| 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 |
Effects of Early Neural Mobilization on Patients After Lumbar Surgery
Effects of Early Neural Mobilization on Patients After Lumbar Surgery
Effects of Early Neural Mobilization on Patients After Lumbar Surgery
Effects of Early Neural Mobilization on Patients After Lumbar Surgery
| Japan |
Lumbar spinal stenosis
| Orthopedics | Rehabilitation medicine |
Others
NO
To investigate the effects of neural mobilization using cervical flexion movements on the function of patients at discharge and one month after lumbar surgery
Safety,Efficacy
Confirmatory
Explanatory
Not applicable
Oswestry Disability Index
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
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is not considered as adjustment factor.
YES
Pseudo-randomization
2
Treatment
| Maneuver |
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.
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.
| Not applicable |
| Not applicable |
Male and Female
Patients who underwent lumbar spinal surgery(laminectomy,fusion) at Funabashi Orthopaedic Hospital
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.
52
| 1st name | Yoshito |
| Middle name | |
| Last name | Nihei |
Funabashi Orthopedic Hospital
Hospital Physical Therapy Department
274-0822
1-833 Hasamacho, Funabasi City, Chiba Prefecture
0474255585
ynihei@fff.or.jp
| 1st name | Yoshito |
| Middle name | |
| Last name | Nihei |
Funabashi Orthopedic Hospital
Hospital Physical Therapy Department
270-2223
1-833 Hasamacho, Funabasi City, Chiba Prefecture
0474255585
ynihei@fff.or.jp
Funabashi Orthopedic Hospital
Nihei Yoshito
Funabashi Orthopedic Hospital
Other
Tokyo Metropolitan University
Funabashi Orthopedic Hospital
1-833 Hasamacho, Funabasi City, Chiba Prefecture
0474255585
ynihei@fff.or.jp
NO
船橋整形病院(千葉県)
| 2024 | Year | 05 | Month | 09 | Day |
Unpublished
36
Completed
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| 2025 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 03 | Month | 31 | Day |
| 2024 | Year | 05 | Month | 09 | Day |
| 2025 | Year | 05 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062044