Comparison of Posterior-anterior Spinal Mobilization and Prone Press up in Patients With Non Specific Low Back Pain

NCT ID: NCT06139848

Last Updated: 2024-03-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-22
• Study Completion Date: 2024-01-15

Brief Summary

No previous literature found on the comparison of posterior-anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. This study will approach the results of posterior- anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. In previous researches the patients were not properly followed to see pre session, immediate after the session and after twenty- four hours effects of both interventions Posterior- anterior mobilization and Press-ups. Secondly, they have not taken the control group in their studies. In current study two techniques along with conventional treatment will be compared in three different groups to see their individual effects and combine effect of Maitland and Mackenzie technique

Detailed Description

Non-specific low back pain refers to pain without any specific cause. The term "non- specific low back pain" refers to a condition where the cause of the symptoms cannot be identified with certainty, indicating that the underlying pathology is currently unknown and difficult to diagnose reliably. This pain is known for the main leading cause to effect activities of daily life, absenteeism and health care. Non-specific low back pain is a widely known serious condition in the worldwide . this was a randomized control trial and patients were randomly selected according to inclusion criteria and divided into A and B and C groups. The base line demographic, clinical and disability data was collected through structured questionnaire. Group A received both posterior-anterior mobilization on L4 and L5 level and Prone press- ups technique along with a conventional therapy whether group B had received only posterior-anterior spinal mobilization along with the conventional therapy. While group C received prone press-ups technique along with conventional treatment. Patient outcomes were measured at baseline, immediate after the session and 24 hours after the session outcomes measures (NPRS, GONIOMETER, ODI).

Conditions

Non-specific Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Maitland, Mackenzie Techniques and Conventional Treatment

posterior-anterior spinal mobilization and prone press up along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch

Group Type: EXPERIMENTAL

Posterior-anterior spinal mobilization, prone press up Techniques

Intervention Type: OTHER

Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints.

Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.

Maitland Mobilization Techniques and Conventional Treatment

Posterior-anterior spinal mobilization along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch

Group Type: ACTIVE_COMPARATOR

Traditional Physical Therapy

Intervention Type: OTHER

Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.

Meckinzie Techniques and Conventional Treatment

Prone press up technique will be given along with conventional treatment as:

Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch

Group Type: ACTIVE_COMPARATOR

Traditional Physical Therapy

Intervention Type: OTHER

Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.

Posterior-anterior spinal mobilization, prone press up Techniques

Intervention Type: OTHER

Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints.

Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.

Interventions

Traditional Physical Therapy

Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.

Intervention Type: OTHER

Posterior-anterior spinal mobilization, prone press up Techniques

Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints.

Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.

Intervention Type: OTHER

Other Intervention Names

Conventional Therapy

Eligibility Criteria

Inclusion Criteria

• Non-specific low back pain of duration <3 months
• Both male and female Age 22-40
• Increased localized pain with lumber extension during standing
• NPRS < 6

Exclusion Criteria

• Spinal Surgery
• Subject who administered epidural injections
• Psychological low back pain
• History of injury from past 3 months
• Neurological deficit
• Hyper-mobility
• Subjects with mental disorder

• Minimum Eligible Age: 22 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nadia Ishtiaq, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Khyber Teaching Hospital Peshawar

Peshawar, Khyber Pakhtun Khwa, Pakistan

Countries

Pakistan

Other Identifiers

RCRAHS-ISB-REC/MS-PT-01609

Identifier Type: -

Identifier Source: org_study_id