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This randomized controlled study aims to investigate the effect of sciatic nerve mobilization on pain perception in lower extremity peripheral nerves, specifically the tibial and common peroneal nerves. The study will be conducted in university students at Fenerbahçe University. Participants will be randomly assigned to either an intervention group or a control group.
Pressure pain threshold (PPT) will be measured using a pressure algometer at standardized anatomical points over the tibial and common peroneal nerves before and after the intervention period. Demographic and clinical information, including age, sex, height, weight, dominant lower extremity, physical activity level, history of lower extremity injury or surgery, neurological or systemic disease, and regular medication use, will also be recorded.
Participants in the intervention group will receive a standardized sciatic nerve mobilization protocol consisting of sliding-type neurodynamic mobilization performed in the supine position, including components of hip flexion, knee extension, and ankle dorsiflexion/plantarflexion in a rhythmic sequence. No intervention will be applied to the control group. The primary purpose of the study is to determine whether sciatic nerve mobilization changes pressure pain threshold values in the tibial and common peroneal nerves compared with no intervention.
This randomized controlled pilot study aims to investigate the effect of sciatic nerve mobilization on pain perception in lower extremity peripheral nerves, specifically the tibial nerve and the common peroneal nerve, in healthy university students. The study will be conducted at Fenerbahçe University.
A total of 34 participants will be included. Eligible participants will be students aged 18 to 30 years at Fenerbahçe University who voluntarily agree to participate and meet the study eligibility criteria. Participants will be randomly assigned to an intervention group or a control group.
Pain perception will be assessed using pressure pain threshold measurements obtained with a pressure algometer at standardized anatomical points over the tibial and common peroneal nerves. Measurements will be performed before and after the study procedure using the same protocol for all participants.
Participants in the intervention group will receive a standardized sliding-type sciatic nerve mobilization protocol performed in the supine position. The mobilization includes coordinated movements of hip flexion, knee extension, and ankle dorsiflexion/plantarflexion to create a sliding effect on the sciatic nerve. The control group will not receive any intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sciatic Nerve Mobilization Group | Experimental | Participants in this group will receive a standardized sliding-type sciatic nerve mobilization. Pressure pain threshold of the tibial and common peroneal nerves will be measured before and after the intervention. |
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| Control Group | No Intervention | Participants in this group will receive no intervention. Pressure pain threshold of the tibial and common peroneal nerves will be measured before and after the study procedure. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sciatic Nerve Mobilization | Other | A standardized sliding-type sciatic nerve mobilization will be applied in the supine position. The technique includes coordinated hip flexion, knee extension, and ankle dorsiflexion/plantarflexion movements to produce a sliding effect on the sciatic nerve. |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold of the Tibial Nerve | Pressure pain threshold of the tibial nerve will be assessed using a pressure algometer at a standardized anatomical point in the popliteal fossa. The algometer probe will be placed perpendicular to the skin, and pressure will be gradually increased until the participant first reports pain. The recorded value will be used as the pressure pain threshold. | Before intervention and immediately after intervention |
| Pressure Pain Threshold of the Common Peroneal Nerve | Pressure pain threshold of the common peroneal nerve will be assessed using a pressure algometer at a standardized anatomical point around the fibular head/neck region. The algometer probe will be placed perpendicular to the skin, and pressure will be gradually increased until the participant first reports pain. The recorded value will be used as the pressure pain threshold. | Before intervention and immediately after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sümeyye Akçay, Asst. Prof. | Fenerbahçe University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fenerbahçe University | Istanbul | Ataşehir | 34758 | Turkey (Türkiye) |
Individual participant data (IPD) will not be shared because the study involves a small sample from a single university population, and data sharing could increase the risk of participant identification.
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Participants will be randomly assigned to one of two parallel groups: an intervention group receiving sciatic nerve mobilization or a control group receiving no intervention. Pressure pain threshold measurements of the tibial and common peroneal nerves will be obtained before and after the study procedure in both groups.
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The outcome assessor measuring pressure pain threshold values will be blinded to group allocation. The investigator delivering the intervention and the participants will not be blinded.
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