Effects of Neurodynamic Mobilization and Stretching Exercises for Chronic Discogenic Sciatica

NCT04746690 | Completed DMC

• 1 other identifier: P.T.8/8/93
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study compares between neurodynamic mobilization and stretching exercises in treatment of chronic dicogenic sciatica

Conditions

Physical Therapy

Outcome Measures

Primary Outcomes (6)

• Change in pain intensity measurements using visual analogue scale

  A scale form 0 to 10 points, a less score means improvement.

  Before treatment and after 2 weeks of treatment.

• Change in hip flexion range of motion measurement using universal goniometer.

  the therapist measures it for patients, an increasing value means improvement.

  Before treatment and after 2 weeks of treatment.

• Change in knee extension range of motion measurement using universal goniometer.

  the therapist measures it for patients, an increasing value means improvement.

  Before treatment and after 2 weeks of treatment.

• Change in ankle dorsiflexion range of motion measurement using universal goniometer.

  the therapist measures it for patients, an increasing value means improvement.

  Before treatment and after 2 weeks of treatment.

• Change in lumbar flexion range of motion measurement using universal goniometer.

  the therapist measures it for patients, an increasing value means improvement.

  Before treatment and after 2 weeks of treatment.

• Change in functional disability measurement using the oswestry disability index.

  An index indicating disability level, a less score indicates improvement.

  Before treatment and after 2 weeks of treatment.

Study Arms (3)

Slider neurodynamic mobilization technique only

ACTIVE COMPARATOR

a neurodynamic mobilization technique of the sciatic nerve with stretch on one nerve end and slackness on the other end.

Other: Slider, tensioner neurodynamic mobilization techniques and stretching exercises of back, hamstrings and gastrocnemius

Tensioner neurodynamic mobilization technique only

ACTIVE COMPARATOR

a neurodynamic mobilization technique of the sciatic nerve with stretch of both nerve ends.

Other: Slider, tensioner neurodynamic mobilization techniques and stretching exercises of back, hamstrings and gastrocnemius

Stretching exercises of back extensors, hamstrings and gastrocnemius muscles

ACTIVE COMPARATOR

Stretching exercises of back extensors, hamstrings and gastrocnemius to relief the pressure on the nerve.

Other: Slider, tensioner neurodynamic mobilization techniques and stretching exercises of back, hamstrings and gastrocnemius

Interventions

Slider, tensioner neurodynamic mobilization techniques and stretching exercises of back, hamstrings and gastrocnemius OTHER

neurodynamic mobilization techniques of sciatic nerve and stretching exercises of back extensors, hamstrings and lower limbs for patients with chronic discogenic sciatica.

Also known as: sliders, tensioners and stretching exercise

Slider neurodynamic mobilization technique only; Stretching exercises of back extensors, hamstrings and gastrocnemius muscles; Tensioner neurodynamic mobilization technique only

Eligibility Criteria

• Age: 21 Years - 50 Years
• Gender Eligibility Details: Identity card
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients diagnosed by magnetic resonance imaging (MRI) confirming disc lesion.
• Radicular pain for at least twelve weeks up to one year with no acute episodes for the last four weeks.
• Positive slump test, with reproduction of neurological symptoms.
• Ages of 21-50 years of both sexes.
• Patients with functional disabilities e.g. during lifting or walking

You may not qualify if:

• Patients with sciatica due to other pathologies e.g. lumbar canal stenosis or piriformis syndrome.
• Patients after any spinal surgery e.g. unilateral hemilaminectomy or microdiscectomy
• Negative slump test.
• Progressive neurological symptoms e.g. hyperirritable and unstable symptoms.
• History of vertebral fracture or trauma.
• Systemic disorder e.g. diabetes mellitus.
• Pregnant women.

Sponsors & Collaborators

• Cairo University: lead
• Kafrelsheikh University: collaborator

Study Sites (1)

Haytham Ibrahim Morsi

Giza, Egypt

Location

Study Officials

• Bassem El-nahass, Professor

  Professor of Orthopaedic Physical Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: simple random sampling

Study Record Dates

• First Submitted: January 31, 2021
• First Posted: February 10, 2021
• Study Start: September 1, 2020
• Primary Completion: March 31, 2021
• Study Completion: March 31, 2021
• Last Updated: April 28, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)