Comparing Somatosensory Motor Control Training With and Without Myofascial Release to Reduce Pain and Improve Function in Adults Aged 25 to 50 With Sciatica
Led by Riphah International University · Updated on 2024-11-20
74
Participants Needed
1
Research Sites
13 weeks
Total Duration
AI-Summary
What this Trial Is About
Sciatica causes pain that radiates along the sciatic nerve from the lower back down through the hips, buttocks, and legs, often due to a herniated disk or spinal stenosis. This pain results from nerve compression leading to inflammation and numbness. Researchers are evaluating how somatosensory motor control training, both with and without myofascial release techniques, affects pain, lumbar range of motion, and disability in people with sciatica.
Participants will be randomly assigned to one of two groups. Group A will receive somatosensory motor control training combined with routine physical therapy, while Group B will receive somatosensory training plus myofascial release therapy. Both groups will have 45-minute treatment sessions, three times per week, over 12 weeks. The myofascial release involves manual therapy applying gentle pressure to release tension in muscles and fascia.
During the study, participants will undergo assessments including the Visual Analog Scale for pain on the first day, the Oswestry Disability Index for functional disability at four weeks, and the Modified Schober Test for lumbar range of motion also at four weeks. The study includes double-blind randomization, and participants will be monitored regularly for changes in symptoms and function throughout the 12-week treatment period. The total age range for participants is 25 to 50 years old.
CONDITIONS
Brief Title
Effects of SSMC With and Without Myofascial Release in Patients With Sciatica
Research Team
I
Imran amjad, Phd
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Patient diagnosed with sciatica confirmed by clinical examination and imaging
Unilateral sciatica pain
Symptoms lasting at least 3 months
Pain score of 5 or more on the Visual Analog Scale in the lumbar or lower extremity region
Disability score of at least 20% on the Oswestry Disability Index
Stable condition with no recent treatment changes for sciatica within the past 4 weeks
You will not qualify if you...
Lumbar spine surgery within the past 6 months
Participation in another clinical trial within the past 3 months
Contraindications for physical therapy such as severe cardiovascular disease or uncontrolled hypertension
Acute disc herniation requiring urgent surgery
Significant comorbidities including malignancy, spinal infection, or severe osteoporosis affecting spine stability
Inability to communicate effectively in Urdu or English
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 4 weeks
Participants undergo somatosensory motor control exercises with or without myofascial release to reduce pain, improve lumbar range of motion, and decrease functional disability.
Weekly visits for up to 4 weeks
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study.
The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change.
Changes in the Organization of the Secondary Somatosensory Cortex While Processing Lumbar Proprioception and the Relationship With Sensorimotor Control in Low Back Pain.
Roland-Morris Disability Questionnaire, Oswestry Disability Index, and Quebec Back Pain Disability Scale: Which Has Superior Measurement Properties in Older Adults With Low Back Pain?
Alan Jenks, Trynke Hoekstra, Maurits van Tulder...