An interventional study of kinetic control training with conventional physical therapy and Neural mobilization technique in Lumbar Radiculopathy, sponsored by University of Management and Technology Lahore. Active, not recruiting at 1 site in Pakistan. Open to participants aged 25 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by University of Management and Technology Lahore · Not applicable, Interventional, and Treatment
Radiculopathy is a neuromusculoskeletal disorder characterized by compression or irritation of a spinal nerve root, resulting in pain, reduced range of motion, sensory disturbances, muscle weakness, and functional disability. It commonly affects the cervical and lumbar regions and can significantly impair daily activities and quality of life. Various physiotherapy interventions have been used to manage radiculopathy, including exercise therapy, manual therapy, neural mobilization, and motor control training. However, the most effective intervention for improving pain, mobility, and functional outcomes remains unclear, highlighting the need for further research.
Kinetic Control (KC) Training focus on identifying and correcting faulty movement patterns through motor control retraining and postural correction, thereby reducing mechanical stress on the affected structures. Neural Mobilization (NM) aims to restore the normal mobility and physiological function of neural tissues, decrease neural mechanosensitivity, and improve nerve movement within surrounding tissues.
The objective of this study is to compare the effects of Kinetic Control techniques and Neural Mobilization on pain, range of motion, and disability among patients with radiculopathy. The study will be conducted as a randomized clinical trial. Participants will be recruited using non-probability convenience sampling and will be randomly allocated into two groups. Group A will receive Kinetic Control s, while Group B will receive Neural Mobilization. Both groups will receive conventional physiotherapy treatment, including hot pack, TENS application for 20 minutes before intervention.
The treatment protocol will consist of 12 sessions over a period of 4 weeks. Outcome measures will be assessed at baseline, the 2nd week, and the 4th week. Pain intensity will be measured using the Numeric pain rating scale (NPRS), range of motion will be assessed using Bubble Inclinometer, and disability will be evaluated using the Revised Oswestry Disability Index (RODI) for lumbar radiculopathy. Data will be analyzed using SPSS version 24. The findings of this study may provide evidence regarding the comparative effectiveness of Kinetic Control training and Neural Mobilization technique in improving clinical outcomes among patients with radiculopathy.
483 studies on the registry are indexed under Radiculopathy; 145 are open to participants now.
This study's enrollment of 34 is below the median of 60 across 373 interventional studies indexed under Radiculopathy.
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o lumbar disc prolapses (mild to moderate posterior and postrolateral disc bulge at the levels of L4-L5/L5-S1). Proven clinically by the neurological examination and MR
Exclusion Criteria:
o Piriformis syndrome
For flexion control retraining, the patient is positioned in kneeling position with feet outside the bed. Then, he/she is asked to perform knees flexion over 90º with no flexion of the lumbar spine. Exercise is done for two consecutive minutes. The performed exercises in the session will be repeated as a home program, twice daily
Other: kinetic control training with conventional physical therapy
The therapist applied hip flexion with simultaneous dorsiflexion and planter flexion of the patient's foot. The sciatic neural glide is performed from 15º to 90º of hip flexion, 20-30 repetitions for 1-2 sets.
Other: Neural mobilization technique
For flexion control retraining, the patient is positioned in kneeling position with feet outside the bed. Then, he/she is asked to perform knees flexion over 90º with no flexion of the lumbar spine. Exercise is done for two consecutive minutes. The performed exercises in the session will be repeated as a home program, twice daily
The therapist applied hip flexion with simultaneous dorsiflexion and planter flexion of the patient's foot. The sciatic neural glide is performed from 15º to 90º of hip flexion, 20-30 repetitions for 1-2 sets.
Pain measured by Numeric Rating Scale (NPRS)
Numeric Rating Scale (NPRS) is most frequently used instruments to measure pain intensity in low back pain (LBP).The 11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADLs(13)
Time frame: At baseline and after 6 weeks
ROM MEASURED BY BUBBLE INCLINOMETER
The spinous process of the 1st sacral vertebra and the 12th thoracic vertebra were considered as reference points for measuring the range of motion in bending forward and backward. The spinous process of the 12th thoracic vertebra was considered as reference point for measuring the range of motion of lumbar side flexion. Two bubble inclinometers were used simultaneously for measuring the lumbar range of motion when bending forward (in the standing position), and one bubble inclinometer for measuring the lumbar range of motion for back extension (in the standing) and side flexion (in the standing position).
Time frame: At baseline and after 6 weeks
DISABILITY MEASURED WITH REVISED OSWESTERY DISABILITY INDEX (RODQ)
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. This scale contain question related to functional activities of pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life and travelling. For patients understanding, URDU version is used. Interpretation of scale are 0% to 20% for minimal disability, 21% to 40% for moderate disability, 41 % to 60 % for severe disability 61% to 80 % for crippled and 81 % to 100 %.(14)
Time frame: At baseline and after 6 weeks
Plan to share: Yes — The results data collected , de-identified individual participant data will be shared.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: 6 months after the publication of the manuscript.
Access criteria: The data can be requested from the corresponding author.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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University of Management and Technology Lahore