Effects of Slump Stretching vs Lumbar Mobilization With Exercises in Relieving Non-radiculating Low Back Pain

Not Applicable

• Conditions: Low Back Pain
• Interventions: Other: Lumbar mobilization; Other: Slump stretching

• Registration Number: NCT03631082
• Lead Sponsor: Isra University

Brief Summary

This study will be conducted to determine the effects of slump stretching vs lumbar mobilization with exercises in relieving non-radiculating low back pain. There will be two groups; Group I will receive Slump stretching along with standardized exercises and Group II will receive Lumbar mobilizations along with standardized exercises.

Detailed Description

Physical therapist commonly examines and treats patients with low back pain. For this purpose, they utilize a wide range of interventions for the management of Low back pain.

The rhythmical movement is thought to modulate pain and muscle spasm by stimulating receptors within the mobilized structures while, In recent years, neurodynamic test procedures, have also been used as interventions to potentially resolve abnormal physiology within the nervous system.

So for this purpose not only the present study can provide an additional evidence to the literature but also can can also demonstrates a structured Physiotherapy plan for treating the Non-Radiculating Low back pain

Study Timeline

• Status Verified: 2018-08
• Study Start: 2018-08
• Study First Submitted: 2018-08-12
• Study First Submitted QC: 2018-08-12
• Last Update Submitted: 2018-08-12
• Study First Posted: 2018-08-15
• Last Update Posted: 2018-08-15
• Primary Completion: 2018-12
• Study Completion: 2019-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Individuals with Non-Radiculating Low back pain

Test:

i. Slump test=positive ii. Straight leg raise=negative

Exclusion Criteria

Individuals with Radiculating Low Back pain,History of spinal surgery, Disc herniation,Pregnant women, Major diseases (e.g. stroke)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Lumbar mobilization group	Lumbar mobilization	Maitland Grade 1 - 2 Posterior to anterior lumbar spine mobilization will be applied for 30 - 45 seconds for all segments through L1 to L5 at rate of 1 oscillation per 2 seconds. Patients will also complete a standardized exercise program consisting of pelvic tilts, bridging, wall squats, quadruped alternate arms/legs activities as described by Cleland et al. Patients will perform 10 repetitions of each exercise.
Slump stretching group	Slump stretching	Slump stretching will be performed with the patient in the long sitting position. The position will be held for 30 seconds. A total of 5 repetitions will be completed. Patients will also complete a standardized exercise program consisting of pelvic tilts, bridging, wall squats, and quadruped alternate arms/legs activities as described by Cleland et al. Patients will perform 10 repetitions of each exercise.

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale	2 weeks	On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable.
Modified Oswestry Low Back Pain Disability Questionnaire	2 weeks	The questionnaire has been designed to give the therapist information as to how the back pain has affected the ability to manage in everyday life.
Short-Form Health Survey (SF-36)	2 weeks	SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. These measures rely upon patient self-reporting.

Secondary Outcome Measures

Name	Time	Method
Fear-Avoidance Beliefs Questionnaire	2 weeks	It consist of two scales; Scale 1: fear-avoidance beliefs about work Scale 2: fear-avoidance beliefs about physical activity
Active range of motion of lumbar spine.	2 weeks	It includes; lumbar flexion lumbar extension left lateral flexion right lateral flexion