Effects of Neural Flossing and PNF on Lumbar Radiculopathy

NCT05922228 | Unknown

• 1 other identifier: REC/RCR&AHS/23/0212
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

the goal of this clinical trial is to determine the effects of neural flossing with and without proprioceptive neuromuscular facilitation on pain, range of motion and disability in patients with lumbar radiculopathy. the main question it aim to answer is :- Does proprioceptive neuromuscular facilitation added benefit when combined with neural flossing to pain, range of motion and disability in lumbar radiculopathy patients? Research will compare the neural flossing group with the group receiving neural flossing with proprioceptive neuromuscular facilitation to see if there is any difference in the outcomes.

Conditions

Lumbar Radiculopathy

Keywords

Disability; Lumbar; PNF; Neural flossing; pain

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  It is a common pain screening tool use to assess the severity of pain at moment time. It is 0-10 scale where 0 means no pain and 10 means worst pain imaginable.

  5 weeks

• Goniometer

  It is an instrument used to measure the available range of motion at joints. It is most commonly used tool to measure the range of motion of joints by physiotherapists.

  5 weeks

• Oswestry Disability Index (ODI)

  The Oswestry Disability Index (ODI) is the most commonly used outcome-measure questionnaire for low back pain in a hospital setting. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each section is scored on a 0-5 scale, 5 representing the greatest disability.

  5 weeks

Study Arms (2)

Neural flossing with proprioceptive neuromuscular facilitation

EXPERIMENTAL

nerve flossing technique protocol along with contract relax technique of proprioceptive neuromuscular facilitation is used

Other: neural flossing with proprioceptive neuromuscular facilitation

Neural flossing without proprioceptive neuromuscular facilitation

ACTIVE COMPARATOR

only nerve flossing technique protocol is used

Other: Neural flossing without proprioceptive neuromuscular facilitation

Interventions

neural flossing with proprioceptive neuromuscular facilitation OTHER

neural flossing technique for 5minutes, 10 repetitions×1 set, 3 days/week contract relax technique of proprioceptive neuromuscular facilitation for 5 minutes, 10 repetitions ×1 set, 3 days/week total of 15 sessions were given as 3 sessions/week up to 5 weeks, each session consisting of 10 minutes

Neural flossing with proprioceptive neuromuscular facilitation

Neural flossing without proprioceptive neuromuscular facilitation OTHER

neural flossing technique for 5minutes, 10 repetitions×1 set, 3 days/week total of 15 sessions were given as 3 sessions/week up to 5 weeks, each session consisting of 5 minutes

Neural flossing without proprioceptive neuromuscular facilitation

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 35-50 years.
• Both males and females.
• Pain intensity is 4 out of 10 on numeric pain rating scale.
• History of radiculopathy for more than 3 weeks.
• Pain radiating below to knee.

You may not qualify if:

• Cognitive impairment.
• Using pain modulating medicines.
• Patients with comorbidities.
• Pain radiating above to knee.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Aziz Bhatti Shaheed Teaching Hospital

Dhok Gujra, Punjab Province, 50700, Pakistan

RECRUITING

Related Publications (10)

• Schoenfeld AJ, Laughlin M, Bader JO, Bono CM. Characterization of the incidence and risk factors for the development of lumbar radiculopathy. J Spinal Disord Tech. 2012 May;25(3):163-7. doi: 10.1097/BSD.0b013e3182146e55.

  PMID: 22543563 BACKGROUND

• Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002.

  PMID: 21665125 BACKGROUND

• Ghasabmahaleh SH, Rezasoltani Z, Dadarkhah A, Hamidipanah S, Mofrad RK, Najafi S. Spinal Manipulation for Subacute and Chronic Lumbar Radiculopathy: A Randomized Controlled Trial. Am J Med. 2021 Jan;134(1):135-141. doi: 10.1016/j.amjmed.2020.08.005. Epub 2020 Sep 13.

  PMID: 32931763 BACKGROUND

• Senol D, Erdem C, Canbolat M, Toy S, Karatas T, Baykara RA, Ozbag D, Akyurek G. Comparison of the effects of conventional physiotherapy and proprioception exercises on pain and ankle proprioception in patients with lumbar radiculopathy. J Back Musculoskelet Rehabil. 2022;35(2):421-428. doi: 10.3233/BMR-200361.

  PMID: 34308899 BACKGROUND

• Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS. Trends in Lumbar Fusion Procedure Rates and Associated Hospital Costs for Degenerative Spinal Diseases in the United States, 2004 to 2015. Spine (Phila Pa 1976). 2019 Mar 1;44(5):369-376. doi: 10.1097/BRS.0000000000002822.

  PMID: 30074971 BACKGROUND

• Kahlaee AH, Ghamkhar L, Arab AM. The Association Between Neck Pain and Pulmonary Function: A Systematic Review. Am J Phys Med Rehabil. 2017 Mar;96(3):203-210. doi: 10.1097/PHM.0000000000000608.

  PMID: 27610549 BACKGROUND

• Luoto S, Taimela S, Hurri H, Aalto H, Pyykko I, Alaranta H. Psychomotor speed and postural control in chronic low back pain patients A controlled follow-up study. Spine (Phila Pa 1976). 1996 Nov 15;21(22):2621-7. doi: 10.1097/00007632-199611150-00012.

  PMID: 8961450 BACKGROUND

• Newcomer KL, Jacobson TD, Gabriel DA, Larson DR, Brey RH, An KN. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002 Jun;83(6):816-21. doi: 10.1053/apmr.2002.32826.

  PMID: 12048661 BACKGROUND

• Barden JM, Balyk R, Raso VJ, Moreau M, Bagnall K. Dynamic upper limb proprioception in multidirectional shoulder instability. Clin Orthop Relat Res. 2004 Mar;(420):181-9. doi: 10.1097/00003086-200403000-00025.

  PMID: 15057095 BACKGROUND

• Gunning E, Uszynski MK. Effectiveness of the Proprioceptive Neuromuscular Facilitation Method on Gait Parameters in Patients With Stroke: A Systematic Review. Arch Phys Med Rehabil. 2019 May;100(5):980-986. doi: 10.1016/j.apmr.2018.11.020. Epub 2018 Dec 22.

  PMID: 30582917 BACKGROUND

MeSH Terms

Conditions

Radiculopathy; Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Wajiha Shahid, phd

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Wajiha Shahid, phd

CONTACT

03214885079; wajiha.shahid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: June 28, 2023
• Study Start: November 11, 2022
• Primary Completion: August 15, 2023
• Study Completion: October 1, 2023
• Last Updated: June 28, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)