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

NCT07628426 | Active Not Recruiting DMC

• 1 other identifier: REC/RCR&AHS/25/0208
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Lumbar Radiculopathy

Keywords

flexibility; lumbar radiculopathy; myokinetic stretching; neural flossing; pain; mobility

Outcome Measures

Primary Outcomes (5)

• 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.

  baseline to 4 week

• Oswestry Disability Index (ODI)

  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

  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

  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

  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

Study Arms (2)

conventional

EXPERIMENTAL

heating pad and Range of motion

Other: Myokinetic stretching; Other: nyokinetic stretching with neural flossing technique

conventional therapy

ACTIVE COMPARATOR

heating pad and range of motion exercises

Other: Myokinetic stretching; Other: nyokinetic stretching with neural flossing technique

Interventions

Myokinetic stretching OTHER

* 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

conventional; conventional therapy

nyokinetic stretching with neural flossing technique OTHER

* 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.

conventional; conventional therapy

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Clinically pre diagnosed lumbar radiculopathy
• Radiating low back pain persisting for \>3 weeks
• Positive Straight Leg Raise Test (SLR) or Slump Test

You may not qualify if:

• Pregnancy , Inflammatory or autoimmune spinal diseases
• Severe neurological deficits
• Inability to participate in active exercises or follow instructions

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Unknown Facility

Lahore, Punjab Province, 54000, 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

• Anam Iqbal, DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 1, 2026
• First Posted: June 5, 2026
• Study Start: July 6, 2025
• Primary Completion (Estimated): August 5, 2026
• Study Completion (Estimated): September 6, 2026
• Last Updated: June 5, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)