To Investigate Nerve Slider and Tensioner Technique in Radiating Pain on lumbar Radiculopathy in Patients with Spinal Stenosis

Abstract

Background: Spinal stenosis impacts often in the lumbar region to the aged population where 20% are above 60 years old. Low back trouble, tingling sensation or numbness are common symptoms with lumbar spinal stenosis which leads to disability and disturbing individual lives.

Method: The study’s intent was to understand which one of two Neurodynamic techniques, that is slider technique and tensioner techniques has better effects on improving symptoms and dysfunctions for cases of radiating pain induced by Lumbar spinal stenosis. 50 subjects between 35 - 60 years and above were signed randomly in 2 groups. The participants in the first group were treated by slider technique and the second group were treated by tensioner technique. Oswestry disability index, Numeric pain rating scale, Straight leg raise ranges of P1 and P2 were recorded to assess pain and disability. Along with neurodynamic technique, participants were administered by a home exercise program. 

Result: The Statistical analysis revealed a significant reduction in pain and disability score in the slider group. Data was analyzed using paired t-test for pre and post comparison. Between groups comparison was done using unpaired t test. On ODI score slider technique was statistically significantly more effective as Pre intervention of 30.560±10.79 decreased significantly to 4.8±5.59 post intervention. The statistical analysis yields a t-value of 20.275 and a p-value of less than 0.001.

Conclusion: slider technique has better clinical results than Tensioner technique improving symptoms and dysfunction. Slider technique also enhances the range of motion.