Effects of Different Treatment Methods Applied to Spine in Chronic Non-Spesific Low Back Pain
Condition: Chronic Low-back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      We aimed to investigate the effects of instrument assisted manipulation (IAM) and Mulligan
      mobilization with movement (MWM) on joint range of motion (ROM), pain, proprioception,
      endurance, back awareness and disability in individuals with chronic non-specific low back
      pain (CNSLBP). Fifthy one participants were randomly divided into 3 groups. The first was the
      Mulligan group, the second was the IAM group, and the third was the core exercise group.
      Visual Analogue Scale (VAS) was used to assess pain severity. Lumbal flexibility was
      evaluated with the fingertip-to-floor test. Oswestry disability index (ODI) and Roland Morris
      Disability Questionnaire (RMDQ) used to evaluate the disability. Fremantle back awareness
      questionnaire (FBAQ) used to evaluate back awareness. Joint ROM (lumbal flexion, lumbal
      extension and lumbal lateral flexion) and proprioception (30° lumbal flexion in standing, 30°
      lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral position)
      evaluated with JTECH digital dual inclinometer. McGill core endurance tests were used for
      core endurance assessment. McGill core endurance assessment consists of 3 tests. These:
      Flexor endurance test, lateral endurance test and extensor endurance test.
    

Detailed description: 
      IAM and Mulligan MWM interventions were applied 3 days a week for 2 weeks in total 6
      sessions. All 3 groups did same core exercise program. The exercise program was done from the
      baseline for 6 weeks, 3 days a week, for a total of 18 sessions. Outcome measurements were
      done at baseline, at the end of the 2nd week, and at the end of the 6th week. The researcher
      who performed the outcome measurements did not know the participant's group. Assessment and
      treatment were performed by two different researchers with 8 years of professional
      experience. Visual Analogue Scale (VAS) was used to assess pain severity. Lumbal flexibility
      was evaluated with the fingertip-to-floor test. Oswestry disability index (ODI) and Roland
      Morris Disability Questionnaire (RMDQ) used to evaluate the disability. Fremantle back
      awareness questionnaire (FBAQ) used to evaluate back awareness. Joint ROM (lumbal flexion,
      lumbal extension and lumbal lateral flexion) and proprioception (30° lumbal flexion in
      standing, 30° lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral
      position) evaluated with JTECH digital dual inclinometer. The measurement of the joint ROM in
      the lumbal region with the dual inclinometer technique is a reliable method. McGill core
      endurance tests were used for core endurance assessment. McGill core endurance assessment
      consists of 3 tests. These: Flexor endurance test, lateral endurance test and extensor
      endurance test.
    

Intervention name(s): Instrument assisted manipulation + Core exercises; Mulligan mobilization with movement + Core exercises; Core exercises
Intervention type(s): Other; Other; Other
Intervention description(s): The effect of Instrument assisted manipulation on chronic non-spesific low back pain; The effect of Mulligan mobilization with movement on chronic non-spesific low back pain; The effect of core exercises on chronic non-spesific low back pain
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized Controlled Trial
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Chronic Low Back Pain; Physiotherapy; Mulligan; Instrument Assisted Manipulation; Core Exercise