Aug 18, 2025
Effectiveness of Nerve-Based Physical Therapy for Chronic Low Back Pain
- Umma Maliha Nitu1,
- Dr. Sharmila Jahan1
- 1Jashore University of Sciecne and Technology
Protocol Citation: Umma Maliha Nitu, Dr. Sharmila Jahan 2025. Effectiveness of Nerve-Based Physical Therapy for Chronic Low Back Pain. protocols.io https://dx.doi.org/10.17504/protocols.io.5qpvod3k9g4o/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: August 16, 2025
Last Modified: August 18, 2025
Protocol Integer ID: 224816
Keywords: Function Induced Neural Stretching, Distalo-Proximal Release Technique, Chronic Low Back Pain with Referred Symptoms, physical therapy for chronic low back pain, chronic low back pain, effectiveness of function induced neural stretching, reducing pain, function induced neural stretching, effectiveness of nerve, conventional physiotherapy, neural mechanosensitivity in patient, decreasing neural mechanosensitivity, based physical therapy, nerve, proximal release technique
Abstract
This randomized controlled trial will evaluate the effectiveness of Function Induced Neural Stretching (FINS) and Distalo-Proximal Release Technique (DPRT) in reducing pain, improving function, and decreasing neural mechanosensitivity in patients with chronic low back pain with referred symptoms, compared to conventional physiotherapy. Findings may establish a novel, safe, and evidence-based conservative intervention for this condition.
Materials
Visual Analogue Scale (VAS): A 10 cm scale used to measure pain intensity, where patients rate their pain from "no pain" to "worst imaginable pain."
Pressure Pain Threshold (PPT): The minimum force applied by an algometer that induces pain, providing an objective measure of mechanical pain sensitivity.
Range of Motion (ROM) by Digital Goniometer: A device-based measurement of spinal mobility, providing accurate angular values for movement limitations.
Oswestry Disability Index (ODI): A standardized questionnaire assessing functional disability related to low back pain across daily activities.
Straight Leg Raise (SLR) Test: Measures the degree of hip flexion at which radicular symptoms appear, reflecting neural mobility and tension.
Patient-Specific Functional Scale (PSFS): A patient-reported tool where individuals rate difficulty in performing self-identified functional tasks.
Troubleshooting
Protocol references
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Acknowledgements
This research is partially funded by Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh