediate postoperative period
Starting from the awakening from surgery, ankle plantar and dorsiflexion exercises and patella setting are performed 50 times in three sets daily to prevent deep vein thrombosis.

The postoperative day 1(Intervention is done only once on this day):
The patients get out of bed and start walking exercises by walker.


From the postoperative day 2 to discharge (interventions are done twice daily, and only once on the day of discharge):
ADL (Activities of Daily Living) training is conducted, including walking exercises, ascending and descending stairs, floor transfer, and outdoor walking training.
Stretching and strength training of the hip, knee, and ankle muscles, and core stabilization exercises, are performed according to the patient's condition.

Interventions/Control_2

Neural Mobilization Group:

In addition to the interventions performed in the control group, neural mobilization using cervical flexion movements is implemented.

The postoperative day 1:
Passive cervical flexion exercises are performed in 10 repetitions for three sets.
As a self-exercise, active cervical flexion movements are also done in 10 repetitions for three sets.

From the postoperative day 2 to discharge:
Passive cervical flexion exercises are performed in 10 repetitions for five sets.
As a self-exercise, active cervical flexion movements are also done in 10 repetitions for five sets.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who underwent lumbar spinal surgery(laminectomy,fusion) at Funabashi Orthopaedic Hospital

Key exclusion criteria

Has a history of surgery on the cervical or thoracic spine.
Inability to move the cervical spine.
No preoperative cauda equina symptoms.
Patients with muscle weakness with a manual muscle test of less than 3 in the segment of the spinal canal stenosis.

Target sample size

52


Research contact person

Name of lead principal investigator

1st name Yoshito
Middle name
Last name Nihei

Organization

Funabashi Orthopedic Hospital

Division name

Hospital Physical Therapy Department

Zip code

274-0822

Address

1-833 Hasamacho, Funabasi City, Chiba Prefecture

TEL

0474255585

Email

ynihei@fff.or.jp


Public contact

Name of contact person

1st name Yoshito
Middle name
Last name Nihei

Organization

Funabashi Orthopedic Hospital

Division name

Hospital Physical Therapy Department

Zip code

270-2223

Address

1-833 Hasamacho, Funabasi City, Chiba Prefecture

TEL

0474255585

Homepage URL


Email

ynihei@fff.or.jp


Sponsor or person

Institute

Funabashi Orthopedic Hospital

Institute

Department

Personal name

Nihei Yoshito


Funding Source

Organization

Funabashi Orthopedic Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Tokyo Metropolitan University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Funabashi Orthopedic Hospital

Address

1-833 Hasamacho, Funabasi City, Chiba Prefecture

Tel

0474255585

Email

ynihei@fff.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

船橋整形病院(千葉県)


Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

36

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 05 Month 05 Day

Date of IRB

2024 Year 04 Month 18 Day

Anticipated trial start date

2024 Year 05 Month 05 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry

2025 Year 03 Month 31 Day

Date trial data considered complete

2025 Year 03 Month 31 Day

Date analysis concluded

2025 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2024 Year 05 Month 09 Day

Last modified on

2025 Year 05 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062044