Effect of Hip Extension Mobilization on Functional Disability in Patients With Spondylolisthesis

NCT07547969 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005861
• Study Type: interventional
• Target: 32
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of hip extension mobilization on lumber disability, pain and flexion range of motion in patients with spondylolisthesis

Conditions

Spondylolisthesis

Keywords

hip extension mobilization; Spondylolisthesis; functional disability

Outcome Measures

Primary Outcomes (1)

• low back disability

  Arabic version of Roland Morris Disability will be used to assess low back disability. it is a valid, reliable 24-item tool used to assess physical disability in patients with low back pain (LBP). It has been culturally adapted to Modern Standard Arabic, with a score ranging from 0 to 24, where higher scores indicate greater functional disability.

  up to four weeks

Secondary Outcomes (2)

• pain intensity

  up to four weeks

• lumbar flexion range of motion

  up to four weeks

Study Arms (2)

hip extension mobilization

EXPERIMENTAL

Sixteen patients received hip extension mobilization with conventional treatment (William spinal flexion exercises and TENS) three times per week for one month.

Other: hip extension mobilization; Other: conventional treatment

conventional treatment

ACTIVE COMPARATOR

Sixteen patients received conventional treatment in the form of William's spinal flexion exercises and TENS three times per week for one month.

Other: conventional treatment

Interventions

hip extension mobilization OTHER

the patients will receive hip extension mobilization to increase hip extension range of motion; the therapist applies an anterior glide mobilization-usually with the patient in a prone position. The patient is positioned in prone at the edge of the table. The hip is then flexed, abducted, and externally rotated into position as tolerated by the patient, and the foot is placed next to the contralateral knee. Impart anterior mobilization through the greater trochanter. The therapist applies a grade IV mobilization in a posterior to anterior direction to target the anterior hip. The mobilizing hand applies a downward ward force through an extended elbow; body weight exerts the force+ cinentional treatment

hip extension mobilization

conventional treatment OTHER

Each subject will be given treatment of 30-40 minute session of William flexion exercises. The seven variations of Williams's exercises include (Pelvic tilt, single knee to chest, double knee to chest, half sit-up, hamstring stretch, hip flexor stretches, and squat). in additionn, The TENS electrodes are typically placed bilaterally along the lumbar paraspinal region directly over the painful area. The frequency of the output was set at 4 to 8 Hz. Continuous type used.

conventional treatment; hip extension mobilization

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic female Patients diagnosed as grade 1 lumbar degenerative spondylolisthesis (anterolisthesis) referred from Orthopedists was confirmed by lumbosacral x-ray
• Patients age ranged from 40 to 60 years.
• BMI(25:35)
• Ambulant patient with or without cane.
• Cooperative patients with ability to understand instructions and follow simple verbal commands.

You may not qualify if:

• Osteoporosis.
• Pregnancy.
• Signs consistent with nerve root compression (reproduction of low-back or leg pain with a straight leg raise at less than 45°, muscle weakness involving a major muscle group of the lower extremity, diminished lower extremity muscle stretch reflex, or diminished or absent sensation to pinprick in any lower extremity dermatome).
• General tumors, spinal tumor, fracture, cauda equina syndrome, and previous surgery.
• Other causes of spondylolisthesis.
• Patients with (BMI ≥ 35)
• Severe or life-threatening psychiatric illness.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Spondylolisthesis

Condition Hierarchy (Ancestors)

Spondylolysis; Spondylosis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Central Study Contacts

Alaa Kazamel, master

CONTACT

01203016831; alaaahmedkazamel@gmail.com

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 : Alaa Ahmed Kazamel

Model Details: mobilization and conventional treatment

Study Record Dates

• First Submitted: April 17, 2026
• First Posted: April 23, 2026
• Study Start: April 25, 2026
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: April 23, 2026

Record last verified: 2026-04