comparison of contralateral and ipsilateral slider neural mobilization with blood flow restriction training in unilateral lumbar radiculopathy- a randomized clinical trial

COMPARISON OF CONTRALATERAL VERSUS IPSILATERAL SLIDER NEURAL MOBILISATION WITH BLOOD FLOW RESTRICTION TRAINING IN UNILATERAL LUMBAR RADICULOPATHY - A RANDOMISED CLINICAL TRIAL

AIM: To evaluate and compare the immediate effect contralateral versus ipsilateral neural slider mobilization with blood flow restriction training on lower extremity pain and hip range of motion (ROM) in unilateral lumbar radiculopathy.

•OBJECTIVE:

ØTo determine the immediate effect of contralateral neural slider mobilization with blood flow restriction training in unilateral lumbar radiculopathy.

ØTo determine the immediate effect of ipsilateral neural slider mobilization with blood flow restriction training in unilateral lumbar radiculopathy.

Hypothesis:

ØTo compare the immediate effect of contralateral versus ipsilateral neural slider mobilization with blood flow restriction training in lower extremity pain and ROM using NPRS, MODQ and universal goniometer in unilateral lumbar radiculopathy.

Null Hypothesis H0: There will be no difference in the effect of neural slider mobilization with blood flow restriction training on contralateral versus ipsilateral lower extremity pain and hip range of motion (ROM) in unilateral lumbar radiculopathy.

•Alternate Hypothesis H1: : There will be a difference in the effect of neural slider mobilization with blood flow restriction training on contralateral versus ipsilateral lower extremity pain and hip range of motion (ROM) in unilateral lumbar radiculopathy.

Research question:

What is the comparative effect of contralateral versus ipsilateral neural slider mobilization with blood flow restriction training on lower extremity pain and hip range of motion (ROM) in unilateral lumbar radiculopathy?

Inclusion criteria:

Participants:

ØAll gender in the age group of 25-60 years.4

ØDiagnosed with subacute or chronic-stage low back pain with unilateral radiculopathy involving the sciatic nerve and its branches.

ØPain intensity score of 3-7 on Numeric Pain Rating Scale (NPRS).

ØHip range of motion below 120 o

ØWilling to participate and who can comprehend the commands.

Exclusion criteria:

Participants:

ØExtruded disc, inflammatory or other specific disorders of the spine such as ankylosing spondylitis, Paget’s disease, vertebral collapse, rheumatoid arthritis, spondylolisthesis, severe osteoporosis.1

ØRed flags for neural mobilization such as trauma, cancer, and infection and pregnant women, fractures of lower limb or spine within the past six months 4

ØNeurological deficits like stroke, SCI, PNI, myelopathy, multiple sclerosis.

ØRed flags for blood flow restriction training such as skin disorders like allergic

conditions, open wounds, active infection.

ØMusculoskeletal disorders, vascular disorder, cardiopulmonary disorders and psychological issues.

ØFeatures of vascular involvement like pallor, cyanosis, edema , lymphedema in lower limb.

Procedure:

•Prior to the commencement of the study, an ethical clearance will be obtained by Institutional Ethical Committee.

•The study will be registered under Clinical Trial Registry- India (CTRI). The intervention will begin once the CTRI registration number is obtained.

•Subject will be briefed about the purpose of the study

•All the subjects will be screened and then recruited as per the inclusion and exclusion criteria.

A written informed consent will be given to the participants in their own language and those consenting to participate in the study will be presented with the intervention.

•Brief demographic data will be obtained from each prior to the assessment.