Effect of Mulligan Mobilization in Chronic Non-Spesific Low Back Pain
- Conditions
- Chronic Pain
- Interventions
- Procedure: Conventional PhysiotherapyProcedure: Mulligan Mobilization
- Registration Number
- NCT04297527
- Lead Sponsor
- Pamukkale University
- Brief Summary
Fifty five participants diagnosed with CNSLBP, will randomized into three groups. Group I (18 subjects) will receive 15 sessions of Conventional Physiotherapy program (CPP) 5 times per week, Group II (19 subjects) will receive 9 sessions of SNAGs, and Group III will receive CPP plus SNAGs. Outcome measures are pain, ROM, spinal mobility, fear avoidance behaviour and function. Measurements will record before, after and 6 month after the end of the treatment.
- Detailed Description
Inclussion criterias are; low back pain for at least 3 months, intensity of pain ranges from 3 to 6 according to VAS. Exclussion criterias are; undergoing surgical operation in the lumbar region or having a surgical indication, having an exercise therapy and / or physical therapy in the last 1 year, a history of trauma involving lumbar region and systemic and inflammatory disease targeting this region, participants using corticosteroids for a long time and being pregnant.Acording to our criterias 55 participants diagnosed with CNSLBP will randomised into three groups. Group 1 will receive Conventional Physiotherapy programme consisting of Hot pack, US and TENS applications. Group II aill receive Lumbar SNAGS consisting of Lumbar Extension SNAGS in prone, SNAGS in lion position and Lumbar flexion SNAGS in sitting, techniques. Group III will receive 9 sessions of SNAGs, and Group III will receive CPP plus SNAGs.Outcome measures are pain, ROM, spinal mobility, fear avoidance behaviour and function. Measurements will record before, after and 6 month after the end of the treatment. All treatment groups were treated with the same researcher. All assessments were made by another blind researcher three times at before, after and 6 month after treatment.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 55
- low back pain for at least 3 months
- intensity of pain ranges from 3 to 6 according to VAS
- undergoing surgical operation in the lumbar region or having a surgical indication having an exercise therapy and / or physical therapy in the last 1 year
- a history of trauma involving lumbar region and systemic and inflammatory disease targeting this region
- corticosteroids consumption for a long time
- being pregnant.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Conventional Physiotherapy plus Mulligan Mobilization Group Conventional Physiotherapy Conventional Physiotherapy (15 session) plus Mulligan Mobilization Programme (9 session) were applied in this group. CP were applied 5 days a week and CP+MM 3 days a week for 3 weeks. Mulligan Mobilization Group Mulligan Mobilization Mulligan Mobilization was administered 9 sessions (3 days a week, for 3 weeks). . Conventional Physiotherapy plus Mulligan Mobilization Group Mulligan Mobilization Conventional Physiotherapy (15 session) plus Mulligan Mobilization Programme (9 session) were applied in this group. CP were applied 5 days a week and CP+MM 3 days a week for 3 weeks. Conventional Physiotherapy Group Conventional Physiotherapy Group I (18 subjects) received 15 sessions of Conventional Physiotherapy program (CPP) 5 times per week.
- Primary Outcome Measures
Name Time Method Change of Range of Motion from baseline at 3 weeks and from baseline at 6 months Baseline, 3 weeks,6 months ROM is measured by BROM II device during flexion and extension activity.
Change from Pain Intensity from baseline at 3 weeks and from baseline at 6 months Baseline, 3 weeks,6 months Pain intensity during flexion and extension activity in lumbar region is measured by Numeric pain scale in which "0" shows No pain while "10" shows worst pain.
Change of Spinal Mobility from baseline at 3 weeks and from baseline at 6 months Baseline, 3 weeks,6 months Spinal mobility measured by Schober test.
- Secondary Outcome Measures
Name Time Method Change from Fear Avoidance Behaviour from baseline at 3 weeks and from baseline at 6 months Baseline, 3 weeks,6 months It ıs measured by Fear Avoidance Behaviour Questionnaire-Turkish.The total score ranges from 0 to 96. Maximum score indicates increased fear avoidanve behaviour
Change from Disability level from baseline at 3 weeks and from baseline at 6 months Baseline, 3 weeks,6 months It ıs measured by measured by Rolland Morris Disability Questionnaire-Turkish.Total score ranked from 0 to 24. İncreased score represents disability in functional activities
Trial Locations
- Locations (1)
Denizli State Hospital
🇹🇷Denizli, Turkey