Comparative Effects of Neural Mobilization and Muscle Energy Technique in Sciatic Patients

Study Overview
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Brief Summary
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In this study, investigator will see the effects of neural mobilization in comparison to the muscle energy technique in the patients suffering from sciatica. Impact of the these two interventional techniques , there out come measures i.e pain, range of motion and functional disability.

Detailed Description
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This study is aimed in comparison among two interventional techniques i.e neural mobilization and muscle energy technique patients with sciatica. This study will be a randomized controlled trial with double blinded protocol, patients will be randomly allocated in to the two groups. one is the neural mobilization technique group and other is the muscle energy technique group. both of the groups have the conventional physical therapy in addition to these two interventions. data will be collect from the patients.30 minutes session twice a week will be given to the patients in each group. assessment will be done by using visual analog scale, Goniometer, Modified Oswestry Disability Index. Data will be entered and analyzed by using SPSS.

Official Title
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Comparative Effects of Neural Mobilization and Muscle Energy Technique on Pain, Range of Motion and Functional Disability in Patients With Sciatica:A Randomized Controlled Trial

Conditions
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Acute Sciatica, Pain

Intervention / Treatment
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* Other: Neural mobilization
* Other: Muscle energy technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Both genders Between the ages group of 35-60 years Patients with diagnosis of Sciatica. Straight Leg Raise< 45°. Having symptoms from past one month. Exclusion Criteria: Inflammatory or other specific disorders of the spine such as ankylosing spondylitis, vertebral collapse, rheumatoid arthritis, stenosis, spondylolysthesis and osteoporosis. History of any previous spinal surgical intervention Symptomatic bilateral radiculopathy Presence of any of red flags related to spinal column History of involvement in any exercise program for lower extremity in recent time

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Neural mobilization<br>Patient in this study group will get 30 minutes session, twice weekly for 6 weeks. Neural mobilization technique will be applied to the subjects in addition to conventional treatment. | Other: Neural mobilization<br>* Mobilization of the structures within and around the nervous system is broadly known as Neural Mobilization.<br>* Other names: Rehabilitation following Neural Mobilization;|
| Experimental: Muscle energy technique<br>Patient in this study group will get 30 minutes session, twice weekly for 6 weeks. Muscle energy technique will be applied to the subjects in addition to conventional treatment. | Other: Muscle energy technique<br>* Manual therapy technique initially developed and used by the osteopaths is known as Muscle energy techniques(MET).This technique is effective for the pain reduction, lengthening of the shortened muscle and fascia, improvement in blood circulation and promoting lymph drainage.<br>* Other names: Rehabilitation following muscle energy technique;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale | For the assessment of pain, Visual Analogue Scale will be used. it is 0 to 10 cm where 0 means no pain 10 means sever pain | 6 weeks | 
| Goniometry | For the documentation of range of motion, straight leg raise test (SLR) will be used. For this purpose goniometer will use. | 6 weeks | 
| Modified Oswestry Disability Index | For the assessment of functional disability Modified Oswestry Disability Index will be used. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neural mobilization, Muscle energy technique, Sciatica