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

Immediate Effect of Two Selected Mulligan Techniques on Lumbar Sagittal Mobility in Nonspecific Low Back Pain

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.

Study Overview

• Status: Recruiting
• Conditions: Back Pain
• Intervention / Treatment: Procedure: mulligan SNAG and mulligan lion position

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 Type: Interventional
• Enrollment (Anticipated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Samaa Mohammed; Phone Number: 01144150689; Email: samaa19794@gmail.com
• Study Contact Backup: Name: Samaa Atef; Phone Number: 01144150689; Email: samaa19794@gmail.com

Study Locations

• Egypt
  • Beheira, Egypt
    • Recruiting
    • Samaa Atef Abd El Azeez Mohammed

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: mulligan SNAG; 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	Procedure: mulligan SNAG and mulligan lion position; manual therapy techniques for lumbar spine; Other Names: moblization with movement
Experimental: 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) .	Procedure: mulligan SNAG and mulligan lion position; manual therapy techniques for lumbar spine; Other Names: moblization with movement

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
ROM	ROM by bubble inclinometer	up to 2 hours after technique

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
degree of Pain	Pain will be assessed by VAS.	one week

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional disability	Functional disability will be assessed by the arabic version of Oswestry	one week
Kinesiophobia	Kinesiophobia will be assessed Tampa scale -Arabic version	one week

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: samaa Mohammed, physical therapist at Badr central hospital

Study record dates

Study Major Dates

• Study Start (Actual): January 16, 2023
• Primary Completion (Anticipated): May 1, 2023
• Study Completion (Anticipated): May 1, 2023

Study Registration Dates

• First Submitted: April 15, 2023
• First Submitted That Met QC Criteria: May 3, 2023
• First Posted (Actual): May 12, 2023

Study Record Updates

• Last Update Posted (Actual): May 16, 2023
• Last Update Submitted That Met QC Criteria: May 12, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: pain; mobility; lumbar; Back; mulligan; sagittal
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: P.T.REC/012/004356

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No