Comparing the Effectiveness of Tensioner Vs Slider Neurodynamic Techniques in Patients With Sciatica

Comparing the Effectiveness of Tensioner Vs Slider Neurodynamic Techniques in Patients With Sciatica: A Randomised Control Trial

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.

Study Overview

• Status: Recruiting
• Conditions: Sciatica; Sciatica Pain
• Intervention / Treatment: Other: Slider Neurodynamic Technique Group; Other: Tensioner Neurodynamic Technique Group

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Sidra Hanif, DPT, MSNMPT, PhD PT; Phone Number: +923335985631; Email: sidra.hanif@uipt.iiui.edu.pk
• Study Contact Backup: Name: Sojla Bashir, DPT, MSPT MSK; Phone Number: +923008580082; Email: sojlabashir@gmail.com

Study Locations

• Pakistan
  • Punjab Province
    • Rawalpindi, Punjab Province, Pakistan
      • Recruiting
      • Ibadat International Hospital
      • Contact: Sojla Bashir, DPT, MSPT MSK; Phone Number: +923008580082; Email: sojlabashir@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Slider Neurodynamic Technique Group; Participants will receive slider neurodynamic mobilization techniques along with conventional physiotherapy management.	Other: Slider Neurodynamic Technique Group; will receive slider neurodynamic mobilization techniques along with conventional physiotherapy management.
Active Comparator: Tensioner Neurodynamic Technique Group; Participants will receive tensioner neurodynamic mobilization techniques along with conventional physiotherapy management.	Other: Tensioner Neurodynamic Technique Group; will receive tensioner neurodynamic mobilization techniques along with conventional physiotherapy management.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	will be measured using VAS	Baseline to Week 8
Functional disability	measured using Oswestry Disability Index (ODI)	Baseline to week 8

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hip range of motion	assessed using Goniometer	Baseline to week 8
Lumbar flexion Range of Motion	measured using Modified-Modified Schober Test (MMST)	Baseline to Week 8

Collaborators and Investigators

• Sponsor: Ibadat International University, Islamabad

Study record dates

Study Major Dates

• Study Start (Estimated): June 3, 2026
• Primary Completion (Estimated): September 3, 2026
• Study Completion (Estimated): September 10, 2026

Study Registration Dates

• First Submitted: June 2, 2026
• First Submitted That Met QC Criteria: June 2, 2026
• First Posted (Actual): June 8, 2026

Study Record Updates

• Last Update Posted (Actual): June 8, 2026
• Last Update Submitted That Met QC Criteria: June 2, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Nervous System Diseases; Neuromuscular Diseases; Peripheral Nervous System Diseases; Neuralgia; Mononeuropathies; Sciatic Neuropathy; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Sciatica
• Other Study ID Numbers: IIUI/RERC/ADT/2026/01/211

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No