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NCT Number: NCT07050966

Comparative Effects of Maitland's Rotation Mobilization and Mulligan's Spinal Mobilization With Leg Movement on Lumbar Radiculopathy

This study is a randomized control trial and the purpose of this study is to investigate and compare the effects of Maitland's rotation mobilization and Mulligan's spinal mobilization with leg movement (SMWLM) on lumbar radiculopathy patients.

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Key information

Conditions

Lumbar Radiculopathy Nervous System Diseases Neuromuscular Diseases Peripheral Nervous System Diseases Radiculopathy

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

Location status: Recruiting

Location contact

Muhammad Furqan Yaqoob, MS-OMPT

CONTACT

[email protected]

+92311-3331717

About this study

This study aims to combine the two separately established treatments techniques of mobilizations on patients with lumbar radiculopathy to find out which of the two has long lasting effects on:

  • Pain
  • Range of motion
  • Functional mobility

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age: 18-65 years
  • Both Males and Females
  • Participants with a diagnosis of chronic (≥3 months) lumbar unilateral radiculopathy referred from Fauji Foundation Hospital, Rawalpindi
  • NPRS score of > 5 and < 8

Exclusion criteria

  • Diagnosis of other back conditions (e.g. failed back surgery syndrome, spondylosis, spondylolisthesis, and spinal stenosis, non-specific low back pain, and fracture)
  • Non ambulant/wheelchair-bound or having cauda equina syndrome
  • Patient taking anticoagulants
  • Pregnant Females

Treatment and study plan

Group A (Active Comparator) 1. Mulligan's Spinal Mobilization with Leg Movement (SMWLM) 2.Lower Limb Neurodynamic Mobilization

Procedure

This group will receive Mulligan's Spinal Mobilization at the Lumbar Spine Region (L4-L5 level) along with Lower extremity movement (3 repetitions, 3 sets) followed by Neurodynamic Mobilization which will include slump technique (3 repetitions, 1 set). This protocol is given to the patient for a total of 6 sessions (1 session per day).

Group B (Experimental) 1. Maitland's Lumbar Rotation Mobilization 2.Lower Limb Neurodynamic Mobilization

Procedure

This group will receive Maitland's Lumbar Rotation Mobilization at the Lumbar Spine Region (L4-L5 level) along with Lower extremity movement (3 repetitions, 3 sets) followed by Neurodynamic Mobilization which will include slump technique (3 repetitions, 1 set).This protocol is given to the patient for a total of 6 sessions (1 session per day).

Primary outcomes

  1. Lumbar Radiculopathy Pain

    Time frame: This protocol is given to the patient for a total of 6 sessions. NPRS is taken at the 1st, 3rd and 6th sessions respectively during the course of the treatment protocol.

    It will be measured using Numeric Pain Rating Scale (NPRS). Subjects select a number ranging from 0-10 according to their intensity of pain where '0' indicates no pain while '10' indicates worst pain experienced.

  2. Range of Motion

    Time frame: This protocol is given to the patient for a total of 6 sessions. SLR Range is taken at the 1st, 3rd and 6th sessions respectively during the course of the treatment protocol.

    Universal goniometer is used to measure Straight Leg Raise Range (SLR) of the patient. Patient is positioned in supine with the knee straight. Axis of goniometer is aligned with the greater trochanter of the femur; stationary arm is kept parallel to the femur and moving arm is aligned with long axis of femur. Patient is then asked to flex the hip joint, keeping the knee straight, to the maximum range without pain, subsequently aligning moving arm of the goniometer. Angle of flexion is then recorded from the goniometer and documented.

  3. Functional Status

    Time frame: This protocol is given to the patient for a total of 6 sessions. ODI Score is taken at the 1st, 3rd and 6th sessions respectively during the course of the treatment protocol.

    It is measured using Oswestry Disability Index Questionnaire (ODI-Q). The ODI-Q is a questionnaire used to assess an individual's ability to perform daily activities and functional tasks. It comprises of total 10 questions and patients rate their ability to perform each activity on a scale from 0 (unable to perform) to 5 (able to perform without difficulty). Each question has a maximum score of 5. The total maximum score is 50 which can change according to the number of total questions applicable to the respective patient. The obtained score is divided by the total score and multiplied by 100, giving a percentage as a result. Higher scores indicate better functional ability.

Study contacts

Contact information is provided by the study sponsor or research team.

Maryam Razzaq, DPT

CONTACT

[email protected]

+923095278823

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 3, 2025
Registry last updated
Jul 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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