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

Non-specific Low Back Pain Clinical Trial

Official title:

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.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06139848
• Other study ID #: RCRAHS-ISB-REC/MS-PT-01609
• Status: Completed
• Phase: N/A
• Start date: May 22, 2023
• Est. completion date: January 15, 2024

Study information

• Verified date: March 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: January 15, 2024
• Est. primary completion date: December 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 22 Years to 40 Years

Eligibility

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

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain
• Non-specific Low Back Pain

Intervention

Other:
• Traditional Physical Therapy
Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.
• 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.

Locations

Country	Name	City	State
Pakistan	Khyber Teaching Hospital Peshawar	Peshawar	Khyber Pakhtun Khwa

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	Inclinometer	Inclinometer device is used to measure range of motion of the lower back	Baseline, after treatment and after 24 hours of session
Primary	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