The Effect of Mulligan Mobilization Technique on Balance, Pain and Functionality in Patients With Chronic Low Back Pain

NCT ID: NCT05334394

Last Updated: 2022-04-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 37 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-07-10
• Study Completion Date: 2022-02-15

Brief Summary

This study was aimed to investigate the effectiveness of mulligan mobilization technique on balance, pain and functionality in patients with chronic low back pain and to compare it with exercise.37 patients aged between 18-65 who applied to Fındıkzade Medipol Hospital were included in the study. The individuals participating in the study were divided into two groups, 18 control and 19 mulligan groups, according to the randomization table. The intervention was performed 3 times a week for 4 weeks. Conventional physiotherapy and exercise program accompanied by a physiotherapist were applied to the control group, and conventional physiotherapy and mulligan mobilization technique were applied to the mulligan group. Conventional physiotherapy methods included ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and hotpack. The patients were evaluated with TecnoBody Static Balance Device, algometer, electrogoniometer, visual analog scale, Oswestry Low Back Pain Disability Questionnaire before and after the treatment.

Conditions

Chronic Low-back Pain; Lumbal Disc Herniation; Imbalance

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Mulligan Group

Group Type: EXPERIMENTAL

Mulligan Technique

Intervention Type: OTHER

Mulligan suggested that injuries or sprains can cause a minor positional error in a joint, thereby causing limitations in physiological movement. Unique to this concept is mobilization of the spine while weight bearing and directing the mobilization parallel to the spinal facet planes. Although it includes various mobilization techniques, one of the most important techniques, motion co-mobilization, is the SNAG's technique, which includes the application of accessory passive gliding to the lumbar vertebra while the patient performs active movement simultaneously.

Control Group

Group Type: EXPERIMENTAL

Exercise Therapy

Intervention Type: OTHER

Exercise is recommended by physical therapists for most chronic low back pain patients.

Interventions

Mulligan Technique

Mulligan suggested that injuries or sprains can cause a minor positional error in a joint, thereby causing limitations in physiological movement. Unique to this concept is mobilization of the spine while weight bearing and directing the mobilization parallel to the spinal facet planes. Although it includes various mobilization techniques, one of the most important techniques, motion co-mobilization, is the SNAG's technique, which includes the application of accessory passive gliding to the lumbar vertebra while the patient performs active movement simultaneously.

Intervention Type: OTHER

Exercise Therapy

Exercise is recommended by physical therapists for most chronic low back pain patients.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Experiencing non-specific chronic low back pain for more than 3 months
• The diagnosis has been confirmed by the Health Board Report
• Be over 18 years old
• Be younger than 65 years old
• Pain of at least 2 severity according to VAS
• Voluntarily agree to participate in the study

Exclusion Criteria

• Previous lumbar trauma or operation
• Long-term use of corticosteroids
• Cancer
• Pregnancy
• Osteoporosis
• Systemic Diseases
• Spinal Deformities
• Lumbal Stenosis
• Ankylozone Spondylitis
• Spondylolisthesis
• Spinal Deformities
• Lumbal Stenosis

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Medipol University

OTHER

Sponsor Role: lead

Responsible Party

Kubra Bali

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kübra Bali, Licenced

Role: PRINCIPAL_INVESTIGATOR

Medipol University

Locations

Fındıkzade Medipol Hospital

Istanbul, Fındıkzade, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

E-10840098-772.02-2868

Identifier Type: -

Identifier Source: org_study_id