Mckenzie Technique vs Conventional Therapy in Correcting Lateral Shift in Chronic Lumber Radiculapthy Patient

NCT07080047 | Completed DMC

• 1 other identifier: REC-01015 Awais Ahmed
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Radiculopathy or nerve root pain arises from disc herniation, spinal stenosis/post-operative scarring, radiating down the leg in a dermatomal pattern. Lumbosacral radiculopathy is defined as a "disarticulation of disc components nucleus pulpous or annulus fibrosis beyond the intervertebral disc space. Low back pain (LBP) is one of the most widely recognized conditions that debilitate people's functional capacity in activities of daily living and at work, as well as their general wellbeing and quality of life. Pain between the buttock and lower edge of the ribs is referred to as low back pain, and it can be classified as acute, sub-acute, or chronic depending on how long it lasts. Acute pain lasts less than four weeks, sub-acute pain lasts more than four but less than twelve weeks and if pain lasts for more than 12 weeks it is chronic LBP. The prevalence of chronic low back pain is steadily rising in today's aging population. Around 80% of the population experience spinal pain sooner or later in life.. The intervertebral disc absorbs physical shock to the backbone; it is composed of two dissimilar tissue layers, an inner layer called the nucleus pulposus and an external layer called the annulus fibrosis. Muscle spasm refers to sustained contraction of a muscle and the increase in chronic tension contributes to pain.

Conditions

Lumbar Radiculopathy

Keywords

lumber radiculopathy; radiating pain

Outcome Measures

Primary Outcomes (3)

• NPRS

  The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.

  four weeks

• Modified Oswestry Disability Index (MODI)

  a validated questionnaire that assesses the degree of disability and functional limitation related to low back pain across daily activities.

  Four weeks

• Inclinometer

  Lumbar range of motion will be assessed using an inclinometer, a reliable tool that measures spinal movement angles during flexion, extension, and lateral bending.

  Four weeks

Study Arms (2)

Mackenzie exercise for lateral shift

EXPERIMENTAL

Participants in the McKenzie group will perform standing side glide exercises, where they stand perpendicular to a wall (painful side away), press their hips toward the wall, and hold for 2-3 seconds, repeated 30 times. This is followed by five spinal extension repetitions. Sessions will be conducted three times per week for four weeks.

Other: Mackenzie exercise for lateral shift

Traditional physical therapy

EXPERIMENTAL

Participants in the traditional therapy group will receive posteroanterior lumbar mobilizations (30 repetitions × 3), 10-minute hot pack application, myofascial release of paraspinal muscles, and core stability exercises (plank and bridging). Sessions will be conducted three times per week for four weeks.

Other: Traditional physical therapy

Interventions

Mackenzie exercise for lateral shift OTHER

Participants in the McKenzie group will perform standing side glide exercises, where they stand perpendicular to a wall (painful side away), press their hips toward the wall, and hold for 2-3 seconds, repeated 30 times

Mackenzie exercise for lateral shift

Traditional physical therapy OTHER

Participants in the traditional therapy group will receive posteroanterior lumbar mobilizations (30 repetitions × 3), 10-minute hot pack application, myofascial release of paraspinal muscles, and core stability exercises (plank and bridging).

Traditional physical therapy

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 30 to 60 years
• Both male and female are included
• Chronic Radiculapathy patients with symptoms lasting from more than 3 months.
• Chronic Radiculapathy patients with contralateral lumber lateral shift.

You may not qualify if:

• Fracture, Trauma
• Inflammatory disorder
• Acute disc bulge
• Lumbar instability
• Scoliosis
• Patient with RA and other systemic diseases

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international University Malakand Campus

Chakdara, KPK, 18800, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Zavata Afnan, MS NMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 14, 2025
• First Posted: July 23, 2025
• Study Start: August 15, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 16, 2026
• Last Updated: February 19, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)