A randomized, parallel-group, clinical trial will be conducted to compare the immediate effects of the inclusion of a neurodynamic intervention into a multimodal physiotherapy program on pressure pain sensitivity, pain and manual dexterity in patients with multiple sclerosis
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
32
Patients will receive 5 session of multimodal physiotherapy treatment of 30min duration including low-load strength exercises, soft tissue mobilization and muscle-tendon stretching exercises twice per week.
Patients will receive 5 session of multimodal physiotherapy treatment of 30min duration including low-load strength exercises, soft tissue mobilization and muscle-tendon stretching exercises twice per week. In addition, they will also receive bilateral nerve slider neurodynamic interventions targeting the median, ulnar and radial nerves.
César Fernández-de-las-Peñas
Alcorcón, Madrid, Spain
Changes in pressure pain sensitivity
Pressure pain threshold over the median, ulnar and radial nerves, second metacarpal and tibialis anterior
Time frame: Baseline and one week after the last treatment session
Changes in upper extremity pain intensity before and after the intervention
A Numerical Pain Rate Scale (NPRS, 0-10) will be used to record the mean and the worst intensity of pain in te upper extremity
Time frame: Baseline and one week after the last treatment session
Changes in light touch detection threshold
Light touch detection threshold will be assessed with a standardized set of modified twenty von Frey hairs
Time frame: Baseline and after treatmentBaseline and one week after the last treatment session
Changes in manual dexterity
Bilateral manual dexterity was bilaterally assessed using the nine-hole peg test
Time frame: Baseline and one week after the last treatment session
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