Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-sarcal Radiculopathy
Condition: Lumbosacral Radiculopathy
MeSH terms: Radiculopathy
Study type: Interventional

Summary: 
      Lumbosacral radiculopathy (LR) is among most common disorder caused due to irritation or
      compression of nerve pathway leading to symptoms of pain, numbness and tingling sensations
      along the nerve root. Lumbosacral radiculopathy consists at any lumbar region including
      L1-S1. Occurrence rate of Lumbosacral radiculopathy is 3-5% distributed equally in men and
      women affecting more men than women. It commonly occurs in late 40s in men and late 50s-60s
      in females. Men are more prone to develop lumbosacral radiculopathy due to mechanical
      disturbance during routine work.
    

Detailed description: 
      -  William flexion exercises: Exercises for strengthening of gluteal and abdominal muscles
           which help to reduce pressure on the nerve root by promoting flexion at lumber spine
           such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg
           raise (SLR).

        -  Mckenzie extension exercises: The exercises used to create space between under lying
           structures of lumber spine which help centralization of pain and can be performed in
           prone lying such as prone press ups, prone on elbow, and head lift in prone

      A randomized controlled trial.

      Group 1 Group 2 55 patients 55 patients

      Standard treatment:

      TENS (4-pole) + Hot pack for 15 minutes Standard treatment:

      TENS (4-pole) + Hot pack for 15 minutes

      New Intervention:

      Mckenzie Extension

        -  Prone press-ups

        -  Head life in prone

        -  Prone on elbow

        -  Prone on hands

        -  Prone on pillow New Intervention:

      William Flexion

        -  Single knee to chest

        -  Double knee to chest

        -  Straight Leg Raise

        -  Bridging

        -  Pelvic tilt

      Each exercise will be repeated 5 minutes with 10 seconds hold and 5 sec rest. The duration of
      intervention will be four weeks, 3 sessions a week on alternate days and total of 12 sessions
      will be given. Data will be collected in three phases Pre-Treatment at end of second week and
      at the completion of treatment time i.e end of 4th week.
    

Intervention name(s): Mckenzie Extension Exercises; William Flexion Exercises
Intervention type(s): Other; Other
Intervention description(s): The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone.; Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A Randomized Control Trail with 2 Equal groups
Masking: Single (Participant)
Primary purpose: Treatment