Lumbar RadiculopathyNCT07080047
Mckenzie Technique vs Conventional Therapy in Correcting Lateral Shift in Chronic Lumber Radiculapthy Patient
A study testing Mackenzie exercise for lateral shift and Traditional physical therapy in people with Lumbar Radiculopathy, run by Riphah International University at 1 site in Pakistan.
Trial 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. Read more about this study
- Who is it for?
- Ages 30 to 60 years
- Conditions the study is for
- Lumbar Radiculopathy
- What is being tested?
- Mackenzie exercise for lateral shift and Traditional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Aug 2025to 16 Jan 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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.
Who cannot join
- Fracture, Trauma
- Inflammatory disorder
- Acute disc bulge
- Lumbar instability
- Scoliosis
- Patient with RA and other systemic diseases
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Riphah international University Malakand Campus
Chakdara, KPK, 18800
About this study
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.
Read the 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
- Being tested
- Mackenzie exercise for lateral shift, Traditional physical therapy
- Keywords
- lumber radiculopathy, radiating pain
- Medical subject headings
- Radiculopathy, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mackenzie exercise for lateral shiftOther
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 therapyOther
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).
| Study group | Role | What they receive |
|---|---|---|
| Mackenzie exercise for lateral shift | Experimental | 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. Receives: Other: Mackenzie exercise for lateral shift |
| Traditional physical therapy | Experimental | 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. Receives: Other: Traditional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
NPRS
The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.
Measured: four weeks
Modified Oswestry Disability Index (MODI)
a validated questionnaire that assesses the degree of disability and functional limitation related to low back pain across daily activities.
Measured: Four weeks
Inclinometer
Lumbar range of motion will be assessed using an inclinometer, a reliable tool that measures spinal movement angles during flexion, extension, and lateral bending.
Measured: Four weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jul 2025
- Study start15 Aug 2025
- Primary completion30 Dec 2025
- Study completion16 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lumbar RadiculopathyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Zavata Afnan, MS NMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07080047
- Sponsor's protocol ID
- REC-01015 Awais Ahmed
- Status last verified
- Feb 2026
- First submitted
- 14 Jul 2025
- Last updated
- 19 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mckenzie Technique vs Conventional Therapy in Correcting Lateral Shift in Chronic Lumber Radiculapthy Patient
- ClinicalTrials.gov ID
- NCT07080047
- Acronym / sponsor ID
- REC-01015 Awais Ahmed
- Conditions
- Lumbar Radiculopathy
- Keywords
- lumber radiculopathy, radiating pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 15 Aug 2025 (actual)
- Primary completion
- 30 Dec 2025 (actual)
- Study completion
- 16 Jan 2026 (actual)
- First posted
- 23 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mackenzie exercise for lateral shift | Experimental | Other: Mackenzie exercise for lateral shiftParticipants 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. |
| Traditional physical therapy | Experimental | Other: Traditional physical therapyParticipants 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. |
Who may qualify
- Ages
- 30 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (6 listed)
- Fracture, Trauma
- Inflammatory disorder
- Acute disc bulge
- Lumbar instability
- Scoliosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mackenzie exercise for lateral shiftParticipants 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 | Other | Mackenzie exercise for lateral shift |
| Traditional physical therapyParticipants 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). | Other | Traditional physical therapy |
Primary outcome
NPRS
Time frame: four weeks
The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.
Modified Oswestry Disability Index (MODI)
Time frame: Four weeks
a validated questionnaire that assesses the degree of disability and functional limitation related to low back pain across daily activities.
Inclinometer
Time frame: Four weeks
Lumbar range of motion will be assessed using an inclinometer, a reliable tool that measures spinal movement angles during flexion, extension, and lateral bending.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Feb 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zavata Afnan, MS NMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mackenzie exercise for lateral shift and Traditional physical therapy in people with Lumbar Radiculopathy, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NPRS (time frame: four weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Feb 2026.