This study is a randomized control trial and the purpose of this study is to investigate and compare the effects of Maitland's rotation mobilization and Mulligan's spinal mobilization with leg movement (SMWLM) on lumbar radiculopathy patients.
Age: 18-65 years
Both Males and Females
Participants with a diagnosis of chronic (≥3 months) lumbar unilateral radiculopathy referred from Fauji Foundation Hospital, Rawalpindi
NPRS score of > 5 and < 8
Diagnosis of other back conditions (e.g. failed back surgery syndrome, spondylosis, spondylolisthesis, and spinal stenosis, non-specific low back pain, and fracture)
Non ambulant/wheelchair-bound or having cauda equina syndrome
Patient taking anticoagulants
Pregnant Females
Parallel
Group A (Active Comparator) 1. Mulligan's Spinal Mobilization with Leg Movement (SMWLM) 2.Lower Limb Neurodynamic Mobilization
Procedure/SurgeryThis group will receive Mulligan's Spinal Mobilization at the Lumbar Spine Region (L4-L5 level) along with Lower extremity movement (3 repetitions, 3 sets) followed by Neurodynamic Mobilization which will include slump technique (3 repetitions, 1 set). This protocol is given to the patient for a total of 6 sessions (1 session per day).
Group B (Experimental) 1. Maitland's Lumbar Rotation Mobilization 2.Lower Limb Neurodynamic Mobilization
Procedure/SurgeryThis group will receive Maitland's Lumbar Rotation Mobilization at the Lumbar Spine Region (L4-L5 level) along with Lower extremity movement (3 repetitions, 3 sets) followed by Neurodynamic Mobilization which will include slump technique (3 repetitions, 1 set).This protocol is given to the patient for a total of 6 sessions (1 session per day).
Lumbar Radiculopathy Pain
It will be measured using Numeric Pain Rating Scale (NPRS). Subjects select a number ranging from 0-10 according to their intensity of pain where '0' indicates no pain while '10' indicates worst pain experienced.
Range of Motion
Universal goniometer is used to measure Straight Leg Raise Range (SLR) of the patient. Patient is positioned in supine with the knee straight. Axis of goniometer is aligned with the greater trochanter of the femur; stationary arm is kept parallel to the femur and moving arm is aligned with long axis of femur. Patient is then asked to flex the hip joint, keeping the knee straight, to the maximum range without pain, subsequently aligning moving arm of the goniometer. Angle of flexion is then recorded from the goniometer and documented.
Functional Status
It is measured using Oswestry Disability Index Questionnaire (ODI-Q). The ODI-Q is a questionnaire used to assess an individual's ability to perform daily activities and functional tasks. It comprises of total 10 questions and patients rate their ability to perform each activity on a scale from 0 (unable to perform) to 5 (able to perform without difficulty). Each question has a maximum score of 5. The total maximum score is 50 which can change according to the number of total questions applicable to the respective patient. The obtained score is divided by the total score and multiplied by 100, giving a percentage as a result. Higher scores indicate better functional ability.
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