Comparison of different treatment positions of nerve slider technique for patients with low back pain: a randomized control trial.
Hamza M Shaheen, Beliz Belgen Kaygisiz
PMID 39873676WHAT IT FOUND
Adding sciatic nerve sliders to standard physiotherapy helped more than standard care alone for low back pain with sciatica.
The slump position reduced pain and disability significantly more than the supine position, while both outperformed conventional therapy alone.
Key findings
01The slump position sciatic slider combined with conventional physiotherapy resulted in greater reductions in pain and functional disability compared to the supine position slider.
02Both slider technique groups (slump and supine) showed significant improvements in pain and disability compared to the control group receiving conventional physiotherapy alone.
03Baseline differences in patient height did not significantly influence any of the treatment outcomes.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Participants and therapists could not be blinded to the treatment assignment, which may have influenced reported pain and disability scores. The follow-up period was very short, with assessments conducted within 48 hours of the last treatment, so long-term effects are unknown. The study only included patients with sciatica caused by disc bulges or herniations, so results may not apply to other causes of sciatica.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that the sciatic slider technique works in isolation. The improvement in the experimental groups was achieved by adding the slider to a package of conventional treatments including heat, TENS, and exercise, so the specific contribution of the slider alone cannot be separated from the rest of the therapy.