Investigation of Immediate, Short and Long Term Effects of Mulligan Mobilization With Movement Techniques in Nonspesific Chronic Low Back Pain

Not Applicable

Completed

• Conditions: Chronic Low Back Pain
• Interventions: Other: Mulligan mobilization with movement

• Registration Number: NCT04802850
• Lead Sponsor: Suleyman Demirel University

Brief Summary

Introduction: Although the effectiveness of many mobilization methods in chronic low back pain (CLBP) was shown, these effects were not monitored in the long term. The aim of this study was to identify the immediate, short and long-term effects of mulligan mobilization with movement (MWM) in terms of pain, range of motion (ROM), flexibility, endurance, functionality and disabilities in patients with CLBP. Methods: The study was designed in randomized-placebo controlled with 36 people randomly distributed into 2 groups. Sustained natural apophyseal glide (SNAG) was applied to the lumbar region, straight leg raise (SLR) with traction to the hip, and internal rotational mobilization techniques and home exercise program were applied in Group 1 (n=19); and the same techniques were applied as sham mobilization in Group 2 (n=17). The evaluations were made as post-intervention for immediate effect, and were also made at the 5th week, 3rd month, and 6th months for short and long-term effect. Evaluation was also made for pain in 12th month.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01-01
• Primary Completion: 2014-04-01
• Study Completion: 2015-04-01
• Status Verified: 2021-03
• Study First Submitted: 2021-03-06
• Study First Submitted QC: 2021-03-15
• Last Update Submitted: 2021-03-15
• Study First Posted: 2021-03-17
• Last Update Posted: 2021-03-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Having 3 months' continuous or intermittent LBP symptoms, without leg pain above the knee
• Pain at VAS > 3/10,
• Back pain increased by active lumbar flexion movement

Exclusion Criteria

• Confirmed nerve root compression
• Neurological symptoms
• Lumbar spine stenosis
• Back surgery history
• Chronic pain syndrome
• LBP from fracture
• Infection
• Visceral disease
• Pregnancy
• Major clinical depression
• Cauda equina syndrome
• Significant osteoporosis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Real MWM	Mulligan mobilization with movement	Real mobilization with movement
Sham MWM	Mulligan mobilization with movement	sham or placebo mobilization with movement

Primary Outcome Measures

Name	Time	Method
Flexibility	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)	Change of lumbar flexibility with sit and reach objective test( cm)
Functionality with patient specific function scale	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)	Change of function
Disabilities with Oswestry disability index(scale)	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)	Change of disabilities
Endurance	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)	Change of endurance of lumbar extensors with Sorensen endurance test(sn)

Secondary Outcome Measures

Name	Time	Method
range of motion with goniometer	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months	change of range of motion