Lumbar RadiculopathyNCT07628426
Effects of Myokinetic Stretching Technique With And Without Neural Flossing Technique In Lumbar Radiculopathy
A study testing Myokinetic stretching and nyokinetic stretching with neural flossing technique in people with Lumbar Radiculopathy, run by Riphah International University at 1 site in Pakistan.
Trial summary
This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. Read more about this study
- Who is it for?
- Ages 30 to 50 years
- Conditions the study is for
- Lumbar Radiculopathy
- What is being tested?
- Myokinetic stretching and nyokinetic stretching with neural flossing technique
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 sitePakistan
- Study dates
- 6 Jul 2025to 6 Sep 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Clinically pre diagnosed lumbar radiculopathy
- Radiating low back pain persisting for >3 weeks
- Positive Straight Leg Raise Test (SLR) or Slump Test
- LDI or Oswestry Disability Index <50% Exclusion Criteria:• Recent spinal surgery or acute spinal trauma
- Pregnancy , Inflammatory or autoimmune spinal diseases
- Severe neurological deficits
- Inability to participate in active exercises or follow instructions
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Myokinetic Stretching Technique With And Without Neural Flossing Technique On Pain, Flexibility, And Mobility In Patients With Lumbar Radiculopathy
This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups
Read the detailed description
This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups. Both groups will receive treatment thrice weekly for six weeks. Outcome measures include pain intensity (NPRS), functional disability (ODI), flexibility (Sit and Reach Test, Modified Schober Test), and trunk strength (Functional Trunk Strength Tests). Data will be analyzed using SPSS v24, with appropriate statistical tests applied based on data distribution.
- Conditions
- Lumbar Radiculopathy
- Being tested
- Myokinetic stretching, nyokinetic stretching with neural flossing technique
- Keywords
- flexibility, lumbar radiculopathy, myokinetic stretching, neural flossing, pain, mobility
- Medical subject headings
- Radiculopathy, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Myokinetic stretchingOther
- Light aerobic activity (e.g., stationary cycling or brisk walking) to increase blood flow and prepare muscles for stretching• Myokinetic Stretching Technique (MST): - Target muscles: hamstrings, lumbar paraspinals, gluteals, hip flexors. - Involves both active (patient-initiated) and passive (therapist-assisted) stretches.
- Sustained stretches held for 20-30 seconds with 3-5 repetitions.
- Focus on length-tension balance, postural correction, and neuromuscular re- education. Progressive loading as tolerated
nyokinetic stretching with neural flossing techniqueOther
- Myokinetic stretching with Neural Flossing Technique (NFT): -
- Target: sciatic nerve and related neural structures. -
- Performed as oscillatory, controlled gliding movements ("sliders" and "tensioners").
- Techniques include supine straight leg raise with ankle dorsiflexion and cervical flexion/extension. - 3 sets of 10-15 repetitions, increasing intensity and duration based on tolerance. Aims to reduce neural tension and improve neurodynamic mobility.
| Study group | Role | What they receive |
|---|---|---|
| conventional | Experimental | heating pad and Range of motion Receives: Other: Myokinetic stretching; Other: nyokinetic stretching with neural flossing technique |
| conventional therapy | Active comparator | heating pad and range of motion exercises Receives: Other: Myokinetic stretching; Other: nyokinetic stretching with neural flossing technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale (NPRS)
The Numeric Pain Rating Scale (NPRS) measures a patient's self-reported pain intensity on a scale from 0 to 10. A score of 0 indicates no pain, 1-3 is mild, 4-6 is moderate, and 7-10 represents severe pain.
Measured: baseline to 4 week
Oswestry Disability Index (ODI)
The Oswestry Disability Index (ODI) is used to assess the impact of low back pain on a patient'sADLs. It includes 10 sections, 0 to 5each, with the total score expressed as a percentage. The results categorize disability from minimal (0-20%) to bed-bound or exaggerated symptoms (81-100%), helping quantify the degree of functional limitation
Measured: baseline to 4 week
Sit and Reach Test
The Sit and Reach Test is used to assess the flexibility of the hamstrings and lower back. The patient sits with legs extended and reaches forward along a marked measuring line. Scores above 10 cm indicate excellent flexibility, 0-10 cm is average, and negative values suggest poor flexibility, often linked to hamstring tightness or lumbar dysfunction.
Measured: baseline to 4 week
Muscle Strength Assessment: Functional Trunk Strength Tests
Functional Trunk Strength Tests assess the strength and endurance of lumbar flexors and extensors through movements like sit-ups or back extensions. The patient performs prone chest raises. Greater repetitions or longer hold times indicate better trunk strength and endurance, while early fatigue suggests weakness.
Measured: baseline to 4 week
Modified Schober Test
The Modified Schober Test assesses lumbar spine flexibility during forward bending by measuring the increase in distance between marked points on the lower back. An increase of ≥5 cm indicates normal lumbar mobility, while <5 cm suggests restricted flexion.
Measured: baseline to 4 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2026
- Study start6 Jul 2025
- Primary completion5 Aug 2026 (estimated)
- Study completion6 Sep 2026 (estimated)
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.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 22 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Anam Iqbal, DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07628426
- Sponsor's protocol ID
- REC/RCR&AHS/25/0208
- Status last verified
- Jun 2026
- First submitted
- 1 Jun 2026
- Last updated
- 5 Jun 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 5 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Myokinetic Stretching Technique With And Without Neural Flossing Technique On Pain, Flexibility, And Mobility In Patients With Lumbar Radiculopathy
- ClinicalTrials.gov ID
- NCT07628426
- Acronym / sponsor ID
- REC/RCR&AHS/25/0208
- Conditions
- Lumbar Radiculopathy
- Keywords
- flexibility, lumbar radiculopathy, myokinetic stretching, neural flossing, pain, mobility
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 22 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 6 Jul 2025 (actual)
- Primary completion
- 5 Aug 2026 (estimated)
- Study completion
- 6 Sep 2026 (estimated)
- First posted
- 5 Jun 2026 (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.
This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups
Detailed description
This single-blinded randomized clinical trial aims to evaluate the comparative effects of Myokinetic Stretching Technique (MST) alone versus MST combined with Neural Flossing Technique (NFT) in individuals with lumbar radiculopathy. A total of 22 participants aged 25-55 will be recruited through non-probability convenience sampling from rehabilitation clinics in Lahore and randomly assigned to two intervention groups. Both groups will receive treatment thrice weekly for six weeks. Outcome measures include pain intensity (NPRS), functional disability (ODI), flexibility (Sit and Reach Test, Modified Schober Test), and trunk strength (Functional Trunk Strength Tests). Data will be analyzed using SPSS v24, with appropriate statistical tests applied based on data distribution.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| conventional | Experimental | Other: Myokinetic stretching, Other: nyokinetic stretching with neural flossing techniqueheating pad and Range of motion |
| conventional therapy | Active comparator | Other: Myokinetic stretching, Other: nyokinetic stretching with neural flossing techniqueheating pad and range of motion exercises |
Who may qualify
- Ages
- 30 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Clinically pre diagnosed lumbar radiculopathy
- Radiating low back pain persisting for >3 weeks
- Positive Straight Leg Raise Test (SLR) or Slump Test
- LDI or Oswestry Disability Index <50% Exclusion Criteria:• Recent spinal surgery or acute spinal trauma
- Pregnancy , Inflammatory or autoimmune spinal diseases
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| Myokinetic stretching* Light aerobic activity (e.g., stationary cycling or brisk walking) to increase blood flow and prepare muscles for stretching• Myokinetic Stretching Technique (MST): - Target muscles: hamstrings, lumbar paraspinals, gluteals, hip flexors. - Involves both active (patient-initiated) and passive (therapist-assisted) stretches. * Sustained stretches held for 20-30 seconds with 3-5 repetitions. * Focus on length-tension balance, postural correction, and neuromuscular re- education. Progressive loading as tolerated | Other | conventional, conventional therapy |
| nyokinetic stretching with neural flossing technique* Myokinetic stretching with Neural Flossing Technique (NFT): - * Target: sciatic nerve and related neural structures. - * Performed as oscillatory, controlled gliding movements ("sliders" and "tensioners"). * Techniques include supine straight leg raise with ankle dorsiflexion and cervical flexion/extension. - 3 sets of 10-15 repetitions, increasing intensity and duration based on tolerance. Aims to reduce neural tension and improve neurodynamic mobility. | Other | conventional, conventional therapy |
Primary outcome
Numeric Pain Rating Scale (NPRS)
Time frame: baseline to 4 week
The Numeric Pain Rating Scale (NPRS) measures a patient's self-reported pain intensity on a scale from 0 to 10. A score of 0 indicates no pain, 1-3 is mild, 4-6 is moderate, and 7-10 represents severe pain.
Oswestry Disability Index (ODI)
Time frame: baseline to 4 week
The Oswestry Disability Index (ODI) is used to assess the impact of low back pain on a patient'sADLs. It includes 10 sections, 0 to 5each, with the total score expressed as a percentage. The results categorize disability from minimal (0-20%) to bed-bound or exaggerated symptoms (81-100%), helping quantify the degree of functional limitation
Sit and Reach Test
Time frame: baseline to 4 week
The Sit and Reach Test is used to assess the flexibility of the hamstrings and lower back. The patient sits with legs extended and reaches forward along a marked measuring line. Scores above 10 cm indicate excellent flexibility, 0-10 cm is average, and negative values suggest poor flexibility, often linked to hamstring tightness or lumbar dysfunction.
Muscle Strength Assessment: Functional Trunk Strength Tests
Time frame: baseline to 4 week
Functional Trunk Strength Tests assess the strength and endurance of lumbar flexors and extensors through movements like sit-ups or back extensions. The patient performs prone chest raises. Greater repetitions or longer hold times indicate better trunk strength and endurance, while early fatigue suggests weakness.
Modified Schober Test
Time frame: baseline to 4 week
The Modified Schober Test assesses lumbar spine flexibility during forward bending by measuring the increase in distance between marked points on the lower back. An increase of ≥5 cm indicates normal lumbar mobility, while <5 cm suggests restricted flexion.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jun 2026.
- Individual participant dataSharing planned: No
Related trials for Lumbar Radiculopathy
Active, not recruiting
Comparative Effects of Kinetic Control Training and Neural Mobilization in Lumbar Radiculopathy
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Effect of Transfer of Energy Capacitive and Resistive on Chronic Discogenic Sciatica
Lumbar Radiculopathy
Not yet recruiting
Selective Nerve Root Block Versus Sham to Reduce Surgery for Lumbar Disc Herniation
Lumbar Disc Herniation, Lumbar Radiculopathy
Recruiting
Comparative Effect Between Mulligan Leg Raise and Spinal Mobilization With Limb Movement in Lumbar Radiculopathy
Lumbar Radiculopathy
Recruiting
Tecar Therapy in Patients With Lumbar Radiculopathy
Lumbar Radiculopathy
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.
Anam Iqbal, DPT 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 Myokinetic stretching and nyokinetic stretching with neural flossing technique 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 7 inclusion and 0 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: under way, not looking for participants, as of the sponsor's last update on 5 Jun 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?
This study is still under way. Results are not available in the source record yet.
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?
Numeric Pain Rating Scale (NPRS) (time frame: baseline to 4 week). The study lists 5 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 5 Jun 2026; AzTrials last refreshed its copy on 7 Nov 2026.