The Effect of Mulligan Mobilization Technique on Balance, Pain and Functionality in Patients With Chronic Low Back Pain

NCT05334394 | Completed

• 1 other identifier: E-10840098-772.02-2868
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

This study was aimed to investigate the effectiveness of mulligan mobilization technique on balance, pain and functionality in patients with chronic low back pain and to compare it with exercise.37 patients aged between 18-65 who applied to Fındıkzade Medipol Hospital were included in the study. The individuals participating in the study were divided into two groups, 18 control and 19 mulligan groups, according to the randomization table. The intervention was performed 3 times a week for 4 weeks. Conventional physiotherapy and exercise program accompanied by a physiotherapist were applied to the control group, and conventional physiotherapy and mulligan mobilization technique were applied to the mulligan group. Conventional physiotherapy methods included ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and hotpack. The patients were evaluated with TecnoBody Static Balance Device, algometer, electrogoniometer, visual analog scale, Oswestry Low Back Pain Disability Questionnaire before and after the treatment.

Conditions

Chronic Low-back Pain; Lumbal Disc Herniation; Imbalance

Keywords

Balance; Chronic Low Back Pain; Exercise; Lumbal Disc Herniation; Manual Therapy; Mulligan Mobilization

Outcome Measures

Primary Outcomes (3)

• TecnoBody Static Balance Device Measurements

  TecnoBody Stability Easy is a stabilometric system consisting of three highly sensitive sensors. The system is based on continuous observation of the foot pressure center (COP). By recording the postural oscillations of the body as a function of time, detailed information about the postural system is obtained

  5 Minutes

• Pressure Pain-Threshold Measurements with Algometer

  It is a device used to evaluate the sensitivity to pain and to determine the perception of pressure. The pressure algometer has proven useful in evaluating fibrositis and hypersensitive spots, trigger points, arthritis activation, and visceral pain-pressure sensitivity.

  5 Minutes

• Electrogoniometer

  It is an evaluation tool used to record the objective measurement of joint range of motion.

  5 Minutes

Secondary Outcomes (2)

• Visual Analog Scale

  1 Minutes

• Oswestry Disability Index

  10 Minutes

Study Arms (2)

Mulligan Group

EXPERIMENTAL

Other: Mulligan Technique

Control Group

EXPERIMENTAL

Other: Exercise Therapy

Interventions

Mulligan Technique OTHER

Mulligan suggested that injuries or sprains can cause a minor positional error in a joint, thereby causing limitations in physiological movement. Unique to this concept is mobilization of the spine while weight bearing and directing the mobilization parallel to the spinal facet planes. Although it includes various mobilization techniques, one of the most important techniques, motion co-mobilization, is the SNAG's technique, which includes the application of accessory passive gliding to the lumbar vertebra while the patient performs active movement simultaneously.

Mulligan Group

Exercise Therapy OTHER

Exercise is recommended by physical therapists for most chronic low back pain patients.

Control Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Experiencing non-specific chronic low back pain for more than 3 months
• The diagnosis has been confirmed by the Health Board Report
• Be over 18 years old
• Be younger than 65 years old
• Pain of at least 2 severity according to VAS
• Voluntarily agree to participate in the study

You may not qualify if:

• Previous lumbar trauma or operation
• Long-term use of corticosteroids
• Cancer
• Pregnancy
• Osteoporosis
• Systemic Diseases
• Spinal Deformities
• Lumbal Stenosis
• Ankylozone Spondylitis
• Spondylolisthesis
• Spinal Deformities
• Lumbal Stenosis

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Fındıkzade Medipol Hospital

Istanbul, Fındıkzade, 34093, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Kübra Bali, Licenced

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 4, 2022
• First Posted: April 19, 2022
• Study Start: July 10, 2021
• Primary Completion: February 1, 2022
• Study Completion: February 15, 2022
• Last Updated: April 19, 2022

Record last verified: 2022-04

Locations

TU (1)