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

N/AActive Not RecruitingNCT07628426

Riphah International University22 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Lumbar Radiculopathy

Interventions

Myokinetic stretchingOTHER

* 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

nyokinetic stretching with neural flossing techniqueOTHER

* 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.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 50 Years

Medical Language ↔ Plain English

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

Locations (1)

Unnamed facility

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale (NPRS)

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.