Comparing the Effectiveness of Tensioner Vs Slider Neurodynamic Techniques in Patients With Sciatica: A Randomised Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
objective of this randomized controlled trial is to examine the efficacy of both tensioner and slider neurodynamic approaches in patients suffering from sciatica. This study seeks to establish which approach is more efficacious in alleviating pain intensity, disability functional, and mobility. The results of this study will assist physical therapists in making an informed decision on the type of neurodynamic therapy for their patients.
详细描述
Due to the increasing prevalence of sciatica and evidence based treatment options using physiotherapy that offers effective alleviation of pain and rehabilitation of function. Neurodynamic mobilization focuses on addressing neurological problems; thus, there is a need to know about the effectiveness of the different types of the technique being used.
The current research is expected to contribute to the existing literature in the area of physiotherapy concerning the identification of the most effective neurodynamic technique in the case of sciatica. These findings could be helpful for medical practitioners during their work, making decisions and planning treatment. At the same time, the results of the investigation may become the basis for further research.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with radicular pain persisting for 12 weeks to 1 year, with no acute episode in the last 4 weeks
- •Unilateral symptoms radiating below the buttock to thigh, knee, or lower leg
- •Positive Slump Test
- •Positive Straight Leg Raise (SLR) test above 45°
- •Functional limitation during activities such as walking or lifting
排除标准
- •BMI < 20 kg/m² or > 30 kg/m²
- •Previous history of spinal surgery
- •Presence of red flags (significant motor/sensory loss, altered reflexes, or bowel/bladder dysfunction)
- •Peripheral neuropathy
- •History of vertebral fracture or significant spinal/limb trauma
- •Systemic diseases (e.g., diabetes mellitus, cardiovascular, or renal disease)
- •Progressive neurological deficits (motor weakness, sensory loss, reflex changes)
- •Pregnancy
研究组 & 干预措施
Slider Neurodynamic Technique Group
Participants will receive slider neurodynamic mobilization techniques along with conventional physiotherapy management.
干预措施: Slider Neurodynamic Technique Group (Other)
Tensioner Neurodynamic Technique Group
Participants will receive tensioner neurodynamic mobilization techniques along with conventional physiotherapy management.
干预措施: Tensioner Neurodynamic Technique Group (Other)
结局指标
主要结局
Pain intensity
时间窗: Baseline to Week 8
will be measured using VAS
Functional disability
时间窗: Baseline to week 8
measured using Oswestry Disability Index (ODI)
次要结局
- Hip range of motion(Baseline to week 8)
- Lumbar flexion Range of Motion(Baseline to Week 8)