Comparative Analysis of DS and NMT on Pelvic Inclination in Early Middle-Aged Patients With Radicular Low Back Pain

Comparative Analysis of Dynamic Stretching and Neural Mobilization Techniques on Pelvic Inclination in Early Middle-Aged Patients With Radicular Low Back Pain

Radicular low back pain (RLBP) is a common and debilitating condition characterized by nerve root irritation or compression, often resulting in altered biomechanics, muscular imbalances, and postural deviations such as anterior pelvic tilt.

Rehabilitation strategies commonly focus on improving flexibility, neuromuscular control, and nerve mobility. Among these, dynamic stretching and neural mobilization techniques have shown individual effectiveness, but limited evidence exists on their comparative or combined effects on pelvic alignment and functional outcomes, particularly in early middle-aged adults. Addressing this gap could support the development of more targeted, evidence-based rehabilitation protocols.

Inclusion Criteria:

• Both Male and Female
• Early middle-aged adults (aged 35-55 years)
• Diagnosed with radicular low back pain (RLBP) lasting more than 4 weeks
• Positive Straight Leg Raise (SLR) or Slump test
• Able to participate in physical therapy sessions 3 times/week(26)

Exclusion Criteria:

• History of spinal surgery or fractures
• Severe neurological deficits (e.g., foot drop, bladder/bowel dysfunction)
• Diagnosed with inflammatory or systemic conditions (e.g., ankylosing spondylitis, rheumatoid arthritis)
• Concurrent participation in other physical therapy programs
• Pregnant women or individuals with severe cardiovascular conditions