Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain

NCT07177040 | Not Yet Recruiting

• 1 other identifier: H-2025-858
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up

Conditions

Non-specific Low Back Pain (NSLBP)

Outcome Measures

Primary Outcomes (1)

• Numeric Pain Rating Scale

  The NPRS will be used to evaluate the level of pain by selecting a number on a rating scale, ranging from 0 (no pain) to 10 (worst and unbearable pain).

  4 weeks

Secondary Outcomes (3)

• Functional disability

  4 weeks

• Lumbar flexion range of motion

  4 weeks

• overall stability index (OSI)

  4 weeks

Study Arms (2)

Maitland

ACTIVE COMPARATOR

Participants will receive Maitland technique therapy

Procedure: Maitland; Procedure: SNAG

SNAG

ACTIVE COMPARATOR

Participants will receive SNAG therapy based on the Mulligan Concept

Procedure: Maitland; Procedure: SNAG

Interventions

Maitland PROCEDURE

Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position

Maitland; SNAG

SNAG PROCEDURE

The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end

Also known as: sustained natural apophyseal glide

Maitland; SNAG

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Adults aged 25 to 40 years.
• Diagnosed with chronic NSLBP persisting for more than three months.
• Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position.
• Oswestry Disability Index (ODI) score between 20% to 40%.
• Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion.

You may not qualify if:

• Specific causes of low back pain (e.g., herniated disc, spinal stenosis).
• History of spinal surgery or trauma.
• Neurological deficits or systemic diseases affecting the musculoskeletal system.
• Pregnancy.
• Current participation in other physiotherapy programs.

Sponsors & Collaborators

• Ehab Mohamed Kamel Ahmed: lead
• The Scientific Research Deanship, University of Ha'il: collaborator

Study Sites (1)

University Medical Clinics

Hail, 0000, Saudi Arabia

Location

Central Study Contacts

Ehab Ahmed, PhD

CONTACT

+966564032363; em.ahmed@uoh.edu.sa

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Department of Public Health, College of Public Health and Health Informatics, University of Hail, Ha'il, Saudi Arabia

Study Record Dates

• First Submitted: September 9, 2025
• First Posted: September 16, 2025
• Study Start: October 5, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 20, 2026
• Last Updated: October 7, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)