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

Chronic Low Back Pain Clinical Trial

Official title:

Investigation of Immediate, Short and Long Term Effects of Mulligan Mobilization With Movement Techniques in Nonspesific Chronic Low Back Pain: a Randomized Placebo-controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04802850
• Other study ID #: study1984
• Status: Completed
• Phase: N/A
• Start date: January 1, 2013
• Est. completion date: April 1, 2015

Study information

• Verified date: March 2021
• Source: Suleyman Demirel University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: April 1, 2015
• Est. primary completion date: April 1, 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

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.

Related Conditions & MeSH terms

• Back Pain
• Chronic Low Back Pain
• Low Back Pain

Intervention

Other:
• Mulligan mobilization with movement

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Suleyman Demirel University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Flexibility	Change of lumbar flexibility with sit and reach objective test( cm)	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
Primary	Endurance	Change of endurance of lumbar extensors with Sorensen endurance test(sn)	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
Primary	Functionality with patient specific function scale	Change of function	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
Primary	Disabilities with Oswestry disability index(scale)	Change of disabilities	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
Secondary	range of motion with goniometer	change of range of motion	immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months