An interventional study of Dynamic stretching and slider neurodynamic mobilization in Lumbar Radiculopathy, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 25 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-04-14.
Sponsored by University of Lahore · Not applicable, Interventional, and Treatment
This study will be a randomised clinical trial conducted at the University of Lahore Teaching Hospital, Lahore, Pakistan. A total of 72 participants will be selected and randomly allocated into two treatment groups (36 participants in each group) using the lottery method. All screened and willing participants who meet the eligibility criteria will be assigned to either Group A or Group B.
Group A will receive dynamic stretching along with routine physiotherapy. Routine physiotherapy will include TENS (15 minutes), hot moist pack (10 minutes), soft tissue mobilisation (5-7 minutes), abdominal bracing, pelvic tilt, and alternate leg extension exercises. The dynamic stretching part will include the slump stretch, cat-camel stretch, hamstring sweeps, child pose stretch, and overhead lateral stretch. Each stretch will be performed in 2 sets of 15-20 repetitions with 1-minute rest between sets. Treatment will be provided four times per week for 6 weeks.
Group B will receive slider neurodynamic mobilisation along with the same routine physiotherapy protocol as group A. Slider neurodynamic mobilisation will be performed in the slump position, sitting at the edge of the plinth with the thighs parallel to each other and arms crossing behind the back. The examiner asked the patient to move actively and conversely from a position of neck and trunk flexion, knee flexion, and plantar flexion, to a position of neck and trunk extension, knee extension, and ankle dorsiflexion with 3 sets of 1-minute sliders and 1-minute rest between sets. Treatment will be provided four times per week for 6 weeks.
All participants will undergo assessments at baseline, at the end of the 3rd week, and at the end of the 6th week.
Following the baseline assessment, the randomization was conducted using the Online Randomizer tool (https://www.randomizer.org/). By specifying the group numbers, the number of participants per group, and the total number of participants, unique identification numbers were generated for each participant.
All participants received a 35-minute treatment session, 4 days per week for 6 weeks, consisting of 15 minutes of routine physiotherapy and 20 minutes of a specific intervention:
Group A (Dynamic Stretching): Routine physiotherapy included TENS (70 Hz, 100 microseconds) for 15 minutes, hot moist packs for 10 minutes, and core strengthening (pelvic tilts and leg extensions). The main intervention was 20 minutes of dynamic stretching, including the slump stretch(The patient performed a slump stretch, seated with knees bent, extending one leg at a time while flexing the trunk forward to stretch the lumbar nerve roots), cat and camel(The patient alternated between spinal flexion and extension while on hands and knees.), hamstring sweeps(The patient performed dynamic hamstring stretches, sweeping the leg forward and back to increase flexibility in the posterior chain.), child's pose, and overhead lateral stretches(The patient performed a side stretch to target the quadratus lumborum and obliques, releasing tension from the side of the back.). Each exercise was performed for 4 minutes in 2 sets of 10-15 repetitions with 1 minute rest interval.
Group B (Slider Neurodynamic Technique): Routine physiotherapy matched Group A but included 5 minutes of soft tissue mobilization. The main intervention was the Slider Neurodynamic Mobilization (NDM). Patients were seated and performed rhythmic movements: moving from neck/trunk flexion and knee flexion to neck/trunk extension and knee extension. This movement is designed to "slide" the nerve through the spinal canal without over-tensioning it. This was performed in 3 sets of 1-minute intervals.
Clinical assessments for pain (NPRS), disability (MODI), and flexibility (MMST) were recorded at baseline, the 3rd week, and the 6th week to compare the efficacy of the two protocols.
483 studies on the registry are indexed under Radiculopathy; 145 are open to participants now.
This study's enrollment of 72 is above the median of 60 across 373 interventional studies indexed under Radiculopathy.
Browse Radiculopathy studies →University of Lahore is the lead sponsor of 232 studies on the registry; 41 are open to participants now.
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- • Participants aged between 25 - 50 years of both genders are included
Exclusion Criteria:
Patients with lumbar spondylolisthesis.
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.
Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Autoimmune disease
A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.
Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants in this group will receive Dynamic stretching Includes slump stretch, cat and camel, hamstring sweeps, child pose, and overhead lateral stretch. Protocol: 2 sets of 10-15 repetitions for 4 minutes with 1-minute rest intervals
Other: Dynamic stretching · Other: Routine physiotherapy
Participants in this arm will receive Slider Neurodynamic Mobilization (NDM) along with routine physiotherapy. NDM slider techniques will be performed in the slump position according to a standardised protocol ( the patient to move actively and conversely from a position of neck and trunk flexion, knee flexion, and plantar flexion, to a position of neck and trunk extension, knee extension, and ankle dorsiflexion ) protocol: 3 sets of 1 minute slider movement with 1 minute rest interval
Other: slider neurodynamic mobilization · Other: Routine physiotherapy
Dynamic stretching protocol will include: * Slump Stretch (4 minutes): The patient performed a slump stretch, seated with knees bent, extending one leg at a time while flexing the trunk forward to stretch the lumbar nerve roots. * Cat and Camel Stretch (4 minutes): The patient alternated between spinal flexion and extension while on hands and knees. * Hamstring Sweeps (4 minutes): The patient performed dynamic hamstring stretches, sweeping the leg forward and back to increase flexibility in the posterior chain. * Child's Pose Stretch (4 minutes): The patient performed a child's pose stretch to improve flexibility in the lower back and hips. * Overhead Lateral Stretch (4 minutes): The patient performed a side stretch to target the quadratus lumborum and obliques, releasing tension from the side of the back. Each dynamic stretch will be performed as follows: * 2 sets of 10-15 repetitions * 1-minute rest between sets * Performed 3 sessions/week for 6 weeks
Performed in the slump sitting position. Participants move from neck and trunk flexion with knee flexion and plantar flexion toward neck and trunk extension with knee extension and ankle dorsiflexion. The protocol consists of 3 sets of 1-minute slider movements, each followed by 1 minute of rest.
TENS: Conventional Transcutaneous Electrical Nerve Stimulation was applied for 15 minutes (70 Hz frequency, 100 μs pulse width). Two 40×40 mm electrodes were positioned in a crossed pattern bilaterally over the lumbosacral region. A hot moist pack was applied to the lumbosacral and gluteal regions for 10 minutes in prone lying.Strengthening and Stabilization Exercises: Pelvic tilts were performed in crook-lying with 10-15 second holds. Alternate leg extensions were performed in prone with 10-second holds. Quadriceps and hip adductor/abductor strengthening were completed using isometric contractions (e.g., pillow squeeze)..All exercises were performed in 2 sets of 15-20 repetitions with 1 min rest. and lumbar traction.
Pain Intensity (NPRS)
Pain Intensity will n=be measured using the numeric pain rating scale (NPRS) , where participants rate their pain on a scale from 0 to 10 (0= no pain, 10= worst possible pain). the scale will be used to assess changes in pain levels over the duration of the intervention.
Time frame: baseline, 3rd week, 6th week
Functional Disability (Modified Oswestry Disability Index -MODI)
Functional disability will be measured using the modified oswestry low back pain disability index, a validated questionnaire assessing limitations in everyday activities. scores range from 0-100 % with higher scores indicating greater disability. the measure will be used to determine changes in functional ability.
Time frame: baseline,3rd week, 6th week
Lumbar Flexion Range of Motion (Modified-Modified Schober Test - MMST)
Lumbar flexion range of motion will be assessed using the Modified-Modified Schober Test (MMST). The test measures the change in distance between two points on the lumbar spine during forward flexion. Increased distance indicates improved lumbar mobility.
Time frame: baseline, 3rd week, 6th week
Plan to share: No
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