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Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica

Omar Mohamed Bassiouny, Nawal Abd El-Raouf Abou Shady, Wael Salah Shendy, Halaa Rashad Al Habashy.

Abstract
ABSTRACT
Background: Sciatica is a painful, often disabling condition and can be a major cause of disability, work loss and presentation to health-care. Purpose: The purpose of this study was to compare between the effect of gliding and tension techniques of neurodynamic mobilization on pain intensity, latency and amplitude of H-reflex in patients with chronic discogenic sciatica. Subjects: Forty five male patients suffer from unilateral sciatica from disc prolapse at L5-S 1 and the duration of illness ranged from six months were selected from the outpatient clinic of Kaser El Aini, Teaching Hospital and from Out-patient clinic, Faculty of Physical Therapy, Cairo University with age ranged from 40 to 55 years. The study was carried out from Jul 2016 to Jan 2017. They were divided into three equal groups; group (A), (B) and (C). Procedure: Group A They received selected physical therapy program (TENS and ultrasonic). Group B selected Physical Therapy program and SLR neural glide exercises. Group C selected Physical Therapy program and SLR neural glide exercises. For All groups treatment conducted for 4 weeks, 3Times per week, day after day. Measurement were taken before and after 4 week of the treatment. Measurement of pain carried out by Numeric Pain Rating Scale and assessment of the H-reflex amplitude and latency was done by Computerized Electromyography device. The results: Results revealed that, there was a significant reduction of pain in all groups (A,B and C) and significant reduction of H-reflex latency in both groups (B and C) (P<0.05). Comparison between post treatment values of pain, H-reflex amplitude and latency showed no significant difference between the three groups (p-value> 0.05). Conclusion: It could be concluded that, both Neural gliding and Neural tension techniques of neurodynamic mobilization are effective in reducing pain intensity and H-reflex latency in patients with chronic discogenic sciatica.

Key words: Neural gliding, Neural tension, neurodynamic mobilization, discogenic sciatica, Numeric Pain Rating Scale, H-reflex amplitude, H-reflex latency


 
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How to Cite this Article
Pubmed Style

Bassiouny OM, Shady NAEA, Shendy WS, Habashy HRA. Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research. 2017; 6(5): 57-69.


Web Style

Bassiouny OM, Shady NAEA, Shendy WS, Habashy HRA. Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. www.onlineijtrr.com/?mno=258861 [Access: July 18, 2018].


AMA (American Medical Association) Style

Bassiouny OM, Shady NAEA, Shendy WS, Habashy HRA. Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research. 2017; 6(5): 57-69.



Vancouver/ICMJE Style

Bassiouny OM, Shady NAEA, Shendy WS, Habashy HRA. Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research. (2017), [cited July 18, 2018]; 6(5): 57-69.



Harvard Style

Bassiouny, O. M., Shady, N. A. E. A., Shendy, W. S. & Habashy, H. R. A. (2017) Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research, 6 (5), 57-69.



Turabian Style

Bassiouny, Omar Mohamed, Nawal Abd El-Raouf Abou Shady, Wael Salah Shendy, and Halaa Rashad Al Habashy. 2017. Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research, 6 (5), 57-69.



Chicago Style

Bassiouny, Omar Mohamed, Nawal Abd El-Raouf Abou Shady, Wael Salah Shendy, and Halaa Rashad Al Habashy. "Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica." International Journal of Therapies and Rehabilitation Research 6 (2017), 57-69.



MLA (The Modern Language Association) Style

Bassiouny, Omar Mohamed, Nawal Abd El-Raouf Abou Shady, Wael Salah Shendy, and Halaa Rashad Al Habashy. "Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica." International Journal of Therapies and Rehabilitation Research 6.5 (2017), 57-69. Print.



APA (American Psychological Association) Style

Bassiouny, O. M., Shady, N. A. E. A., Shendy, W. S. & Habashy, H. R. A. (2017) Neural Gliding Versus Neural Tension in Chronic Discogenic Sciatica. International Journal of Therapies and Rehabilitation Research, 6 (5), 57-69.








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