Bio Psychomotor Rehabilitation Integrating Pain Neuroscience Education and Motor Control Training Versus McKenzie Therapy in Lumbar Radiculopathy

The aim of the study is to assess how well pain, functional capacity, pain centralization and fear of movement may be improved by integrating pain neuroscience education with motor control exercises.

In order to assess the benefits of bio-psychomotor rehabilitation that incorporates pain neuroscience education and motor control training to McKenzie treatments in patients having lumbar radiculopathy, this study carries out as a forward-looking, single-blind, equal groups randomized clinical experiment.

The study subjects will be evaluated at ABWA Hospital Khurrianwala, Prime Care Hospital, Fast Care Hospital and Faisal Hospital Faisalabad. This study is a single blinded study in which participants will be blinded and they will not be informed about their group allocation or which intervention is considered experimental or comparator.

Patients with age between 28-50 years, clinically diagnosed patients with lumbar radiculopathy and both males and females are included in this study. Participants who have a confirmed disc herniation between L4-S1 levels through MRI, have pain for at least 3 months and have a positive SLR between 40 and 70 degrees are included. Patients with fracture, trauma, inflammatory disorder, lumbar instability, scoliosis, patients with RA and other systemic diseases are excluded.

Group A will receive Pain Neuroscience Education and Motor Control Training. Group B will receive McKenzie Therapy.

Numeric Pain Rating Scale to measure pain intensity Roland Morris Disability Questionnaire to measure disability Tampa Scale of Kinesiopjobia to measure fear of movement Michigan Body Map for centralization of symptoms.

Participants are randomly allocated individually into two groups (18 participants each) using computer-generated simple randomization. Group A receives PNE with Motor Control Training, while Group B receives McKenzie Theray. Allocation concealment is maintained using sequentially numbered, opaque, sealed envelopes opened after baseline assessment.

This is a single-blinded randomized clinical trial with two active intervention groups. Only the participants will be blinded to their group allocation and the study hypothesis. Both groups will receive physiotherapy interventions, with Group A receiving Motor Control Training with Pain Neuroscience Education and Group B receiving McKenzie Therapy. The physiotherapists and outcome assessor will not be blinded.

The deidentified individual participant data will not be made publicly available due to participant privacy and confidentiality considerations. Data will be retained securely by the research team and used only for the purposes specified in the approved research protocol.

Study Protocol and Statistical Analysis Plan for the study “Bio-Psychomotor Rehabilitation Integrating Pain Neuroscience Education and Motor Control Training versus McKenzie Therapy in Lumbar Radiculopathy” The documents will contain the study methodology, intervention procedures, outcome measures, and planned statistical analysis.

The study protocol and statistical analysis plan will become available after completion of the study and publication of the study results. They will remain available thereafter for academic and research purposes.

The documents will be available to researchers, healthcare professionals, students, and other individuals with a legitimate academic or research interest.

The documents may be used for academic, educational, methodological, and research purposes. Requests will be reviewed by the research team to ensure that the intended use is appropriate and consistent with research and ethical requirements.

The documents may be requested from the principal investigator or research team using the institutional contact information provided in the IRCT registration. Requests should be submitted through the official institutional email address.

Interested individuals may submit a written request to the principal investigator or research team stating their name, affiliation, purpose of the request, and intended use of the document. The research team will review the request and provide access to eligible applicants within a reasonable period.