Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain

NCT ID: NCT07177040

Last Updated: 2025-10-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-05

Study Completion Date

2026-01-20

Brief Summary

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Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up

Detailed Description

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Conditions

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Non-specific Low Back Pain (NSLBP)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Maitland

Participants will receive Maitland technique therapy

Group Type ACTIVE_COMPARATOR

Maitland

Intervention Type PROCEDURE

Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position

SNAG

Intervention Type PROCEDURE

The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end

SNAG

Participants will receive SNAG therapy based on the Mulligan Concept

Group Type ACTIVE_COMPARATOR

Maitland

Intervention Type PROCEDURE

Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position

SNAG

Intervention Type PROCEDURE

The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end

Interventions

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Maitland

Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position

Intervention Type PROCEDURE

SNAG

The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end

Intervention Type PROCEDURE

Other Intervention Names

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sustained natural apophyseal glide

Eligibility Criteria

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Inclusion Criteria

* Adults aged 25 to 40 years.
* Diagnosed with chronic NSLBP persisting for more than three months.
* Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position.
* Oswestry Disability Index (ODI) score between 20% to 40%.
* Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion.

Exclusion Criteria

* Specific causes of low back pain (e.g., herniated disc, spinal stenosis).
* History of spinal surgery or trauma.
* Neurological deficits or systemic diseases affecting the musculoskeletal system.
* Pregnancy.
* Current participation in other physiotherapy programs.
Minimum Eligible Age

25 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Scientific Research Deanship, University of Ha'il

UNKNOWN

Sponsor Role collaborator

Ehab Mohamed Kamel Ahmed

OTHER

Sponsor Role lead

Responsible Party

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Ehab Mohamed Kamel Ahmed

Department of Public Health, College of Public Health and Health Informatics, University of Hail, Ha'il, Saudi Arabia

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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University Medical Clinics

Hail, , Saudi Arabia

Site Status

Countries

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Saudi Arabia

Central Contacts

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Ehab Ahmed, PhD

Role: CONTACT

+966564032363

Facility Contacts

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Ehab Ahmed, Physiotherapist

Role: primary

+966564032363

Other Identifiers

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H-2025-858

Identifier Type: -

Identifier Source: org_study_id

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