Clinical trial NCT04802850: Investigation of Immediate, Short and Long Term Effects of Mulligan Mobilization With Movement Techniques in Nonspesific Chronic Low Back Pain
Official title: Investigation of Immediate, Short and Long Term Effects of Mulligan Mobilization With Movement Techniques in Nonspesific Chronic Low Back Pain: a Randomized Placebo-controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Low Back Pain
Lead sponsor: Suleyman Demirel University
Sponsor class: OTHER
First posted: 2021-03-17
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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.

Primary outcomes:
measure: Flexibility
timeFrame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
measure: Endurance
timeFrame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
measure: Functionality with patient specific function scale
timeFrame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
measure: Disabilities with Oswestry disability index(scale)
timeFrame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)
Secondary outcomes:
measure: range of motion with goniometer
timeFrame: immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months
Other outcomes:
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