Investigation of Immediate, Short and Long Term Effects of Mulligan Mobilization With Movement Techniques in Nonspesific Chronic Low Back Pain

NCT04802850 | Completed

• 1 other identifier: study1984
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

Introduction: Although the effectiveness of many mobilization methods in chronic low back pain (CLBP) was shown, these effects were not monitored in the long term. The aim of this study was to identify the immediate, short and long-term effects of mulligan mobilization with movement (MWM) in terms of pain, range of motion (ROM), flexibility, endurance, functionality and disabilities in patients with CLBP. Methods: The study was designed in randomized-placebo controlled with 36 people randomly distributed into 2 groups. Sustained natural apophyseal glide (SNAG) was applied to the lumbar region, straight leg raise (SLR) with traction to the hip, and internal rotational mobilization techniques and home exercise program were applied in Group 1 (n=19); and the same techniques were applied as sham mobilization in Group 2 (n=17). The evaluations were made as post-intervention for immediate effect, and were also made at the 5th week, 3rd month, and 6th months for short and long-term effect. Evaluation was also made for pain in 12th month.

Conditions

Chronic Low Back Pain

Outcome Measures

Primary Outcomes (4)

• Flexibility

  Change of lumbar flexibility with sit and reach objective test( cm)

  immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

• Endurance

  Change of endurance of lumbar extensors with Sorensen endurance test(sn)

  immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

• Functionality with patient specific function scale

  Change of function

  immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

• Disabilities with Oswestry disability index(scale)

  Change of disabilities

  immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

Secondary Outcomes (1)

• range of motion with goniometer

  immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months

Study Arms (2)

Real MWM

EXPERIMENTAL

Real mobilization with movement

Other: Mulligan mobilization with movement

Sham MWM

SHAM COMPARATOR

sham or placebo mobilization with movement

Other: Mulligan mobilization with movement

Interventions

Mulligan mobilization with movement OTHER

Real MWM; Sham MWM

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Having 3 months' continuous or intermittent LBP symptoms, without leg pain above the knee
• Pain at VAS \> 3/10,
• Back pain increased by active lumbar flexion movement

You may not qualify if:

• Confirmed nerve root compression
• Neurological symptoms
• Lumbar spine stenosis
• Back surgery history
• Chronic pain syndrome
• LBP from fracture
• Infection
• Visceral disease
• Pregnancy
• Major clinical depression
• Cauda equina syndrome
• Significant osteoporosis.

Sponsors & Collaborators

• Suleyman Demirel University: lead

MeSH Terms

Interventions

Movement

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: March 6, 2021
• First Posted: March 17, 2021
• Study Start: January 1, 2013
• Primary Completion: April 1, 2014
• Study Completion: April 1, 2015
• Last Updated: March 17, 2021

Record last verified: 2021-03