Clinical trial NCT05959317: Effects of Pilates Exercises and Neural Dynamic Mobilization in Sciatica Patients
Official title: Effect of 6-weeks Pilates Exercise Versus Neural Dynamic Mobilization on Pain, Flexibility and Quantity of Life in Patients With Sciatica.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sciatica
Keywords: Neurodynamic Mobilization
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-07-25
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The main purpose of the study is to find the effects of Pilates exercises and neural mobilization techniques on pain, flexibility and quality of life in sciatica patients. It will be a randomized controlled trial in which participants selected through non probability convenience sampling, to evaluate the effect of 6-week Pilates exercises versus neural dynamic mobilization techniques on pain, flexibility and quality of life in sciatica patients. Patients aged range from 18 to 65 years. The data will be collected from Service Hospital Lahore. Patients will have diagnosed with sciatica low back pain radiating down hip to knee, numbness, paresthesia and with positive SLR will include in this study whereas patients with considerable musculoskeletal deformity, previous hip, knee and ankle surgery and foot ulceration will be excluded from study .The participants will be randomly allocated to one of the two groups. Group A will perform Pilates mats exercises 30 minutes, two times a week and the Group B will perform neural dynamic mobilization for 15 minutes, two times a week, for 6-weeks respectively. Pain will be assessed by using BPFS, flexibility with Canadian sit to reach test and QOL with SF-36 questionnaire. SPSS software will be used for data entry and analysis.


Eligibility criteria: Inclusion Criteria:

* o Participants age ranged from 18 to 65 years old

  * Both genders.
  * History of nonspecific low back
  * lower extremity symptoms such as tingling, dull aches or burning sensation.

Exclusion Criteria:

* o Significant musculoskeletal deformity such as fracture, amputation.

  * Prior history of knee or back surgery
  * Lower extremity arthritis that limits standing and any inflammatory disease
  * History of cardiovascular issues such as angina, MI
  * Symptomatic postural hypotension
  * Foot ulceration.
  * Skin problems such as rashes etc.

Primary outcomes:
measure: Back pain functional questionnaire to access pain
timeFrame: Changes from baseline Back Pain Function Scale (BPFS) at 1.5 months
measure: Sit and reach test for flexibility
timeFrame: Changes from baseline Sit and reach test at 1.5 months
measure: SF-36 questionnaire to access quality of life
timeFrame: Changes from baseline Short Form 36 Health Survey Questionnaire (SF-36) at 1.5 months
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Service Hospital Lahore
state: Punjab
city: Lahore
country: Pakistan
facility: Service Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Maria Iqbal, DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Vartak HS, Rajapurkar R, Palekar T, Saini S, Khisty A. A comparative study between neural mobilisation techniques versus nerve flossing technique in patients with acute sciatica. International Journal of Basic and Applied Research. 2019;9(3):909-22.