Effect of Spinal Manipulation Compared with Spinal Mobilization for Lumbar Disc Herniation with Radiculopathy: Design of a Randomized Clinical Trial with 1 Year Follow-Up

Objectives: The aim of this study is to examine the effect of spinal manipulation (SMT) compared with spinal mobilization (MOB) on pain, disability, quality of life, sciatica and general perception of recovery in individuals with lumbar disk herniation with radiculopathy (LDHR). Methods: A total of 40 individuals with LDHR will be randomly allocated into 2 groups; 20 participants each in SMT and MOB groups. Each participant will be assessed at baseline, 6 and 12 weeks of intervention. Outcomes will also be assessed at 6th and 12th months of follow-up. Outcomes to be assessed will include pain (VAS), functional disability (RMDQ - Rolland Morris disability questionnaire), sciatica bothersomeness index (SBI), sciatica frequency index (SFI), quality of life (SF-36), general perception of recovery (GROC) and objective functional impairment (TUG-timed up and go test). Discussion: This trial will determine the difference in outcomes between spinal manipulative therapy and spinal mobilization groups in individuals with LDHR.