Effect of Mulligan Mobilization in Chronic Non-Spesific Low Back Pain
Efficacy of Mulligan Mobilization Technique in Chronic Non-Spesific Low Back Pain
1 other identifier
interventional
55
1 country
1
Brief Summary
Fifty five participants diagnosed with CNSLBP, will randomized into three groups. Group I (18 subjects) will receive 15 sessions of Conventional Physiotherapy program (CPP) 5 times per week, Group II (19 subjects) will receive 9 sessions of SNAGs, and Group III will receive CPP plus SNAGs. Outcome measures are pain, ROM, spinal mobility, fear avoidance behaviour and function. Measurements will record before, after and 6 month after the end of the treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable chronic-pain
Started Jun 2017
Longer than P75 for not_applicable chronic-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 14, 2017
CompletedFirst Submitted
Initial submission to the registry
February 24, 2020
CompletedFirst Posted
Study publicly available on registry
March 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2020
CompletedMay 5, 2020
May 1, 2020
3 years
February 24, 2020
May 2, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Change of Range of Motion from baseline at 3 weeks and from baseline at 6 months
ROM is measured by BROM II device during flexion and extension activity.
Baseline, 3 weeks,6 months
Change of Spinal Mobility from baseline at 3 weeks and from baseline at 6 months
Spinal mobility measured by Schober test.
Baseline, 3 weeks,6 months
Change from Pain Intensity from baseline at 3 weeks and from baseline at 6 months
Pain intensity during flexion and extension activity in lumbar region is measured by Numeric pain scale in which "0" shows No pain while "10" shows worst pain.
Baseline, 3 weeks,6 months
Secondary Outcomes (2)
Change from Fear Avoidance Behaviour from baseline at 3 weeks and from baseline at 6 months
Baseline, 3 weeks,6 months
Change from Disability level from baseline at 3 weeks and from baseline at 6 months
Baseline, 3 weeks,6 months
Study Arms (3)
Conventional Physiotherapy Group
EXPERIMENTALGroup I (18 subjects) received 15 sessions of Conventional Physiotherapy program (CPP) 5 times per week.
Mulligan Mobilization Group
EXPERIMENTALMulligan Mobilization was administered 9 sessions (3 days a week, for 3 weeks). .
Conventional Physiotherapy plus Mulligan Mobilization Group
EXPERIMENTALConventional Physiotherapy (15 session) plus Mulligan Mobilization Programme (9 session) were applied in this group. CP were applied 5 days a week and CP+MM 3 days a week for 3 weeks.
Interventions
Conventional Physiotherapy consist of Hotpacks, TENS and US.The participants were positioned in prone and supported with a pillow under the abdomen, 20 min hot pack was applied. Therapatic Ultrason were applied with the frequency of 1 MHz, intensity of 1,5 watt/cm² and duration of 5 minute. TENS was applied to the lumbar region with 2-channel, 4 surface electrodes at 60-120 Hz, and 50-100 pulse duration for 20 minutes.
Extension SNAGS in prone, SNAGS in lion position and Lumbar flexion SNAGS in sitting, techniques were used. The techniques were applied in 3 sets with 10 repetitions and 60 seconds rest between sets.
Eligibility Criteria
You may qualify if:
- low back pain for at least 3 months
- intensity of pain ranges from 3 to 6 according to VAS
You may not qualify if:
- undergoing surgical operation in the lumbar region or having a surgical indication having an exercise therapy and / or physical therapy in the last 1 year
- a history of trauma involving lumbar region and systemic and inflammatory disease targeting this region
- corticosteroids consumption for a long time
- being pregnant.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Denizli State Hospital
Denizli, 20040, Turkey (Türkiye)
Related Publications (3)
Hidalgo B, Pitance L, Hall T, Detrembleur C, Nielens H. Short-term effects of Mulligan mobilization with movement on pain, disability, and kinematic spinal movements in patients with nonspecific low back pain: a randomized placebo-controlled trial. J Manipulative Physiol Ther. 2015 Jul-Aug;38(6):365-74. doi: 10.1016/j.jmpt.2015.06.013. Epub 2015 Jul 26.
PMID: 26215900BACKGROUNDVicenzino B, Paungmali A, Teys P. Mulligan's mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther. 2007 May;12(2):98-108. doi: 10.1016/j.math.2006.07.012. Epub 2006 Sep 7.
PMID: 16959529BACKGROUNDHussien HM, Abdel-Raoof NA, Kattabei OM, Ahmed HH. Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain. J Chiropr Med. 2017 Jun;16(2):94-102. doi: 10.1016/j.jcm.2017.01.003. Epub 2017 Mar 30.
PMID: 28559749BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Nesrin Yağcı, Prof. Dr.
Pamukkale University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Masking Details
- All assessments were made by another blind researcher three times at before, after and 6 month after treatment.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Lecturer
Study Record Dates
First Submitted
February 24, 2020
First Posted
March 5, 2020
Study Start
June 14, 2017
Primary Completion
June 1, 2020
Study Completion
July 1, 2020
Last Updated
May 5, 2020
Record last verified: 2020-05
Data Sharing
- IPD Sharing
- Will not share
Because there is no web site to share my data