Study and comparison of two therapeutic exercise approach with and without manual therapy on improving pain, range of motion , functional disability and balance in patients with low back pain.

Not Applicable

Conditions: patients with nonspecific chronic low back pain.
Low back pain

Registration Number: IRCT20090203001637N9

Lead Sponsor: Research deputy of Tarbiat Modares University

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 30

Inclusion Criteria

Having age between 25 to 50.
Having at least high school diploma education.
Having chronic non-specific chronic back pain for more than three months without neurological deficit.
Having body mass index between 20 to 25 (kg/m2).
Having localized pain at the waist level between 3 to 6 as VAS (Visual Analog Scale 0-10 centimeter) , during lumbar extension in sitting position on test day.
Having positive PILL Response scale(pain free ,immediate ,long lasting ) as Mulligan concept.
having functional disability between 20-40 % as Oswestry questionnaire.

Exclusion Criteria

Having history of trauma,surgery in back or stomach ,fracture in vertebral spine .
having any sign and symptom of pressure on cauda equinq nerve.
Presence of pregnancy, infection, tumor, inflammation and swelling, osteoporosis, rheumatism, systemic and neuromuscular diseases.
Having any deformity in vertebral spine.
Having a history of physical therapy for back pain in the last 3 months.
Use of analgesics.
Presence of disk protrusions (based on MRI) and diagnosis of orthopedic surgeon.
Presence of referral pain from lumbar to under the legs or the knees.
Losing any of inclusion criteria.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Balance. Timepoint: Pre-post of the interventions in the first session and a day after the last session(seventh session)last session(seventh session). Method of measurement: Force plate system.

Secondary Outcome Measures

Name	Time	Method
Functional disability. Timepoint: Pre-post of the interventions in the first session and a day after the last session(seventh session). Method of measurement: Oswestry Questionaire.;Pain in lumbar spine. Timepoint: Pre-post of the interventions in the first session and a day after the last session(seventh session). Method of measurement: Visual analog scale (VAS).;Range of motion of lumbar vertebral. Timepoint: Pre-post of the interventions in the first session and a day after the last session(seventh session). Method of measurement: Modified modified Schober method.