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CTRI Number  CTRI/2025/02/080240 [Registered on: 10/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Impact of exercises for Nerve and muscles at the back of the thigh on pain and daily activities in people with low back pain 
Scientific Title of Study   Effectiveness of sciatic nerve neurodynamic interventions in addition to hamstring stretching on pain and function among individuals with mechanical low back pain-A pilot randomized control trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shishir Regmi 
Designation  principle investigator 
Affiliation  Gitam School of Physiotherapy, GITAM(Deemed to be university) 
Address  Demo room no 1, 4th Floor, GITAM School of Physiotherapy, GITAM (Deemed to be university)- Gandhi Nagar, Rushikonda, Visakhapatnam, Andhra Pradesh
GIMSR campus,Rushikonda, visakhapatnam -530045, India
Visakhapatnam
ANDHRA PRADESH
530045
India 
Phone  8810394650  
Fax    
Email  shishirregmi92@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ranganath Gangavelli 
Designation  Guide 
Affiliation  Professor, GITAM school of physiotherapy, GITAM(Deemed to be university) 
Address  Principal office, 4th Floor, GITAM School of Physiotherapy, GITAM (Deemed to be university)- Gandhi Nagar, Rushikonda, Visakhapatnam, Andhra Pradesh
GIMSR campus,Rushikonda, visakhapatnam -530045, India
Visakhapatnam
ANDHRA PRADESH
530045
India 
Phone  9844372252  
Fax    
Email  shishirregmi92@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shishir Regmi 
Designation  principle investigator 
Affiliation  GITAM school of physiotherapy, GITAM(Deemed to be university) 
Address  Demo room no 1, 4th Floor, GITAM School of Physiotherapy, GITAM (Deemed to be university)- Gandhi Nagar, Rushikonda, Visakhapatnam, Andhra Pradesh
GIMSR campus,Rushikonda, visakhapatnam -530045, India
Visakhapatnam
ANDHRA PRADESH
530045
India 
Phone  8810394650  
Fax    
Email  shishirregmi92@gmail.com  
 
Source of Monetary or Material Support  
GIMSR Hospital, GITAM Medical College Rd, Gandhi Nagar, Rushikonda, Visakhapatnam, Andhra Pradesh 530045 
 
Primary Sponsor  
Name  Gitam (Deemed to be university) 
Address  Gandhi Nagar, Rushikonda, Visakhapatnam, Andra pradesh 530045 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrRanganath Gangavelli  GIMSR hospital  Room NO.1, Department of physiotherapy, GIMSR, Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
9844372252

rgangave@gitam.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
GIMSR Ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hamstring static stretching,Core strengthening, isometric abdominals and spinal extensors exercises with pelvic bridging and pelvic tilting exercises  Hamstring static stretching will be given to both the groups for 4 sets of 25-30 seconds hold for 6 sessions over two weeks. The other exercises will be given for 3 sets of 8-10 repetitions for 6 sessions over 2 weeks 
Intervention  Sciatic nerve Neurodynamics, Hamstring static stretching Core strengthening, isometric abdominals and spinal extensors exercises with pelvic bridging and pelvic tilting exercises  The sciatic nerve neurodynamic sliders and tensioners will be given to only one group, for 3 sets of 5-10 repetitions for 6 sessions over 2 weeks. Hamstring static stretching will be given to both the groups for 4 sets of 25-30 seconds hold for 6 sessions over two weeks. The other exercises will be given for 3 sets of 8-10 repetitions for 6 sessions over 2 weeks. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Diagnosed with mechanical low back pain,
associated hamstring tightness,
sedentary lifestyle
 
 
ExclusionCriteria 
Details  Pregnant women,
Bilateral symptoms (sacroiliac, hip and knee joint pathologies),
low back pain with sensory motor deficits,
Diabetes Mellitus or polyneuropathies,
Low back pain of non mechanical origin (Neoplasm, visceral, referred, vascular and inflammatory origin.)  
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The Numeric pain Rating Scale (NPRS)  2 times in the beginning and at the end of the study
(pre and post intervention)  
 
Secondary Outcome  
Outcome  TimePoints 
Passive Knee Extension  2 times in the beginning and at the end of the study
(pre and post intervention) 
Oswestry Disability Index  2 times in the beginning and at the end of the study
(pre and post intervention) 
Straight leg raise  2 times in the beginning and at the end of the study
(pre and post intervention) 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This pilot study is a randomized, parallel group, active control trial comparing the effectiveness of sciatic nerve neurodynamic interventions in addition to hamstring stretching on pain and function among 30 individuals with mechanical low back pain and associated hamstring tightness. This will be conducted in GIMSR hospital ,GITAM (deemed to be University) over a span of 5 months. The primary outcome measures would be NPRS (for pain) and secondary outcome measures would be Oswestry Disability Index for low back pain and passive knee extension for hamstring flexibility.  
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