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Comparative Effects of Kinetic Control Training and Neural Mobilization in Lumbar Radiculopathy
Sponsor: University of Management and Technology Lahore
Summary
Radiculopathy is a neuromusculoskeletal disorder characterized by compression or irritation of a spinal nerve root, resulting in pain, reduced range of motion, sensory disturbances, muscle weakness, and functional disability. It commonly affects the cervical and lumbar regions and can significantly impair daily activities and quality of life. Various physiotherapy interventions have been used to manage radiculopathy, including exercise therapy, manual therapy, neural mobilization, and motor control training. However, the most effective intervention for improving pain, mobility, and functional outcomes remains unclear, highlighting the need for further research. Kinetic Control (KC) Training focus on identifying and correcting faulty movement patterns through motor control retraining and postural correction, thereby reducing mechanical stress on the affected structures. Neural Mobilization (NM) aims to restore the normal mobility and physiological function of neural tissues, decrease neural mechanosensitivity, and improve nerve movement within surrounding tissues. The objective of this study is to compare the effects of Kinetic Control techniques and Neural Mobilization on pain, range of motion, and disability among patients with radiculopathy. The study will be conducted as a randomized clinical trial. Participants will be recruited using non-probability convenience sampling and will be randomly allocated into two groups. Group A will receive Kinetic Control s, while Group B will receive Neural Mobilization. Both groups will receive conventional physiotherapy treatment, including hot pack, TENS application for 20 minutes before intervention. The treatment protocol will consist of 12 sessions over a period of 4 weeks. Outcome measures will be assessed at baseline, the 2nd week, and the 4th week. Pain intensity will be measured using the Numeric pain rating scale (NPRS), range of motion will be assessed using Bubble Inclinometer, and disability will be evaluated using the Revised Oswestry Disability Index (RODI) for lumbar radiculopathy. Data will be analyzed using SPSS version 24. The findings of this study may provide evidence regarding the comparative effectiveness of Kinetic Control training and Neural Mobilization technique in improving clinical outcomes among patients with radiculopathy.
Official title: Comparative Effects of Kinetic Control Training and Neural Mobilization on Pain, Range of Motion and Disability Among Patients With Lumbar Radiculopathy.
Key Details
Gender
All
Age Range
25 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
34
Start Date
2026-10-23
Completion Date
2026-12-31
Last Updated
2026-11-03
Healthy Volunteers
No
Conditions
Interventions
kinetic control training with conventional physical therapy
For flexion control retraining, the patient is positioned in kneeling position with feet outside the bed. Then, he/she is asked to perform knees flexion over 90º with no flexion of the lumbar spine. Exercise is done for two consecutive minutes. The performed exercises in the session will be repeated as a home program, twice daily
Neural mobilization technique
The therapist applied hip flexion with simultaneous dorsiflexion and planter flexion of the patient's foot. The sciatic neural glide is performed from 15º to 90º of hip flexion, 20-30 repetitions for 1-2 sets.
Locations (1)
University of Management & Technology
Lahore, Punjab Province, Pakistan