Effects Of Inversion Table Therapy Vs MT On Pain And Lumbar Flexibility In Patients With Chronic Low Back Pain

NCT07055802 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall23/830
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic low back pain (CLBP) is a widespread yet difficult-to-manage and treat public health condition with a significant treatment failure rate. Both inversion table therapy and mulligan techniques are very effective in reducing low back pain. A number of literature supports the effectiveness of both techniques individually but there is no literature available that provide comparison between these two techniques.

Conditions

Chronic Low-back Pain

Outcome Measures

Primary Outcomes (3)

• Oswestry Disability Index

  Oswestry disability index is used to identify level of disability or severity of lower back pain(20). For those suffering from low back pain (LBP), the Oswestry Disability Index is a commonly used outcome measure. It takes five minutes to complete and one minute to rate the self-administered ODI questionnaire. Scores correspond to a range of disabilities, from mild to bedridden. Time period for again filling of Oswestry questionnaire is 4 weeks. It is important to measure disability level in lower back pain and ODI is an important reliable tool to measure lower back disability. There are different scoring levels in percentage which indicates level of disability in ODI. From 0 to 4, there is no disability; from 5 to 14, a mild disability; from 15 to 24, a moderate disability; from 25 to 34, a severe disability; and from 35 to 50, a totally crippled person.

  12 Months

• RAND SF-36

  Rand SF-36 is a questionnaire used to assess quality of life. This tool consists of eight areas: physical function, vitality, emotional role function, general health awareness, physical aches, physical function, social function, and mental health. The higher the score, the better the quality of life. A score of 0 is equal to the maximum dysfunction, and a score of 100 means no dysfunction.

  12 Months

• Sit and Reach Test

  Sit and Reach test is used to measure lumber flexibility through flexing lumber spine. In this test subject is in sitting position with legs fully extended and relaxed knee. Subject is asked to reach his arms as far as possible at flexibility meter and hold for 2 seconds. It comprises of different scores in cm categorised as 9 (very poor), 13 (poor), 14 (average), 15 (good), 17 (very good) and 25+ (excellent) Sit and reach test is found to be more reliable tool for measuring flexibility

  12 Months

Study Arms (2)

Inversion Table group

EXPERIMENTAL

Combination Product: Inversion Table

Mulligan group

EXPERIMENTAL

Combination Product: Mulligan flexion biased exercises

Interventions

Inversion Table COMBINATION_PRODUCT

Inversion Table group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given an inversion table therapy as a treatment at the angle of 60' for 5 minutes in every session. Two follow ups in a week were taken for total of 04 weeks. Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively

Inversion Table group

Mulligan flexion biased exercises COMBINATION_PRODUCT

experimental group named as Mulligan group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given mulligan technique. It was done at level just below ASIS (at level of L4-L5 spinous process), ten times/session, for 12 sessions three/week every other day for 4 weeks. . Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively

Mulligan group

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both Genders.
• Adults aged between 30-50.
• Low Back pain should be Persistent for more than 3 months
• Idiopathic pain

You may not qualify if:

• Pregnant females
• Patients with cauda equina syndrome (symptoms of bladder impairments)
• Cardiovascular disease in last 6 months
• Any progressive neurological deficit (like stroke and epilepsy)
• Patients history of vertigo and glaucoma
• Patient with flexion biased pain Persistent use of pain medication
• Patients who had undergone any other treatments, such as acupuncture or physical therapy, in last 3 months.

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Omer Hospital & Cardiac Center

Lahore, Punjab Province, Pakistan

Location

Study Design

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

Study Record Dates

• First Submitted: June 28, 2025
• First Posted: July 9, 2025
• Study Start: March 17, 2025
• Primary Completion: September 1, 2025
• Study Completion: February 28, 2026
• Last Updated: July 9, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)