Effectiveness of Neurodynamic Mobilization in Adjunct to Mulligan Mobilization vs Mulligan Mobilization on Pain Range of Motion Functional Disability and Quality of Life in Patients with Lumbar Radiculopathy A Single Blinded Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Quality of life (Short Form 12 Questionnaire)
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 25.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •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).
排除标准
- •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).
结局指标
主要结局
Quality of life (Short Form 12 Questionnaire)
时间窗: The Outcome Measures will be taken before the start of the intervention and at 4th week
Range of Motion (Goniometer)
时间窗: The Outcome Measures will be taken before the start of the intervention and at 4th week
Pain (Numerical Pain Rating Scale)
时间窗: The Outcome Measures will be taken before the start of the intervention and at 4th week
Functional disability (Oswestry Disability Index)
时间窗: The Outcome Measures will be taken before the start of the intervention and at 4th week
次要结局
未报告次要终点