Clinical trial NCT06634550: Effect of Mulligan Technique Versus Core Stability Exercises on Low Back Pain in Post Menopausal Women
Official title: Effect of Mulligan Technique Versus Core Stability Exercises on Low Back Pain in Post Menopausal Women
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Low Back Pain
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-10-10
Enrollment: 60
Sex: FEMALE
Minimum age (years): 50
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study will be conducted to compare the effect of Mulligan technique and core stability exercises on low back pain in post menopausal women.

Detailed description: Low back pain is a major health problem affecting majority of the people at some point of their life.

Mulligan techniques can correct positional faults that occur in the spine and, thus, once the pain generator is released, normal function returns and the muscle guarding around the affected joint is resolved. Several studies have reported that along with the biomechanical changes, certain neurophysiological changes exist that occur at the spinal level after applying Mulligan techniques, including changes in descending pain inhibitory systems and changes in central pain processing mechanisms.

Core stability exercises are usually used to strengthen the muscles around the abdominal, lumbar, and pelvic regions, because the muscles of these regions play an important role in stability as well as in controlling the lumbar posture by using tonic or postural muscles during whole-body exercises.

So, this study will be conducted to provide new evidence and information about the efficacy of Mulligan technique versus core stability exercises on low back pain in postmenopausal women, to manage this problem for these women and add new information to the field of physical therapy.

Eligibility criteria: Inclusion Criteria:

* Sixty postmenopausal women (at least one year after stoppage of menses).
* Their age will be ranged from 50 to 60 years.
* All of them are diagnosed with chronic low back pain.
* Their BMI will be less than 30 kg/ m2.
* All of them are of sedentary lifestyle.
* The score of pain will be 2 or more in a VAS.

Exclusion Criteria:

* Participants will be excluded from the study if they have:
* Spinal fractures or any other neurological disorders.
* Lumber disc herniation or spondylolithesis
* Body mass index more than 30 kg/m2.
* Pelvic pathology
* Gynecological diseases as chronic pelvic pain, uterine prolapse or retroversion flexion of the uterus.

Primary outcomes:
measure: Pain intensity level
timeFrame: 4 weeks
measure: Lumbar flexion range of motion
timeFrame: 4 weeks
measure: Lumbar extension range of motion
timeFrame: 4 weeks
measure: Assessment of lateral flexion range of motion
timeFrame: 4 weeks
Secondary outcomes:
measure: Functional disability
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Hala Ali Mohamed
Study officials:
affiliation: Cairo University
name: Azza B Kassab, professor
role: STUDY_CHAIR
References: