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Completed

NCT Number: NCT05334394

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

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.

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Key information

Conditions

Chronic Low-back Pain Behavior Imbalance Lumbal Disc Herniation Motor Activity

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fındıkzade Medipol Hospital

Istanbul, Fındıkzade, 34093, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Mulligan Technique

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.

Exercise therapy

Other

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

Primary outcomes

  1. TecnoBody Static Balance Device Measurements

    Time frame: 5 Minutes

    TecnoBody Stability Easy is a stabilometric system consisting of three highly sensitive sensors. The system is based on continuous observation of the foot pressure center (COP). By recording the postural oscillations of the body as a function of time, detailed information about the postural system is obtained

  2. Pressure Pain-Threshold Measurements with Algometer

    Time frame: 5 Minutes

    It is a device used to evaluate the sensitivity to pain and to determine the perception of pressure. The pressure algometer has proven useful in evaluating fibrositis and hypersensitive spots, trigger points, arthritis activation, and visceral pain-pressure sensitivity.

  3. Electrogoniometer

    Time frame: 5 Minutes

    It is an evaluation tool used to record the objective measurement of joint range of motion.

Secondary outcomes

  1. Visual Analog Scale

    Time frame: 1 Minutes

    Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically into digital. Two end definitions of the parameter to be evaluated are written on both ends of a 100 mm line and the patient is asked to indicate where his / her condition is appropriate by drawing a line or by placing a dot or marking.

  2. Oswestry Disability Index

    Time frame: 10 Minutes

    The Oswestry Disability Index is a commonly used outcome measure to detect perceived disability in patients with low back pain. It consists of 10 questions, each of which is scored between 0 and 5, assessing the degree of pain, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and change in pain. The minimum score obtained from the scale is 0, and the maximum score is 50. 0-4 points as no disability, 5-14 points as mild, 15-24 points as moderate, 25-34 points as severe and 35-50 points as complete functional disability.

Sponsors and collaborators

Lead sponsor

Medipol University

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Apr 19, 2022
Registry last updated
Apr 19, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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