Comparison of Posterior-anterior Spinal Mobilization and Prone Press up in Patients With Non Specific Low Back Pain

Comparison of Posterior -Anterior Spinal Mobilization and Prone Press up on Pain ,Range of Motion and Disability in Patients With Non Specific Low Back Pain.

No previous literature found on the comparison of posterior-anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. This study will approach the results of posterior- anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. In previous researches the patients were not properly followed to see pre session, immediate after the session and after twenty- four hours effects of both interventions Posterior- anterior mobilization and Press-ups. Secondly, they have not taken the control group in their studies. In current study two techniques along with conventional treatment will be compared in three different groups to see their individual effects and combine effect of Maitland and Mackenzie technique

Study Overview

• Status: Completed
• Conditions: Non-specific Low Back Pain
• Intervention / Treatment: Other: Posterior-anterior spinal mobilization, prone press up Techniques; Other: Traditional Physical Therapy

Detailed Description

Non-specific low back pain refers to pain without any specific cause. The term "non- specific low back pain" refers to a condition where the cause of the symptoms cannot be identified with certainty, indicating that the underlying pathology is currently unknown and difficult to diagnose reliably. This pain is known for the main leading cause to effect activities of daily life, absenteeism and health care. Non-specific low back pain is a widely known serious condition in the worldwide . this was a randomized control trial and patients were randomly selected according to inclusion criteria and divided into A and B and C groups. The base line demographic, clinical and disability data was collected through structured questionnaire. Group A received both posterior-anterior mobilization on L4 and L5 level and Prone press- ups technique along with a conventional therapy whether group B had received only posterior-anterior spinal mobilization along with the conventional therapy. While group C received prone press-ups technique along with conventional treatment. Patient outcomes were measured at baseline, immediate after the session and 24 hours after the session outcomes measures (NPRS, GONIOMETER, ODI).

• Study Type: Interventional
• Enrollment (Actual): 36
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Khyber Pakhtun Khwa
    • Peshawar, Khyber Pakhtun Khwa, Pakistan, 25000
      • Khyber Teaching Hospital Peshawar

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Non-specific low back pain of duration <3 months
• Both male and female Age 22-40
• Increased localized pain with lumber extension during standing
• NPRS < 6

Exclusion Criteria:

• Spinal Surgery
• Subject who administered epidural injections
• Psychological low back pain
• History of injury from past 3 months
• Neurological deficit
• Hyper-mobility
• Subjects with mental disorder

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Maitland, Mackenzie Techniques and Conventional Treatment; posterior-anterior spinal mobilization and prone press up along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch	Other: Posterior-anterior spinal mobilization, prone press up Techniques; Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints. Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.
Active Comparator: Maitland Mobilization Techniques and Conventional Treatment; Posterior-anterior spinal mobilization along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch	Other: Traditional Physical Therapy; Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.; Other Names: Conventional Therapy
Active Comparator: Meckinzie Techniques and Conventional Treatment; Prone press up technique will be given along with conventional treatment as: Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch	Other: Posterior-anterior spinal mobilization, prone press up Techniques; Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints. Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.; Other: Traditional Physical Therapy; Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.; Other Names: Conventional Therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
NPRS (Numeric pain rating scale)	NPRS (Numeric pain rating scale) is a scale used to check whether the pain is mild, moderate and severe.	Baseline, after treatment and after 24 hours of session
Inclinometer	Inclinometer device is used to measure range of motion of the lower back	Baseline, after treatment and after 24 hours of session
Oswestory Disability Index	Oswestory Disability Index is a measuring tool to collect data from patients. 0-4 shows no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, 35-50 reveals completely disabled. it helps to provide data about patient's low back pain.	Baseline, after treatment and after 24 hours of session

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Nadia Ishtiaq, MS-OMPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): May 22, 2023
• Primary Completion (Actual): December 15, 2023
• Study Completion (Actual): January 15, 2024

Study Registration Dates

• First Submitted: September 15, 2023
• First Submitted That Met QC Criteria: November 15, 2023
• First Posted (Actual): November 18, 2023

Study Record Updates

• Last Update Posted (Actual): March 5, 2024
• Last Update Submitted That Met QC Criteria: March 4, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Disability; Range of motion; Non specific low back pain
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: RCRAHS-ISB-REC/MS-PT-01609

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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