Sciatic Neural Mobilization in Lumbar-Related Leg Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorIstinye University
About this trial
Low back pain is one of the most prevalent musculoskeletal disorders worldwide and significantly reduces individuals' quality of life, functional capacity, and productivity. Lumbar-related leg pain (LRLP) is observed in a substantial proportion of patients with low back pain and is associated with neurodynamic dysfunctions arising from peripheral nerve sensitization. Although the effects of neural mobilization on pain and functional outcomes have been investigated in the literature, studies examining its short-term effects on balance and proprioception remain limited. Therefore, this study aims to determine the immediate effects of sciatic nerve neural mobilization on balance and proprioception in individuals with LRLP exhibiting peripheral nerve sensitivity.
The study will be designed as a prospective, randomized, controlled clinical trial. Participants will be recruited from individuals presenting to the Istinye University Health Practice and Research Center Hospital who meet the inclusion criteria. Following random allocation, 52 participants will be assigned either to the intervention group (neural mobilization) or the sham group (sham mobilization). In addition to a single-session standard conventional physiotherapy program, each group will receive its respective intervention protocol. Assessments will be conducted at two time points: before treatment and immediately after treatment.
Static and dynamic balance as well as proprioception will be evaluated using the ProKin balance system; muscle mechanical properties will be assessed using the MyotonPRO device; pain threshold will be measured with an algometer; and flexibility will be evaluated using the sit-and-reach test.
Eligibility criteria
Qualifiers
Having low back pain accompanied by radiating leg pain (radicular or pseudoradicular pain) for at least 3 weeks
Demonstration of peripheral nerve sensitivity through clinical evaluation and neurodynamic tests
Pain intensity of at least 3 on the Visual Analog Scale (VAS)
Ability to understand verbal and written Turkish instructions
Disqualifiers
Presence of surgical indication due to acute disc herniation or advanced lumbar disc pathology
History of spinal surgery or spinal trauma
Low back pain associated with other pathologies (e.g., rheumatic diseases, multiple sclerosis, malignancy)
Instability conditions such as spondylolysis and spondylolisthesis
Trial design
Treatments tested in this trial
- Sciatic neural mobilization
- Sham sciatic neural mobilization
Treatment groups
52 Participants
are divided into 2 treatment groupsLocations
Sponsors and collaborators
Source ClinicalTrials.gov