Effect of Sensorimotor Training on Pain and Gait Performance in Patients With Discogenic Sciatica
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-55
SponsorCairo University
About this trial
This study aims to investigate the effect of sensorimotor training on gait performance in patients with discogenic sciatica.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Thirty patients of both sexes diagnosed with lumbar disc herniation affecting the L4-L5 and/or L5-S1 nerve roots will be included in this study.
Presence of lumbar disc herniation (LDH) will be confirmed by magnetic resonance imaging (MRI).
Age will range from 30 to 55 years.
Patients experiencing radiating pain along the sciatic nerve distribution (symptoms persisting for more than 3 months).
Disqualifiers
Patients with a history of spinal surgery will be excluded.
Presence of central neurological disorders (e.g., stroke).
Patients with other causes of low back pain which is not related to discogenic origin.
Affections of the musculoskeletal system including fractures.
Trial design
Design model
Parallel
Treatments tested in this trial
Standard physical therapy
Other interventionStandard physical therapy will include interferential current therapy applied over the lumbar region at 80-100 Hz for 15-20 minutes, hot packs applied over the lumbar paraspinal region for 10 minutes, positioning according to the patient's directional preference for 10 minutes or as tolerated, and static abdominal and back exercises targeting the transversus abdominis and multifidus. The exercises will be performed as 3 sets of 10 repetitions, with each contraction held for 10 seconds followed by 5 seconds of rest.
Sensorimotor Training
Other interventionSensorimotor training will include PNF-based trunk exercises, balance training on unstable surfaces, colored-path sensorimotor exercises, and the Star Excursion Balance Exercise. The program will incorporate progressive challenges to trunk control, balance, proprioception, and neuromuscular coordination. Progression will include unstable surfaces, alternating limb movements, single-leg and cross bridging, increased walking speed, dual-task activities, increased reach distance, and increased exercise complexity according to patient tolerance.
Treatment groups
30 Participants
are divided into 2 treatment groupsGroup A: Standard physical therapyActive comparator 1 intervention
Group B: Sensorimotor Training Plus Standard Physical TherapyExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Walking Speed
Walking speed will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in meters per second (m/s).
Time frame
2 months2
Stride Length
Stride length will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in millimeters (mm).
Time frame
2 months3
Cadence
Cadence will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported as steps per minute (steps/min).
Time frame
2 months4
Stance Time
Stance time will be assessed using the FreeMed® baropodometric platform with FREESTEP software and reported in seconds (s).
Time frame
2 monthsSecondary outcomes
1
Pressure-Pain Threshold
Pressure-pain threshold will be assessed using a pressure algometer at the lumbar paraspinal, gluteus medius, and piriformis muscles. Higher values indicate greater pressure-pain tolerance.
Time frame
2 months2
Functional Disability
Functional disability will be assessed using the Oswestry Disability Index (ODI). The score will be expressed as a percentage from 0% to 100%, with higher scores indicating greater disability.
Time frame
2 monthsSponsors and contacts
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Source ClinicalTrials.gov
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