NCT07458399

Effect of Sciatic Nerve Neurodynamic Sliding on Pain, Disability, and Balance in Patients With Lumbar Radiculopathy

Effect of Sciatic Nerve Neurodynamic Sliding Technique on Pain, Disability, and Balance in Patients With Lumbar Radiculopathy

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 28 (estimated)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 25 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

This study will be conducted to evaluate the effect of sciatic nerve slider mobilization on pain intensity. Also, to evaluate the impact of sciatic nerve mobilization on functional disability, and to determine the influence of sciatic nerve slider neurodynamics on functional balance performance.

Detailed description

Radicular pain in lumbar radiculopathy is a mixture of nociceptive and neuropathic component. Several conservative treatments are available to treat lumbar radiculopathy: moderate evidence (Level B) of effectiveness for the conservative treatment: patient education and self-management, McKenzie method, mobilization and manipulation, exercise therapy, traction (short-term outcomes), neural mobilization, and epidural injections. Two interventions were identified to have weak evidence of effectiveness (Level C): traction for long-term outcomes and dry needling. Three interventions were identified to have conflicting or no evidence (Level D) of effectiveness: electro-diagnostic-based management, laser and ultrasound, and electrotherapy. The efficacy of individual treatment is controversial; a multimodal approach is recommended because it is more effective. However, little high-quality evidence supports the use of conservative treatment. As well as being amongst the manual therapy techniques recommended to improve patients' pain and disability, neural mobilization (NM) has also been advocated as an analgesic treatment option. NMs are techniques that involve a specific sequence of joint movements to mobilize the involved peripheral nerve in order to enhance nerve gliding and reduce the neural mechanosensitivity. This study will provide further insight into the efficacy of sciatic nerve neurodynamic Slider technique in reducing pain, improving functional outcomes, and balance, offering a cost-effective management strategy for affected individuals.

Conditions

• Lumbar Radiculopathy

Interventions

Type	Name	Description
OTHER	Selected conventional physical therapy program	The program will include: 1- Transcutaneous electrical nerve stimulation (TENS) will be applied at Lumbosacral area, with pulse frequency of 100 Hz for 15 minutes. 2\) Manual therapy intervention: Myofascial release will be performed on low back muscles and gluteus, piriformis, hamstring, and calf of the affected lower extremity applied for 20 minutes. Following side posture positional distraction, the wedge pillow will be removed and the patient is maintained in the same position. The physical therapist performed passive spinal rotation mobilization. Finally, high-velocity low-amplitude (HVLA) manipulation will be applied from the same position. 3\) Core stability exercises: They are consisted of of side plank on knee or ankle on both sides, and clamshell exercise. The clamshell exercise consists of three sets of ten repetitions. Side plank will be performed three times in a static manner for 10-20 seconds or up to patient failure.
OTHER	Sciatic nerve slider mobilization	Mobilization will be applied from supine position, alternating hip flexion with knee extension and dorsiflexion, and knee flexion with plantar flexion, performed three times for 1 minute straight leg raising technique rhythmically

Timeline

• Start date: 2026-03-10
• Primary completion: 2026-09-15
• Completion: 2026-09-30
• First posted: 2026-03-09
• Last updated: 2026-03-09

Locations

1 site across 1 country: Egypt