Comparing Mulligan Therapy Alone vs Mulligan with Nerve Stretching to Reduce Pain and Improve Movement in People with Lumbar Radiculopathy

Not yet recruiting

Conditions: Other spondylosis with radiculopathy,

Registration Number: CTRI/2025/06/089620

Lead Sponsor: Datta Meghe College of Physiotherapy

Brief Summary: Lumbar radiculopathy is a common neuromusculoskeletal condition characterized by radiating pain reduced range of motion (ROM) functional limitations and decreased quality of life

Manual therapy techniques like Mulligan mobilization have demonstrated benefits in alleviating symptoms but the integration of neurodynamic mobilization may provide enhanced outcomes through improved neural mobility and decreased mechanosensitivity

Mulligan mobilization applies sustained accessory glides with patient movement to restore joint function and reduce pain

Neurodynamic mobilization targets the neural tissues to relieve nerve tension and improve neurodynamics

While both approaches have proven efficacy individually their combined impact on lumbar radiculopathy has not been sufficiently explored in clinical trials

This study is among the first to assess the combined effect of neurodynamic mobilization alongside Mulligan mobilization compared to Mulligan mobilization alone

The integration of two manual therapy techniques may offer a synergistic effect on neural and musculoskeletal structures Its objective is to evaluate and compare the effectiveness of neurodynamic mobilization with Mulligan mobilization versus Mulligan mobilization alone in improving pain ROM functional disability and quality of life in individuals with lumbar radiculopathy

A single-blinded randomized controlled trial will be conducted involving participants diagnosed with lumbar radiculopathy

Subjects will be randomly allocated into two groups receiving either the combined or single intervention

Outcomes will be measured using the Numerical Pain Rating Scale (NPRS) for Pain Goniometry for ROM Oswestry Disability Index (ODI) for Functional disability and SF 36 for Quality of life

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 60

Inclusion Criteria

Individuals with lumbar spondylosis who are between the ages of 25 and 60 The presence of unilateral lower limb radicular discomfort The readiness to take part and give informed consent Symptoms that last longer than four weeks A decreased range of motion in the lumbar region (as determined by goniometry).

Exclusion Criteria

History of major spinal deformity (eg scoliosis) or spinal surgery Surgically correcting an acute lumbar disc herniation Deficiencies in the nervous system (eg foot drop bladder or bowel malfunction) Pregnancy History of nerve damaging systemic diseases (eg diabetes mellitus with neuropathy) Individuals with lumbar radiculopathy who are now receiving any other type of physical therapy Neurodynamic mobilization or manual therapy contraindications (eg infections malignancies fractures).

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Quality of life (Short Form 12 Questionnaire)	The Outcome Measures will be taken before the start of the intervention and at 4th week
Range of Motion (Goniometer)	The Outcome Measures will be taken before the start of the intervention and at 4th week
Pain (Numerical Pain Rating Scale)	The Outcome Measures will be taken before the start of the intervention and at 4th week
Functional disability (Oswestry Disability Index)	The Outcome Measures will be taken before the start of the intervention and at 4th week

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Datta Meghe College of Physiotherapy and SMHRC
🇮🇳
Nagpur, MAHARASHTRA, India
Datta Meghe College of Physiotherapy and SMHRC
🇮🇳Nagpur, MAHARASHTRA, India
Dr Khushi Gelda
Principal investigator
8888889141
khushigelda2001@gmail.com