Effect of Mulligan Versus Maitland Mobilization on Lumbar Proprioception in Patients With Chronic Nonspecific Low Back Pain

NCT06941220 | Completed

• 1 other identifier: P.T.REC/012/005680
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

this study will be conducted to compare between the effect of mulligan mobilization versus Maitland mobilization on pain ,function and lumbar proprioception in patients with chronic nonspecific low pain

Conditions

Low Back Pain

Keywords

mulligan; maitland; proprioception; low back pain

Outcome Measures

Primary Outcomes (1)

• joint position error (lumbar proprioception)

  joint position error will be measured by isokinetic. The lumbar Joint Position Error (JPE) Test is a measurement tool used to clinically assess an individual's lumbarcephalic proprioception ability. proprioception describes one's sense of position of their back in space. The lumbar JPE Test measures the ability of a blindfolded patient to accurately relocate their lumbar to a predetermined neutral point after lumbar joint movement.

  up to four weeks

Secondary Outcomes (3)

• pain intensity

  up to four weeks

• Functional disability

  up to four weeks

• lumbar range of motion

  up to four weeks

Study Arms (3)

mulligan group

EXPERIMENTAL

thirty patients will receive mulligan sustained natural apophyseal glide (SNAG) for each level was 3 sets of 6 repetitions 3 times per week for 1 month plus traditional therapy

Other: mulligan group; Other: traditional therapy

Maitland mobilization

EXPERIMENTAL

thirty patients will receive Maitland 3 times per week for 1 month plus traditional therapy

Other: Maitland mobilization; Other: traditional therapy

traditional therapy

ACTIVE COMPARATOR

thirty patients will receive traditional therapy three times a week for four weeks

Other: traditional therapy

Interventions

traditional therapy OTHER

the patients will receive traditional therapy in the form of passive stretching, strengthening, and lumbar stabilization exercises

Maitland mobilization; mulligan group; traditional therapy

mulligan group OTHER

SNAG technique was applied from a sitting position on the edge of the table while both feet were on a foot rest. A specialized Mulligan belt was used around the patient's waist and therapist's hips. The mobilizing force was applied parallel to the facet joint plane (cephalic direction) and over the spinous processes of the respective symptomatic spinal levels. The patients were asked to lean forward as much as possible during application of the mobilizing force and then return to the starting position while the therapist maintained his mobilizing force until the end. plus traditional therapy

mulligan group

Maitland mobilization OTHER

The subjects were placed in the prone position on a plinth with their hands beside them, and the therapist stood on the subject's side, the ulnar surface of the hand (between pisiform and hamate) was placed over the hypomobile spinous process. The second hand was placed on top of the first to enhance its force. With the therapist's elbows slightly bent and shoulders exactly above the spinous process, an oscillatory movement of the vertebra was executed by applying a posterior-anterior force to the hypomobile or painful spinous process. Grade III mobilization was applied four times, each with 60 s of oscillation and 20 s of rest in between them (2 or 3 oscillations per second) plus traditional therapy

Maitland mobilization

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• They had interrupted or continuous LBP symptoms for more than 3 months
• both gender

You may not qualify if:

• specific LBP
• those who were pregnant
• those with neurological problems

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Alshaymaa Shaaban Abdelazeim

Giza, Doki, 11251, Egypt

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : alshaymaa shaaban abd el azeim

Model Details: mulligan and maitland parallel group

Study Record Dates

• First Submitted: April 11, 2025
• First Posted: April 23, 2025
• Study Start: April 15, 2025
• Primary Completion: January 31, 2026
• Study Completion: January 31, 2026
• Last Updated: February 10, 2026

Record last verified: 2026-02

Locations

EG (1)