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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
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. Both groups will receive treatment thrice weekly for six weeks. Outcome measures include pain intensity (NPRS), functional disability (ODI), flexibility (Sit and Reach Test, Modified Schober Test), and trunk strength (Functional Trunk Strength Tests). Data will be analyzed using SPSS v24, with appropriate statistical tests applied based on data distribution.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional | Experimental | heating pad and Range of motion |
|
| conventional therapy | Active Comparator | heating pad and range of motion exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myokinetic stretching | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. |
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Inclusion Criteria:• Age between 30-50 years
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| Name | Affiliation | Role |
|---|---|---|
| Anam Iqbal, DPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lahore | Punjab Province | 54000 | Pakistan |
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|
| nyokinetic stretching with neural flossing technique | Other |
|
|
| baseline to 4 week |
| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| D010146 | Pain |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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