Yogasanas as a Neurodynamic Mobilisation Tool in the Treatment of Sciatica
Yogasanas as a Neurodynamic Mobilisation Tool in the Treatment of Sciatica
DOI:
https://doi.org/10.70284/njirm.v8i4.1279Keywords:
Paschimotanasana, Physiotherapy, Neurodynamic mobilisations, Neurodynamics, Sciatica, YogasanasAbstract
Background & objectives: Neurodynamic mobilisation tests are well established techniques for mobilising nerves. Yogasanas are also independently recognised for their benefits in various conditions and ailments. This study compares Paschimotanasana, which is similar in position to the Neurodynamic mobilisation tests for the sciatic nerve. Methods: 32 patients suffering from sciatica were enrolled in either of the two treatment groups- Neurodynamic mobilisation and Yogasanas. The Yogasana group has to perform 7 asanas, out of which only one Yogasana (Paschimotanasana) would be similar to slump test. Pain was assessed using the Visual analogue pain scale (VAS). Results: There was no statistically significant difference (P>0.05) between the VAS scores obtained between the two groups. However, the Yogasana group took more number of days (2 weeks) for pain relief compared to the Neurodynamic mobilisation group. Interpretation & conclusion: Yogasanas can be used for mobilizing peripheral nerves, and with regular use reduce their mechanosensitivity. While the patient can self mobilize the nerve, the role of physiotherapist will be in planning appropriate Yogasanas and teach the programme as a package initially, to instruct about overstretching and protect blood vessels travelling with nerves and supervise intermittently.[Gaurang B NJIRM 2017; 8(4):48-52]
References
2. Valat JP, Genevay S, Marty M, Rozenberg S, Koes B. Sciatica. Best Practice & Research Clinical Rheumatology. 2010 Apr 30;24(2):241-52.
3. Van Tulder M, Peul W, Koes B. Sciatica: what the rheumatologist needs to know. Nature Reviews Rheumatology. 2010 Mar 1;6(3):139-45.
4. Sherman KJ, Cherkin DC, Cook AJ, Hawkes RJ, Deyo RA, Wellman R, Khalsa PS. Comparison of yoga versus stretching for chronic low back pain: protocol for the Yoga Exercise Self-care (YES) trial. Trials. 2010 Mar 31;11(1):1.
5. Frymoyer JW. Back pain and sciatica. New England Journal of Medicine. 1988 Feb 4;318(5):291-300.
6. Konstantinou K, Dunn KM. Sciatica: review of epidemiological studies and prevalence estimates. Spine. 2008 Oct 15;33(22):2464-72.
7. Pallipamula K, Singaravelan RM. Efficacy of nerve flossing technique on improving sciatic nerve function in patients with sciatica-a randomized controlled trial. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2012 Dec 1;18(30).
8. Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. International journal of yoga. 2011 Jul;4(2):49.
9. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007.
10. Sawyer A, Martinez SK, Warren GL. Impact of yoga on low back pain and function: a systematic review and meta-analysis.
11. Groessl EJ, Chang D, Sklar M. Yoga as a Treatment for Low Back Pain: A Review of the Literature. INTECH Open Access Publisher; 2012.
12. Maggie DJ. Orthopedic Physical Assessment. Elsevier, New Delhi. 5th Ed. 2008.
13. United Nations General Assembly Resolution 69/131. [Internet]. International Day of Yoga, A/RES/69/131 dated 11 December 2014. [Cited 2015 December 2]. Available from www.undocs.org/A/RES/69/131.
14. Butler DS, Jones MA. Mobilisation of the nervous system. Melbourne: Churchill Livingstone; 1991 Jan.
15. Elvey RL. Treatment of arm pain associated with abnormal brachial plexus tension. Australian Journal of Physiotherapy. 1986 Dec 31;32(4):225-30.
16. Butler DS. Adverse mechanical tension in the nervous system: a model for assessment and treatment. Australian Journal of Physiotherapy. 1989 Dec 31;35(4):227-38.
17. Butler DS. The sensitive nervous system. Noigroup publications; 2000.
18. Mokashi MG. Yoga in Physiotherapy. Inter-Country Seminar, American Physical Therapy Association Study Tour and IAP, Bombay, 1990.
19. Nee RJ, Butler D. Management of peripheral neuropathic pain: integrating neurobiology, neurodynamics, and clinical evidence. Physical Therapy in sport. 2006 Feb 28;7(1):36-49.