Mirror Image Spine Correction Exercises Versus Conservative Physiotherapy for Lumbar Radiculopathy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Sharjah

About this trial

Lumbar radiculopathy is a common condition caused by irritation or compression of a lumbar nerve root, often resulting in radiating leg pain, numbness, weakness, and functional limitation. Conservative physiotherapy is commonly used as first-line treatment, but outcomes vary among patients.

This randomized controlled trial will compare Mirror Image Spine Correction Exercises with standardized conservative physiotherapy in adults with lumbar radiculopathy. Participants will be randomly assigned to one of two treatment groups for 12 weeks.

The primary outcome is lumbar nerve root microstructural integrity measured using Diffusion Tensor Imaging (DTI), including Fractional Anisotropy and other diffusion parameters. Secondary outcomes include pain intensity, disability, spinal alignment, and adverse events.

The purpose of this study is to determine whether a targeted posture-correction exercise approach provides greater improvement than conventional physiotherapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 years or older. Clinical diagnosis of unilateral lumbar radiculopathy. Presence of at least two of the following: dermatomal radiating leg pain, neurological deficit, positive neural tension test.

Disqualifiers

Previous lumbar spine surgery. Bilateral radiculopathy or unclear diagnosis. Tumor, infection, fracture, inflammatory spinal disease, or cauda equina syndrome.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mirror Image Spine Correction Exercises

    Behavioral

    Participants will receive an individualized supervised exercise program based on identified postural alignment deviations. Treatment will be delivered three sessions per week for 12 weeks and may include trunk and pelvic corrective movements, mobility, stabilization, and a prescribed home exercise program.

  • Conservative Physiotherapy

    Behavioral

    Participants will receive standardized conservative physiotherapy three sessions per week for 12 weeks including education, graded exercise, mobility exercises, strengthening, neural mobilization, and clinically indicated adjunctive non-invasive techniques.

Treatment groups

64 Participants
are divided into 2 treatment groups
Group A: Mirror Image Spine Correction ExercisesExperimental treatment 1 intervention
Group B: Conservative PhysiotherapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Lumbar Nerve Root Fractional Anisotropy

Change in lumbar nerve root microstructural integrity measured using Diffusion Tensor Imaging (DTI) Fractional Anisotropy.

Time frame
Baseline and Week 12

Secondary outcomes

1

Pain Intensity

Measured using Numeric Pain Rating Scale (0-10).

Time frame
Baseline and Week 12
2

Spinal Alignment

Measured using digital posture analysis.

Time frame
Baseline and Week 12
3

Additional DTI Parameters

Mean Diffusivity, Axial Diffusivity, and Radial Diffusivity.

Time frame
Baseline and Week 12

Other outcomes

Sponsors and contacts

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