NCT06812338

Brief Summary

Our primary purpose for this study is to investigate the effect of different positions during traction on pain, function, and range of motion in adults with non-specific low back pain.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 2, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 6, 2025

Completed
9 days until next milestone

Study Start

First participant enrolled

February 15, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2025

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

February 6, 2025

Status Verified

February 1, 2025

Enrollment Period

3 months

First QC Date

February 2, 2025

Last Update Submit

February 2, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Oswestry Disability Index (ODI) Arabic version

    assesses the impact of back pain on daily life across 10 sections. Each section covers different activities and aspects of daily living. The responses are scored from 0 (no impact) to 5 (maximum impact), with higher scores indicating greater disability

    from baseline to the end of the 6th week

Secondary Outcomes (3)

  • International Physical Activity Questionnaire (IPAQ) arabic version

    from baseline to the end of the 6th week

  • Numerical pain rating scale (NPRS)

    from baseline to the end of the 6th week

  • Finger-to-floor test (FFT)

    from baseline to the end of the 6th week

Study Arms (3)

Supine Participants

ACTIVE COMPARATOR

Participants will lie in supine position with legs supported on a stool adjusted for hip and knee flexion to be at 90°

Device: mechanical traction

Prone Participants

ACTIVE COMPARATOR

will lie in prone position with a pillow underneath their abdomen and a harness attached to the chest, and pelvis

Device: mechanical traction

Side-lying Participants

ACTIVE COMPARATOR

will lie on the contralateral side of pain, with his hip flexed at 80°, and a pillow between their knees

Device: mechanical traction

Interventions

Participants will receive traction therapy as follows: force will start at 25% of Body weight, gradually increasing until the tolerance for pulling is reached with maximum of 50% of body weight. The session will be 15 minutes long (1min for acceleration, 13 min application, 1min deceleration); it will be intermittent with ratio of 30 s on and 10s off

Prone ParticipantsSide-lying ParticipantsSupine Participants

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult 18-65 years of age
  • Non specific LBP persisted for more than 12 weeks
  • At least 4/10 on NPRS

You may not qualify if:

  • Vertebral fractures
  • Axial spondylarthritis
  • Aauda equina syndrome
  • Radicular pain
  • Radiculopathy
  • Spinal stenosis
  • Spinal surgeries
  • Malignancy
  • Pregnancy
  • Inflammatory or infectious cases of LBP

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (36)

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    BACKGROUND
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    PMID: 34568490BACKGROUND
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    BACKGROUND
  • Khan RR, Riaz S, Rashid S, Sulman M. Effectiveness of mechanical traction in supine versus prone lying position for lumbosacral radiculopathy. Pak J Med Sci. 2021 Sep-Oct;37(5):1451-1455. doi: 10.12669/pjms.37.5.4200.

    PMID: 34475929BACKGROUND
  • Thackeray A, Fritz JM, Childs JD, Brennan GP. The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back Pain and Leg Pain: A Randomized Trial. J Orthop Sports Phys Ther. 2016 Mar;46(3):144-54. doi: 10.2519/jospt.2016.6238. Epub 2016 Jan 26.

    PMID: 26813755BACKGROUND
  • Vanti C, Panizzolo A, Turone L, Guccione AA, Violante FS, Pillastrini P, Bertozzi L. Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-Analysis. Phys Ther. 2021 Mar 3;101(3):pzaa231. doi: 10.1093/ptj/pzaa231.

    PMID: 33382419BACKGROUND
  • Wang W, Long F, Wu X, Li S, Lin J. Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Comput Math Methods Med. 2022 Jun 21;2022:5670303. doi: 10.1155/2022/5670303. eCollection 2022.

    PMID: 35774300BACKGROUND
  • Vanti C, Saccardo K, Panizzolo A, Turone L, Guccione AA, Pillastrini P. The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis. Acta Orthop Traumatol Turc. 2023 Jan;57(1):3-16. doi: 10.5152/j.aott.2023.21323.

    PMID: 36939359BACKGROUND
  • Bilgilisoy Filiz M, Kilic Z, Uckun A, Cakir T, Koldas Dogan S, Toraman NF. Mechanical Traction for Lumbar Radicular Pain: Supine or Prone? A Randomized Controlled Trial. Am J Phys Med Rehabil. 2018 Jun;97(6):433-439. doi: 10.1097/PHM.0000000000000892.

    PMID: 29309314BACKGROUND
  • Cheng YH, Hsu CY, Lin YN. The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. Clin Rehabil. 2020 Jan;34(1):13-22. doi: 10.1177/0269215519872528. Epub 2019 Aug 28.

    PMID: 31456418BACKGROUND
  • Gati T, Czimer E, Cserhati G, Feher J, Olah M, Kulisch A, Mando Z, Bender T. A multicentre randomized controlled follow-up study of the effects of the underwater traction therapy in chronic low back pain. Int J Biometeorol. 2020 Aug;64(8):1393-1400. doi: 10.1007/s00484-020-01919-8. Epub 2020 May 2.

    PMID: 32361959BACKGROUND
  • Alrwaily M, Almutiri M, Schneider M. Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropr Man Therap. 2018 Sep 17;26:35. doi: 10.1186/s12998-018-0205-z. eCollection 2018.

    PMID: 30237870BACKGROUND
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    PMID: 23959683BACKGROUND
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    PMID: 34719942BACKGROUND
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    BACKGROUND
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    PMID: 36188866BACKGROUND
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    PMID: 21982256BACKGROUND
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    PMID: 18019593BACKGROUND
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    PMID: 31417227BACKGROUND
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Central Study Contacts

Waleed S.E. Mahmoud, Doctoral in Physical therapy

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: It will be a triple-armed Randomized control trial, 30 subject will be recruited and randomly allocated into the three groups (supine, prone, and side-lying) using sealed envelope method, same treatment will be delivered with difference in positioning only, Supine Participants will lie in supine position with legs supported on a stool adjusted for hip and knee flexion to be at 90°, Prone Participants will lie in prone position with a pillow underneath their abdomen and a harness attached to the chest, and pelvis. Side-lying Participants will lie on the contralateral side of pain, with his hip flexed at 80°, and a pillow between his knees.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

February 2, 2025

First Posted

February 6, 2025

Study Start

February 15, 2025

Primary Completion

May 1, 2025

Study Completion

June 1, 2025

Last Updated

February 6, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will share

Data will be provided upon request through the principal investigator's email.