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

Primary Purpose

Back Pain

Status
Recruiting
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
mulligan SNAG and mulligan lion position
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Back Pain focused on measuring mulligan, lumbar, sagittal, mobility, Back, pain

Eligibility Criteria

20 Years - 40 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 3 to 7 on VAS. Back Pain duration of 6 week or more . 20-40 years old . Patients of both sexes will be concluded . body mass index (18.5-29.9 KG/M2). Exclusion Criteria: fracture, osteoporosis, myelopathy, multiple adjacent radiculopathies, cauda equina syndrome, vertebral bone disease and bony joint instability . Infective conditions of spine, autoimmune disorders, Pacemakers, malignancy . History of surgery or injection at lumbar spine 1 year ago .

Sites / Locations

  • Samaa Atef Abd El Azeez MohammedRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

mulligan SNAG

mulligan lion position

Arm Description

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

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) .

Outcomes

Primary Outcome Measures

ROM
ROM by bubble inclinometer

Secondary Outcome Measures

degree of Pain
Pain will be assessed by VAS.

Full Information

First Posted
April 15, 2023
Last Updated
May 12, 2023
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT05856279
Brief Title
Immediate Effect of Two Selected Mulligan Techniques in Nonspecific Low Back Pain
Official Title
Immediate Effect of Two Selected Mulligan Techniques on Lumbar Sagittal Mobility in Nonspecific Low Back Pain
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 16, 2023 (Actual)
Primary Completion Date
May 2023 (Anticipated)
Study Completion Date
May 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
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.
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

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Back Pain
Keywords
mulligan, lumbar, sagittal, mobility, Back, pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
mulligan SNAG and mulligan lion position
Masking
ParticipantOutcomes Assessor
Masking Description
Double blinded clinical randomized controlled trial (research assistant for assessment and patients will be blinded to about treatment).
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
mulligan SNAG
Arm Type
Experimental
Arm Description
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
Arm Title
mulligan lion position
Arm Type
Experimental
Arm Description
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) .
Intervention Type
Procedure
Intervention Name(s)
mulligan SNAG and mulligan lion position
Other Intervention Name(s)
moblization with movement
Intervention Description
manual therapy techniques for lumbar spine
Primary Outcome Measure Information:
Title
ROM
Description
ROM by bubble inclinometer
Time Frame
up to 2 hours after technique
Secondary Outcome Measure Information:
Title
degree of Pain
Description
Pain will be assessed by VAS.
Time Frame
one week
Other Pre-specified Outcome Measures:
Title
Functional disability
Description
Functional disability will be assessed by the arabic version of Oswestry
Time Frame
one week
Title
Kinesiophobia
Description
Kinesiophobia will be assessed Tampa scale -Arabic version
Time Frame
one week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 3 to 7 on VAS. Back Pain duration of 6 week or more . 20-40 years old . Patients of both sexes will be concluded . body mass index (18.5-29.9 KG/M2). Exclusion Criteria: fracture, osteoporosis, myelopathy, multiple adjacent radiculopathies, cauda equina syndrome, vertebral bone disease and bony joint instability . Infective conditions of spine, autoimmune disorders, Pacemakers, malignancy . History of surgery or injection at lumbar spine 1 year ago .
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Samaa Mohammed
Phone
01144150689
Email
samaa19794@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Samaa Atef
Phone
01144150689
Email
samaa19794@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
samaa Mohammed
Organizational Affiliation
physical therapist at Badr central hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Samaa Atef Abd El Azeez Mohammed
City
Beheira
Country
Egypt
Individual Site Status
Recruiting

12. IPD Sharing Statement

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

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