Electrophysiological response of the Neurodynamic Mobilization and Cupping therapy in Patients with Discogenic Sciatica: A Randomized Controlled Trial

Ahmed Torad, Amir Saleh, Yasser Aneis, Amr Azzam,
Amr Abo-Gazia, Hamdy Radwan

Ahmed Torad, Amir Saleh, Yasser Aneis, Amr Azzam,
Amr Abo-Gazia, Hamdy Radwan – Electrophysiological response of the Neurodynamic Mobilization and Cupping therapy in Patients with Discogenic Sciatica: A_Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 34-40

Abstract

Objectives. To investigate and compare between the neurophysiological response on mobilization, and cupping therapy on pain, range of motion, and function in discogenic sciatica.
Materials and Methods. Thirty-two patients were enrolled in this study from the outpatient physical therapy clinic at Faculty Physical Therapy, Kafrelsheik University. Participants were randomly allocated into: Passive neurodynamic mobilization (PVM; n = 9), traditional cupping (TC; n = 9), and passive neurodynamic mobilization with cupping (COM; n = 14). Participants were assessed for pain pressure threshold at UB-25, GB-30, UB-37 and UB-57 acupuncture points, F-wave and H-reflex latencies, straight leg raising (SLR) ROM and disability by Oswestry Disability Questionnaire (ODQ), immediately prior to and following the assigned intervention.
Results: All groups showed statistically significant improvement in ROM (P < 0.05). In addition, the PVM group improved in the ODQ score (P < 0.05). The COM group showed improvement in pain pressure threshold at UB-25, GB-30 and UB-57 acupuncture points with no significant improvement at UB-37 (P > 0.05). Between groups comparison reveled statistically significant differences for ROM (P < 0.05) otherwise there was no significant difference in other tested variables. Conclusions: There were no differences between the three groups, so we advise to use only neurodynamic mobilization for treatment of discogenic sciatica patients, as adding cupping therapy to it had no superior effect.

Key words: neurodynamic mobilization, cupping, electrophysiological response, discogenic sciatica

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The new Dynamic Spine Correction (DSC) device: indications and contraindications

Wojciech Kaczmarek, Paweł Łęgosz, Renata Szczepaniak, Anna Lipińska, Krzysztof Mucha

W. Kaczmarek, P. Łęgosz, R. Szczepaniak, A. Lipińska, K. Mucha – The new Dynamic Spine Correction (DSC) device: indications and contraindications. Fizjoterapia Polska 2018; 18(4); 62-72

Abstract
The Dynamic Spine Correction (DSC) device (patent PL 229766; patent US 9,949,884 B2) was designed and constructed for the use in the spine physiotherapy. The device was produced by Bio.morph Ltd. as a result of the European Union Operational Program Innovative Economy for the 2007-2013 years.
The DSC proposes new methodology for the almost independent rehabilitation. Our method with the supervision of a physiotherapist can follow-up the osteo‑kinematics of the patient’s spine as the dynamically physiological joint play that being restored in blocked spine joints.
Thanks to the new diagnostic system there is also the possibility to: a) visualize the condition of the spinal column; b) register the parameters of patient’s therapy, as well as c) the results. Thanks to that, it is possible to evaluate the patient’s current condition and the progress of the therapy objectively.
Our innovative diagnostic and therapeutic methodology – namely Dynamic Correction and Mobilization of Spine and Postural Neuromuscular Re‑education – allows for an effective treatment of the spine disorders of different etiologies. Moreover it minimizes the potential risks for the patient’s, that results nowadays from therapeutic technologies used, as well as harmful materials and medicines with low specificity (e.g. painkillers).

Key words:
Back pain, DSC, dynamic spinal correction, physiotherapy, postural neuromuscular re‑education, spine

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