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According to the French National Health Agency, the use of manual therapy techniques is "possible" [grade B] as part of a multimodal combination of treatments for low back pain. These include so-called "neurodynamic" neural mobilisations, which aim in particular to desensitise the pain system and activate descending inhibitory pathways, with effects on pain and function in patients with nerve-related low back pain. Most of the available evidence does not explain the mechanisms involved in neural mobilisation in the slump position. Pain reduction is observed in more areas of the body with sliding techniques than with traction techniques.
In this cross-over, randomised controlled trial, we therefore hypothesise that the neurodynamic sliding technique in the slump position acts on mechanisms linked to central pain modulation processes
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| neurodynamic sliding mobilisation in the "Slump" position | Active Comparator | "slump"position |
|
| mobilisation, out of the "Slump" position | Placebo Comparator | no "slump"position |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| "slump"position | Other | neurodynamic sliding mobilisation in the "slump" position |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in pressure at the moment when the volunteer indicates that the sensation of pressure becomes pain | Difference in pressure exerted on the territory of the sciatic nerve (gluteal region) at the moment when the volunteer indicates that the sensation of pressure becomes pain, on the dominant lower limb, between the same volunteer during two treatment sessions which differ only in the exposure to neurodynamic sliding mobilisation in the "Slump" position or to mobilisation outside the "Slump" position. | immediately after the mobilisation and 1 day after the mobilisation |
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Inclusion Criteria:
Subjects aged 30 years or older and less than 65 years;
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| timothée GILLOT, PhD | Contact | 0232880671 | +33 | timothee.gillot@chu-rouen.fr |
| deborah lebedieff | Contact | deborah.lebedieff@chu-rouen.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre d'investigation clinique CIC ROUEN | Recruiting | Rouen | 76000 | France |
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the second physiotherapist who evaluate the pressure pain
| no" slump" position | Other | placebo |
|