Effect of Sensorimotor Training on Pain and Gait Performance in Patients With Discogenic Sciatica

This study aims to investigate the effect of sensorimotor training on gait performance in patients with discogenic sciatica.

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.