Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain

N/ANot Yet RecruitingNCT07177040

Ehab Mohamed Kamel Ahmed60 enrolled

Overview

Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Non-specific Low Back Pain (NSLBP)

Interventions

SNAGPROCEDURE

The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end

Eligibility

Sex: ALLMin age: 25 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 25 to 40 years. * Diagnosed with chronic NSLBP persisting for more than three months. * Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position. * Oswestry Disability Index (ODI) score between 20% to 40%. * Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion. Exclusion Criteria: * Specific causes of low back pain (e.g., herniated disc, spinal stenosis). * History of spinal surgery or trauma. * Neurological deficits or systemic diseases affecting the musculoskeletal system. * Pregnancy. * Current participation in other physiotherapy programs.

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

The NPRS will be used to evaluate the level of pain by selecting a number on a rating scale, ranging from 0 (no pain) to 10 (worst and unbearable pain).

Time frame: 4 weeks

Secondary Outcomes

Functional disability

Assessed by the Oswestry Disability Index (ODI) where according to the scale the disability will be indicated as follow: 0-4 no disability, 5-14 mild disability, 5-24 moderate disability, 25-34 severe disability, and 35-50 complete disability

Time frame: 4 weeks

Lumbar flexion range of motion

Measured using a Back range of motion (BROM)

Time frame: 4 weeks

overall stability index (OSI)

Repositioning error evaluated through proprioceptive testing provided by the Biodex Balance System, no need for cut off) as the measurement differences will be compared.

Time frame: 4 weeks

Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts