Sensorimotor Training to Improve Gait in People with Disc-Related Sciatica

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares standard physical therapy to standard therapy plus a sensorimotor training program in adults with chronic discogenic sciatica due to lumbar disc herniation. The sensorimotor component includes proprioceptive trunk exercises, balance training on unstable surfaces, and progressive, task-specific activities to challenge proprioception and neuromuscular control. Outcomes include changes in gait parameters, pressure-pain threshold, and functional disability. Participants will be adults aged 30–55 with radiating leg pain for more than three months, confirmed LDH on MRI, and moderate balance impairment. The study is conducted at an outpatient clinic in Delta University with Cairo University as lead sponsor.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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).
* All patients must be employed in office-based jobs.
* Berg Balance Scale score will range from 21 to 40 (moderate balance impairment).
* Body Mass Index (BMI) will be within the normal to overweight range (18.5 29.9 kg/m²).
* All the patients will be able to walk independently with or without minimal assistance.

Exclusion Criteria:

* 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.
* Patients with severe balance impairment (Berg Balance Scale score \< 21).
* Presence of vestibular disorders or visual impairments affecting balance.
* Patients are currently participating in other rehabilitation programs.

Where it's running

• Outpatient clinic at the Faculty of Physical Therapy, Delta University
  Gamasa, Egypt Recruiting

Study contacts

• Study coordinator: Yara Ahmed Mansour, B.Sc
• Email: yara.a.mansour@deltauniv.edu.eg
• Phone: +20 10 08350127

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.