Effect of Modified Lumbar Sustained Natural Apophyseal Glide on Postnatal Low Back Pain

NCT ID: NCT06427434

Last Updated: 2025-05-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-01
• Study Completion Date: 2024-12-30

Brief Summary

This study will be carried out to evaluate the effect of modified lumbar Sustained Natural Apophyseal Glide on low back pain in postnatal women.

Detailed Description

In fact, up to 75% of women who suffer from pregnancy-related back pain may continue to have pain after giving birth. Women who experience LBP or pelvic girdle pain (PGP) at 3 months postpartum were found to be at higher risk for persistent or chronic LBP. Of these women, only 6% recover within 6-18 months after giving birth.

A modified lumbar Sustained Natural Apophyseal Glide (SNAG) is an existing Mulligan mobilization technique performed with a combination of joint glide and physiological spinal movement. The glide can be applied to the spinous processes, facets, or unilaterally over the transverse processes while the patient performs the active exercise.

Few studies have been concerned with the effects of modified "SNAGS" on the lumbar spine . So, this study will be done to investigate its effect on low back pain in postnatal women aiming to improve their function to accomplish their daily living activities and reduce the side effects of medical treatment.

Conditions

Low Back Pain

Study Design

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

Study Groups

Strengthening and stretching exercises

The participants will be asked to perform strengthening and stretching exercises to the back and abdominal muscles for 30 min, three times per week for 4 weeks.

Group Type: ACTIVE_COMPARATOR

Strengthening and stretching exercises to the back and abdominal muscles

Intervention Type: OTHER

Strengthening and stretching exercises to the back and abdominal muscles will be performed for 30 min, three times per week for 4 weeks.

Modified Lumbar Sustained Natural Apophyseal Glide

The participants will receive Modified Sustained Natural Apophyseal Glide on the affected lumbar level for 30 sec three times per week for 4 weeks. In addition to strengthening and stretching exercises to the back and abdominal muscles for 30 min, three times per week for 4 weeks

Group Type: EXPERIMENTAL

Strengthening and stretching exercises to the back and abdominal muscles

Intervention Type: OTHER

Strengthening and stretching exercises to the back and abdominal muscles will be performed for 30 min, three times per week for 4 weeks.

Modified Lumbar Sustained Natural Apophyseal Glide

Intervention Type: OTHER

Modified Sustained Natural Apophyseal Glide will be applied on the affected lumbar level for 30 sec three times per week for 4 weeks.

Interventions

Strengthening and stretching exercises to the back and abdominal muscles

Strengthening and stretching exercises to the back and abdominal muscles will be performed for 30 min, three times per week for 4 weeks.

Intervention Type: OTHER

Modified Lumbar Sustained Natural Apophyseal Glide

Modified Sustained Natural Apophyseal Glide will be applied on the affected lumbar level for 30 sec three times per week for 4 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. All participants will be diagnosed as chronic postnatal low back pain.

2. Their ages will be ranged from 20 to 35 years old.

3. Their body mass index (BMI) will not exceed 30 kg/m2.

4. All participants have the same social level.

5. All participants have the same lifestyle.

6. Their number of parity will be ranged from 2-4 children.

Exclusion Criteria

1. Spinal fracture or any other neurological disorders.

2. Lumbar spinal stenosis from lumbar disc herniation, degenerative joint diseases, or spondylolisthesis.

3. Women with BMI > 30 kg/m2.

4. Participants who had pelvic pathology.

5. Skin disease interferes with mobilization application.

6. Gynecological diseases (chronic pelvic pain, uterine prolapse and retroversion flexion of the uterus).

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Mina Nageib Soliman

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Azza Kassab, professor

Role: STUDY_DIRECTOR

Cairo University

Locations

Mina Nageb Soliman

Cairo, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/004494

Identifier Type: -

Identifier Source: org_study_id