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Effects of Myokinetic Stretching Technique With And Without Neural Flossing Technique In Lumbar Radiculopathy

4. juni 2026 oppdatert av: Riphah International University

Effects of Myokinetic Stretching Technique With And Without Neural Flossing Technique On Pain, Flexibility, And Mobility In Patients With Lumbar Radiculopathy

This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups

Studieoversikt

Status

Aktiv, ikke rekrutterende

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups. Both groups will receive treatment thrice weekly for six weeks. Outcome measures include pain intensity (NPRS), functional disability (ODI), flexibility (Sit and Reach Test, Modified Schober Test), and trunk strength (Functional Trunk Strength Tests). Data will be analyzed using SPSS v24, with appropriate statistical tests applied based on data distribution.

Studietype

Intervensjonell

Registrering (Antatt)

22

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:• Age between 30-50 years

  • Clinically pre diagnosed lumbar radiculopathy
  • Radiating low back pain persisting for >3 weeks
  • Positive Straight Leg Raise Test (SLR) or Slump Test
  • LDI or Oswestry Disability Index <50% Exclusion Criteria:• Recent spinal surgery or acute spinal trauma
  • Pregnancy , Inflammatory or autoimmune spinal diseases
  • Severe neurological deficits
  • Inability to participate in active exercises or follow instructions

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: conventional
heating pad and Range of motion
Annen: Myokinetic stretching
  • Light aerobic activity (e.g., stationary cycling or brisk walking) to increase blood flow and prepare muscles for stretching• Myokinetic Stretching Technique (MST): - Target muscles: hamstrings, lumbar paraspinals, gluteals, hip flexors. - Involves both active (patient-initiated) and passive (therapist-assisted) stretches.
  • Sustained stretches held for 20-30 seconds with 3-5 repetitions.
  • Focus on length-tension balance, postural correction, and neuromuscular re- education. Progressive loading as tolerated
Annen: nyokinetic stretching with neural flossing technique
  • Myokinetic stretching with Neural Flossing Technique (NFT): -
  • Target: sciatic nerve and related neural structures. -
  • Performed as oscillatory, controlled gliding movements ("sliders" and "tensioners").
  • Techniques include supine straight leg raise with ankle dorsiflexion and cervical flexion/extension. - 3 sets of 10-15 repetitions, increasing intensity and duration based on tolerance. Aims to reduce neural tension and improve neurodynamic mobility.
Aktiv komparator: conventional therapy
heating pad and range of motion exercises
Annen: Myokinetic stretching
  • Light aerobic activity (e.g., stationary cycling or brisk walking) to increase blood flow and prepare muscles for stretching• Myokinetic Stretching Technique (MST): - Target muscles: hamstrings, lumbar paraspinals, gluteals, hip flexors. - Involves both active (patient-initiated) and passive (therapist-assisted) stretches.
  • Sustained stretches held for 20-30 seconds with 3-5 repetitions.
  • Focus on length-tension balance, postural correction, and neuromuscular re- education. Progressive loading as tolerated
Annen: nyokinetic stretching with neural flossing technique
  • Myokinetic stretching with Neural Flossing Technique (NFT): -
  • Target: sciatic nerve and related neural structures. -
  • Performed as oscillatory, controlled gliding movements ("sliders" and "tensioners").
  • Techniques include supine straight leg raise with ankle dorsiflexion and cervical flexion/extension. - 3 sets of 10-15 repetitions, increasing intensity and duration based on tolerance. Aims to reduce neural tension and improve neurodynamic mobility.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Numeric Pain Rating Scale (NPRS)
Tidsramme: baseline to 4 week
The Numeric Pain Rating Scale (NPRS) measures a patient's self-reported pain intensity on a scale from 0 to 10. A score of 0 indicates no pain, 1-3 is mild, 4-6 is moderate, and 7-10 represents severe pain.
baseline to 4 week
Oswestry Disability Index (ODI)
Tidsramme: baseline to 4 week
The Oswestry Disability Index (ODI) is used to assess the impact of low back pain on a patient'sADLs. It includes 10 sections, 0 to 5each, with the total score expressed as a percentage. The results categorize disability from minimal (0-20%) to bed-bound or exaggerated symptoms (81-100%), helping quantify the degree of functional limitation
baseline to 4 week
Sit and Reach Test
Tidsramme: baseline to 4 week
The Sit and Reach Test is used to assess the flexibility of the hamstrings and lower back. The patient sits with legs extended and reaches forward along a marked measuring line. Scores above 10 cm indicate excellent flexibility, 0-10 cm is average, and negative values suggest poor flexibility, often linked to hamstring tightness or lumbar dysfunction.
baseline to 4 week
Muscle Strength Assessment: Functional Trunk Strength Tests
Tidsramme: baseline to 4 week
Functional Trunk Strength Tests assess the strength and endurance of lumbar flexors and extensors through movements like sit-ups or back extensions. The patient performs prone chest raises. Greater repetitions or longer hold times indicate better trunk strength and endurance, while early fatigue suggests weakness.
baseline to 4 week
Modified Schober Test
Tidsramme: baseline to 4 week
The Modified Schober Test assesses lumbar spine flexibility during forward bending by measuring the increase in distance between marked points on the lower back. An increase of ≥5 cm indicates normal lumbar mobility, while <5 cm suggests restricted flexion.
baseline to 4 week

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Riphah International University

Etterforskere

  • Hovedetterforsker: Anam Iqbal, DPT, Riphah International University

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

6. juli 2025

Primær fullføring (Antatt)

5. august 2026

Studiet fullført (Antatt)

6. september 2026

Datoer for studieregistrering

Først innsendt

1. juni 2026

Først innsendt som oppfylte QC-kriteriene

4. juni 2026

Først lagt ut (Faktiske)

5. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • REC/RCR&AHS/25/0208

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

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Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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