Immediate Effect of Two Selected Mulligan Techniques in Nonspecific Low Back Pain

Not Applicable

Recruiting

• Conditions: Back Pain
• Interventions: Procedure: mulligan SNAG and mulligan lion position

• Registration Number: NCT05856279
• Lead Sponsor: Cairo University

Brief Summary

To compare between immediate effect of SNAG and mulligan lion position in range of motion (ROM) , pain, functional ability and kinesiophobia on patients with nonspecific low back pain.

Detailed Description

Low back pain (LBP) is a global health problem.Orthopedic Manual therapy (OMT) is most commonly recommended form of treatment of LBP and it is also frequently used in clinical practice in various countries. Mulligan introduced a new technique in manual therapy. Mulligan has a great role in the treatment of LBP.General techniques of mulligan are MWM, SNAGs and natural apophyseal glides (NAGs).

Lumber SNAG have immediate and short term on pain and function in treatment of patients with NSLBP.Mulligan has special techniques, one of them is modified lumbar SNAG (lion position) .It has short term effect in reducing pain and activity limitation. Up to investigated knowledge, No previous studies comparing immediate effect of two techniques in range of motion (ROM), pain, functional ability and kinesiophobia

Study Timeline

• Study Start: 2023-01-16
• Study First Submitted: 2023-04-15
• Status Verified: 2023-05
• Primary Completion: 2023-05
• Study Completion: 2023-05
• Study First Submitted QC: 2023-05-03
• Study First Posted: 2023-05-12
• Last Update Submitted: 2023-05-12
• Last Update Posted: 2023-05-16

Recruitment & Eligibility

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

Inclusion Criteria

1. 3 to 7 on VAS.
2. Back Pain duration of 6 week or more .
3. 20-40 years old .
4. Patients of both sexes will be concluded .
5. body mass index (18.5-29.9 KG/M2).

Exclusion Criteria

1. fracture, osteoporosis, myelopathy, multiple adjacent radiculopathies, cauda equina syndrome, vertebral bone disease and bony joint instability .
2. Infective conditions of spine, autoimmune disorders, Pacemakers, malignancy .
3. History of surgery or injection at lumbar spine 1 year ago .

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
mulligan SNAG	mulligan SNAG and mulligan lion position	Patients in this group will receive mulligan SNAG from sitting position and McGill stabilization exercises.The glide will be performed six repetitions for three sets for one session and McGill stabilization exercises as a home program: 7 days a week and 10 repetitions of each exercise for 2times per day and a rest interval of 2 minutes between exercises
mulligan lion position	mulligan SNAG and mulligan lion position	Patients in this group will receive mulligan modified lumbar SNAG lion position and McGill stabilization exercises.Modified lumbar SNAGs (lion position) will be applied in a quadruped position (lion position)six repetitions for three sets for one session . McGill stabilization exercises as a home program: 7 days a week and 10 repetitions of each exercise for 2times per day and a rest interval of 2 minutes between exercises The therapist stands to one side of the patient and applies (SNAG) centrally to the spinous process of the involved segment. The medial border of the hand is hooked under the chosen segment while the other arm encircles the trunk to stabilize the upper body. The therapist maintains the glide while the patient sits back towards their heels (for flexion) .

Primary Outcome Measures

Name	Time	Method
ROM	up to 2 hours after technique	ROM by bubble inclinometer

Secondary Outcome Measures

Name	Time	Method
degree of Pain	one week	Pain will be assessed by VAS.

Trial Locations

Locations (1)

Samaa Atef Abd El Azeez Mohammed; 🇪🇬 Beheira, Egypt