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

Suleyman Demirel University36 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Low Back Pain

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

Flexibility

Change of lumbar flexibility with sit and reach objective test( cm)

Time frame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

Endurance

Change of endurance of lumbar extensors with Sorensen endurance test(sn)

Time frame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

Functionality with patient specific function scale

Change of function

Time frame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

Disabilities with Oswestry disability index(scale)

Change of disabilities

Time frame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)

Secondary Outcomes

range of motion with goniometer

change of range of motion

Time frame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months