Clinical trial NCT06827574: Comparative Effects of Sciatic Nerve Flossing and Active Release Technique in Cyclists With Sciatica
Official title: Comparative Effects of Sciatic Nerve Flossing and Active Release Technique on Pain, Flexibility and Functionality in Lower Limbs Among Cyclists With Sciatica
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Cyclists
Sciatica
Keywords: Active release technique
cyclists
functional performance
pain management
sciatica
sciatic nerve flossing technique
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-02-14
Enrollment: 32
Sex: MALE
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Thus the aim of my study is to determine the comparative effects of sciatic nerve flossing and active release technique on pain, flexibility, and functionality in lower limbs of cyclists with sciatica.

Detailed description: This study investigates the comparative effects of Sciatic Nerve Flossing and Active Release Technique on pain, flexibility, and functionality in cyclists with sciatica. To compare the efficacy of Sciatic Nerve Flossing and Active Release Technique in reducing pain and improving functional performance in cyclists diagnosed with sciatica over a six-week period. A randomized clinical trial was conducted with 32 participants, aged 18 to 35, diagnosed with sciatica persisting for more than six weeks. Participants were randomly assigned to two groups: Group A received Sciatic Nerve Flossing, while Group B underwent Active Release Technique. Pain levels were measured using the Numeric Pain Rating Scale (NPRS), functional performance was assessed using the Lower Extremity Functional Score (LEFS), and flexibility was evaluated via the Sit and Reach Test.

Eligibility criteria: Inclusion Criteria

* Age between 18 to 30 years (16)
* Only male participants were included (15)
* Participates with Positive Passive Straight Leg Raise (PSLR) Test (13)
* Athletes with positive slump test (15)
* Symptoms more than 6 weeks (16)

Exclusion Criteria:

* Lower limb fracture(13)
* Musculoskeletal problems (radiculopathy, myopathy) (13, 14)
* Sciatica along with vascular disorders and diabetic neuropathy, sciatica due to tumor and fractures (15)
* Inflammatory arthritis (16)
* Previous surgical interventions on the lower limbs or spine (15)
* Neurological conditions affecting lower limb function (e.g., multiple sclerosis, spinal cord injuries) (13, 14)
* Patients currently undergoing physical therapy or other interventions for sciatica (15)
* Individuals with contraindications to physical activity or exercise due to health conditions (13, 14)

Primary outcomes:
measure: NPRS
timeFrame: 6 Weeks
measure: Sit and Reach Test
timeFrame: 6 weeks
measure: Lower Extremity Funtional Score
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: University of Lahore
state: Punjab
Study officials:
affiliation: Riphah International University
name: Farwa Imtiaz Ahmad, DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chiaramonte R, Pavone P, Vecchio M. Diagnosis, Rehabilitation and Preventive Strategies for Pudendal Neuropathy in Cyclists, A Systematic Review. J Funct Morphol Kinesiol. 2021 May 10;6(2):42. doi: 10.3390/jfmk6020042.
citation: Battista S, Sansone LG, Testa M. Prevalence, Characteristics, Association Factors of and Management Strategies for Low Back Pain Among Italian Amateur Cyclists: an Observational Cross-Sectional Study. Sports Med Open. 2021 Oct 28;7(1):78. doi: 10.1186/s40798-021-00370-2.
citation: Zhang YH, Hu HY, Xiong YC, Peng C, Hu L, Kong YZ, Wang YL, Guo JB, Bi S, Li TS, Ao LJ, Wang CH, Bai YL, Fang L, Ma C, Liao LR, Liu H, Zhu Y, Zhang ZJ, Liu CL, Fang GE, Wang XQ. Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus. Front Med (Lausanne). 2021 Nov 24;8:756940. doi: 10.3389/fmed.2021.756940. eCollection 2021.
citation: Chang TT, Li Z, Zhu YC, Wang XQ, Zhang ZJ. Effects of Self-Myofascial Release Using a Foam Roller on the Stiffness of the Gastrocnemius-Achilles Tendon Complex and Ankle Dorsiflexion Range of Motion. Front Physiol. 2021 Sep 17;12:718827. doi: 10.3389/fphys.2021.718827. eCollection 2021.
citation: Mehta SP, Fulton A, Quach C, Thistle M, Toledo C, Evans NA. Measurement Properties of the Lower Extremity Functional Scale: A Systematic Review. J Orthop Sports Phys Ther. 2016 Mar;46(3):200-16. doi: 10.2519/jospt.2016.6165. Epub 2016 Jan 26.
citation: Dingemans SA, Kleipool SC, Mulders MAM, Winkelhagen J, Schep NWL, Goslings JC, Schepers T. Normative data for the lower extremity functional scale (LEFS). Acta Orthop. 2017 Aug;88(4):422-426. doi: 10.1080/17453674.2017.1309886. Epub 2017 Mar 28.
citation: Michener LA, Snyder AR, Leggin BG. Responsiveness of the numeric pain rating scale in patients with shoulder pain and the effect of surgical status. J Sport Rehabil. 2011 Feb;20(1):115-28. doi: 10.1123/jsr.20.1.115.
citation: Danazumi MS, Nuhu JM, Ibrahim SU, Falke MA, Rufai SA, Abdu UG, Adamu IA, Usman MH, Daniel Frederic A, Yakasai AM. Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial. J Man Manip Ther. 2023 Dec;31(6):408-420. doi: 10.1080/10669817.2023.2192975. Epub 2023 Mar 22.
citation: Ashbrook J, Rogdakis N, Callaghan MJ, Yeowell G, Goodwin PC. The therapeutic management of back pain with and without sciatica in the emergency department: a systematic review. Physiotherapy. 2020 Dec;109:13-32. doi: 10.1016/j.physio.2020.07.005. Epub 2020 Jul 23.
citation: Albert HB, Manniche C. The efficacy of systematic active conservative treatment for patients with severe sciatica: a single-blind, randomized, clinical, controlled trial. Spine (Phila Pa 1976). 2012 Apr 1;37(7):531-42. doi: 10.1097/BRS.0b013e31821ace7f.