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Effect of Sensorimotor Training on Pain and Gait Performance in Patients With Discogenic Sciatica

1 de septiembre de 2026 actualizado por: Yara Ahmed Mansour, Cairo University
This study aims to investigate the effect of sensorimotor training on gait performance in patients with discogenic sciatica.

Descripción general del estudio

Estado

Aún no reclutando

Condiciones

Intervención / Tratamiento

Descripción detallada

Discogenic sciatica is commonly associated with pain, functional limitations, and alterations in gait performance resulting from nerve root involvement and impaired neuromuscular control. Sensorimotor training is an active rehabilitation approach that integrates sensory input with motor responses and may improve proprioception, postural control, balance, and movement coordination.

This study will investigate the additional effect of sensorimotor training in patients with chronic discogenic sciatica. Participants will receive a conventional physical therapy program consisting of interferential current therapy, hot packs, positioning according to directional preference, and static abdominal and back exercises. The experimental intervention will incorporate additional sensorimotor training, including proprioceptive neuromuscular facilitation (PNF)-based trunk exercises, balance training on unstable surfaces, colored-path sensorimotor exercises, and the Star Excursion Balance Exercise.

The sensorimotor program will use progressive task-specific exercises designed to challenge proprioception, balance, trunk control, and neuromuscular coordination. Exercise difficulty will be gradually progressed according to participants' abilities through changes in surface stability, movement complexity, reach distance, walking speed, and the incorporation of dual-task activities.

The study will evaluate changes in spatiotemporal gait parameters, pressure-pain threshold, and functional disability before and after the intervention. The findings may provide evidence regarding whether adding sensorimotor training to conventional physical therapy offers additional benefits for gait performance, pain-related outcomes, and functional ability in patients with chronic discogenic sciatica.

Tipo de estudio

Intervencionista

Inscripción (Estimado)

30

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Copia de seguridad de contactos de estudio

  • Nombre: Hend Mohammad Elsayed Ismail, PhD

Ubicaciones de estudio

  • Egipto
      • Gamasa, Egipto
        • Outpatient clinic at the Faculty of Physical Therapy, Delta University
        • Contacto:

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Thirty patients of both sexes diagnosed with lumbar disc herniation affecting the L4-L5 and/or L5-S1 nerve roots will be included in this study.
  • Presence of lumbar disc herniation (LDH) will be confirmed by magnetic resonance imaging (MRI).
  • Age will range from 30 to 55 years.
  • Patients experiencing radiating pain along the sciatic nerve distribution (symptoms persisting for more than 3 months).
  • All patients must be employed in office-based jobs.
  • Berg Balance Scale score will range from 21 to 40 (moderate balance impairment).
  • Body Mass Index (BMI) will be within the normal to overweight range (18.5 29.9 kg/m²).
  • All the patients will be able to walk independently with or without minimal assistance.

Exclusion Criteria:

  • Patients with a history of spinal surgery will be excluded.
  • Presence of central neurological disorders (e.g., stroke).
  • Patients with other causes of low back pain which is not related to discogenic origin.
  • Affections of the musculoskeletal system including fractures.
  • Patients with severe balance impairment (Berg Balance Scale score < 21).
  • Presence of vestibular disorders or visual impairments affecting balance.
  • Patients are currently participating in other rehabilitation programs.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador activo: Standard physical therapy
Participants in this arm will receive a standard physical therapy program consisting of interferential current therapy, hot packs, positioning according to directional preference, and static abdominal and back exercises. The treatment will be administered three sessions per week for two months, with each session lasting approximately 45-60 minutes.
Otro: Standard physical therapy
Standard physical therapy will include interferential current therapy applied over the lumbar region at 80-100 Hz for 15-20 minutes, hot packs applied over the lumbar paraspinal region for 10 minutes, positioning according to the patient's directional preference for 10 minutes or as tolerated, and static abdominal and back exercises targeting the transversus abdominis and multifidus. The exercises will be performed as 3 sets of 10 repetitions, with each contraction held for 10 seconds followed by 5 seconds of rest.
Experimental: Sensorimotor Training Plus Standard Physical Therapy
Participants in this arm will receive the same standard physical therapy program administered to the active comparator arm, in addition to a sensorimotor training program. The sensorimotor training will include PNF-based trunk exercises, balance training on unstable surfaces, colored-path sensorimotor exercises, and the Star Excursion Balance Exercise. The treatment will be administered three sessions per week for two months, with each session lasting approximately 45-60 minutes.
Otro: Standard physical therapy
Standard physical therapy will include interferential current therapy applied over the lumbar region at 80-100 Hz for 15-20 minutes, hot packs applied over the lumbar paraspinal region for 10 minutes, positioning according to the patient's directional preference for 10 minutes or as tolerated, and static abdominal and back exercises targeting the transversus abdominis and multifidus. The exercises will be performed as 3 sets of 10 repetitions, with each contraction held for 10 seconds followed by 5 seconds of rest.
Otro: Sensorimotor Training
Sensorimotor training will include PNF-based trunk exercises, balance training on unstable surfaces, colored-path sensorimotor exercises, and the Star Excursion Balance Exercise. The program will incorporate progressive challenges to trunk control, balance, proprioception, and neuromuscular coordination. Progression will include unstable surfaces, alternating limb movements, single-leg and cross bridging, increased walking speed, dual-task activities, increased reach distance, and increased exercise complexity according to patient tolerance.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Walking Speed
Periodo de tiempo: 2 months
Walking speed will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in meters per second (m/s).
2 months
Stride Length
Periodo de tiempo: 2 months
Stride length will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in millimeters (mm).
2 months
Cadence
Periodo de tiempo: 2 months
Cadence will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported as steps per minute (steps/min).
2 months
Stance Time
Periodo de tiempo: 2 months
Stance time will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in seconds (s).
2 months

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Pressure-Pain Threshold
Periodo de tiempo: 2 months
Pressure-pain threshold will be assessed using a pressure algometer at the lumbar paraspinal, gluteus medius, and piriformis muscles. Higher values indicate greater pressure-pain tolerance.
2 months
Functional Disability
Periodo de tiempo: 2 months
Functional disability will be assessed using the Oswestry Disability Index (ODI). The score will be expressed as a percentage from 0% to 100%, with higher scores indicating greater disability.
2 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Cairo University

Investigadores

  • Silla de estudio: Moshera Hassan Darwiesh, PhD, Professor, Cairo University
  • Director de estudio: Omar Mohamed Said, PhD, Lecturer, Cairo University
  • Director de estudio: Hend Mohammad Elsayed Ismail, PhD, Lecturer, Delta University

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

7 de septiembre de 2026

Finalización primaria (Estimado)

7 de enero de 2027

Finalización del estudio (Estimado)

21 de enero de 2027

Fechas de registro del estudio

Enviado por primera vez

1 de septiembre de 2026

Primero enviado que cumplió con los criterios de control de calidad

1 de septiembre de 2026

Publicado por primera vez (Actual)

4 de septiembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

4 de septiembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

1 de septiembre de 2026

Última verificación

1 de septiembre de 2026

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • F.PT. 2607107

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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