caa a22 4500 44583255X CHVBK 20180317145320.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00586-010-1632-2 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1632-2 Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study [Elektronische Daten] [Axel Schäfer, Toby Hall, Gerd Müller, Kathryn Briffa] The objective is to determine if pain and disability outcomes of patients treated with neural mobilisation differ for sub-classifications of low back and leg pain (LB&LP). Radiating leg pain is a poor prognostic factor for recovery in patients with LBP. To improve outcome, a new pathomechanism-based classification system was proposed: neuropathic sensitization (NS), denervation (D), peripheral nerve sensitization (PNS) and musculoskeletal (M). Seventy-seven patients with unilateral LB&LP were recruited. Following classification, all subjects were treated seven times with neural mobilisation techniques. A successful outcome was defined as achieving a minimal clinically important change in pain intensity (11-point numerical rating scale), physical function (Roland Morris disability questionnaire) and global perceived change (7-point Likert scale: from 1="completely recovered” to 7="worse than ever”). The proportion of responders was significantly greater in PNS (55.6%) than the other three groups (NS 10%; D 14.3% and M10%). After adjusting for baseline differences, mean magnitude of improvement of the outcome measures were significantly greater in PNS compared to the other groups. Patients classified as PNS have a more favourable prognosis following neural mobilisation compared to the other groups. Springer-Verlag, 2010 Low back pain nationallicence Sciatica nationallicence Classification nationallicence Musculoskeletal manipulations nationallicence Diagnosis nationallicence Schäfer Axel Faculty of Social Work and Health, Degree Programmes for Occupational Therapy, Speech and Language Therapy & Physiotherapy, HAWK University of Applied Science and Arts, Goschentor 1, 31134, Hildesheim, Germany aut Hall Toby School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia aut Müller Gerd Rückenzentrum am Michel, Ludwig Erhart Str. 18, 20459, Hamburg, Germany aut Briffa Kathryn School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia aut European Spine Journal Springer-Verlag 20/3(2011-03-01), 482-490 0940-6719 20:3<482 2011 20 586 https://doi.org/10.1007/s00586-010-1632-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1632-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schäfer Axel Faculty of Social Work and Health, Degree Programmes for Occupational Therapy, Speech and Language Therapy & Physiotherapy, HAWK University of Applied Science and Arts, Goschentor 1, 31134, Hildesheim, Germany aut NATIONALLICENCE 700 1- Hall Toby School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia aut NATIONALLICENCE 700 1- Müller Gerd Rückenzentrum am Michel, Ludwig Erhart Str. 18, 20459, Hamburg, Germany aut NATIONALLICENCE 700 1- Briffa Kathryn School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/3(2011-03-01), 482-490 0940-6719 20:3<482 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer