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

NCT ID: NCT07080047

Last Updated: 2025-11-18

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-08-15
• Study Completion Date: 2026-02-28

Brief Summary

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.

Detailed Description

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.

Conditions

Lumbar Radiculopathy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Mackenzie exercise for lateral shift

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. This is followed by five spinal extension repetitions. Sessions will be conducted three times per week for four weeks.

Group Type: EXPERIMENTAL

Mackenzie exercise for lateral shift

Intervention Type: 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

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). Sessions will be conducted three times per week for four weeks.

Group Type: EXPERIMENTAL

Traditional physical therapy

Intervention Type: 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).

Interventions

Mackenzie exercise for lateral shift

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

Intervention Type: OTHER

Traditional physical therapy

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).

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Zavata Afnan, MS NMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah international University Malakand Campus

Chakdara, KPK, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Zavata Afnan, MS NMPT

Role: CONTACT

zavata.afnan@riphah.edu.pk

03434411214

Facility Contacts

Zavata Afnan, MS NMPT

Role: primary

Zavata.afnan@riphah.edu.pk

03434411214

Other Identifiers

REC-01015 Awais Ahmed

Identifier Type: -

Identifier Source: org_study_id