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Efficacy of Combining Mulligan Spinal Mobilization With Leg Movement and Mechanical Lumbar Traction in Lumbar Radiculopathy

RecruitingNAAges 20 Years - 50 YearsAllKhyber Medical University Peshawar
NCT07573124 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Lumbar radiculopathy (LR), often caused by disc herniation, results in significant pain, disability, and reduced quality of life. Spinal Mobilization with Leg Movement (SMWLM) is a manual technique that has shown promise, while mechanical lumbar traction is used to reduce nerve compression, though its standalone effectiveness is debated. This randomized controlled trial aims to compare the combined effect of SMWLM plus mechanical lumbar traction against SMWLM alone, both administered with conventional physiotherapy. Outcomes will be assessed over 4 weeks to determine if the combined intervention offers superior pain relief, functional improvement, and range of motion in patients with unilateral L4-L5 or L5-S1 radiculopathy.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 20-50 years * Male and female participants * Unilateral radiculopathy due to L4-L5 or L5-S1 disc bulge, confirmed by clinical examination and MRI * Symptom duration of 4 weeks to 6 months * Positive Straight Leg Raise (SLR) test on the affected leg (\<70° of hip flexion) * Pain intensity \<7 on the Numeric Pain Rating Scale (NPRS; mild to moderate pain) Exclusion Criteria: * Cognitive impairment, dementia, central cord signs * Inflammatory or degenerative spine conditions * Spine surgery within the last 6 months * Pregnant women in the later half of 2nd trimester or 3rd trimester * Muscular involvement (e.g., Deep Gluteal syndrome, Piriformis syndrome) * Currently receiving medications or other contemporaneous treatment
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What it tests

  • Spinal Mobilization with Leg Movement (SMWLM)
  • Mechanical Lumbar Traction
  • Conventional Physical Therapy
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Where

1 site
DMC Physiotherapy Clinic
Islamabad, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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