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NCT Number: NCT07080047

Mckenzie Technique vs Conventional Therapy in Correcting Lateral Shift in Chronic Lumber Radiculapthy Patient

Radiculopathy or nerve root pain arises from disc herniation, spinal stenosis/post-operative scarring, radiating down the leg in a dermatomal pattern. Lumbosacral radiculopathy is defined as a "disarticulation of disc components nucleus pulpous or annulus fibrosis beyond the intervertebral disc space. Low back pain (LBP) is one of the most widely recognized conditions that debilitate people's functional capacity in activities of daily living and at work, as well as their general wellbeing and quality of life.

Pain between the buttock and lower edge of the ribs is referred to as low back pain, and it can be classified as acute, sub-acute, or chronic depending on how long it lasts. Acute pain lasts less than four weeks, sub-acute pain lasts more than four but less than twelve weeks and if pain lasts for more than 12 weeks it is chronic LBP. The prevalence of chronic low back pain is steadily rising in today's aging population. Around 80% of the population experience spinal pain sooner or later in life.. The intervertebral disc absorbs physical shock to the backbone; it is composed of two dissimilar tissue layers, an inner layer called the nucleus pulposus and an external layer called the annulus fibrosis. Muscle spasm refers to sustained contraction of a muscle and the increase in chronic tension contributes to pain.

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Key information

Conditions

Lumbar Radiculopathy Nervous System Diseases Neurologic Manifestations Neuromuscular Diseases Pain Pathological Conditions, Signs and Symptoms Peripheral Nervous System Diseases Radiculopathy Signs and Symptoms

Age range

30 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Riphah international University Malakand Campus

Chakdara, KPK, 18800, Pakistan

About this study

This study is necessary because chronic lumbar radiculopathy often leads to a contralateral lateral shift, causing pain and functional limitations. Traditional physical therapy (TPT) provides general rehabilitation but may not specifically correct this shift. The McKenzie technique (MDT) focuses on self-correction, centralization of symptoms, and postural realignment, making it a potentially superior treatment. However, limited research directly compares McKenzie therapy with TPT for lateral shift correction. This study aims to fill this gap, guiding clinicians toward the most effective rehabilitation approach, improving patient outcomes, and optimizing treatment protocols.• To evaluate the effectiveness of Mackenzie technique versus traditional physical therapy in correcting the lateral shift in patients with chronic lumber radiculopathy.

  • To evaluate the effectiveness of Mackenzie technique versus traditional physical therapy in reducing pain in patient with the lateral shift of chronic lumber radiculopathy.
  • To determine the effectiveness of Mackenzie technique versus traditional physical therapy in improving range of motion in patients with the lateral shift chronic lumber radiculopathy.
  • To determine the effectiveness of Mackenzie technique versus traditional physical therapy in improving functional ability in patients with the lateral shift chronic lumber radiculopathy.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 30 to 60 years
  • Both male and female are included
  • Chronic Radiculapathy patients with symptoms lasting from more than 3 months.
  • Chronic Radiculapathy patients with contralateral lumber lateral shift.

Exclusion criteria

  • Fracture, Trauma
  • Inflammatory disorder
  • Acute disc bulge
  • Lumbar instability
  • Scoliosis
  • Patient with RA and other systemic diseases

Treatment and study plan

Mackenzie exercise for lateral shift

Other

Participants in the McKenzie group will perform standing side glide exercises, where they stand perpendicular to a wall (painful side away), press their hips toward the wall, and hold for 2-3 seconds, repeated 30 times

Traditional Physical therapy

Other

Participants in the traditional therapy group will receive posteroanterior lumbar mobilizations (30 repetitions × 3), 10-minute hot pack application, myofascial release of paraspinal muscles, and core stability exercises (plank and bridging).

Primary outcomes

  1. NPRS

    Time frame: four weeks

    The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.

  2. Modified Oswestry Disability Index (MODI)

    Time frame: Four weeks

    a validated questionnaire that assesses the degree of disability and functional limitation related to low back pain across daily activities.

  3. Inclinometer

    Time frame: Four weeks

    Lumbar range of motion will be assessed using an inclinometer, a reliable tool that measures spinal movement angles during flexion, extension, and lateral bending.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Jul 23, 2025
Registry last updated
Feb 19, 2026

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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