Chronic Low Back Pain
Conditions
Brief summary
Introduction: Although the effectiveness of many mobilization methods in chronic low back pain (CLBP) was shown, these effects were not monitored in the long term. The aim of this study was to identify the immediate, short and long-term effects of mulligan mobilization with movement (MWM) in terms of pain, range of motion (ROM), flexibility, endurance, functionality and disabilities in patients with CLBP. Methods: The study was designed in randomized-placebo controlled with 36 people randomly distributed into 2 groups. Sustained natural apophyseal glide (SNAG) was applied to the lumbar region, straight leg raise (SLR) with traction to the hip, and internal rotational mobilization techniques and home exercise program were applied in Group 1 (n=19); and the same techniques were applied as sham mobilization in Group 2 (n=17). The evaluations were made as post-intervention for immediate effect, and were also made at the 5th week, 3rd month, and 6th months for short and long-term effect. Evaluation was also made for pain in 12th month.
Interventions
Sponsors
Suleyman Demirel University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Having 3 months' continuous or intermittent LBP symptoms, without leg pain above the knee * Pain at VAS \> 3/10, * Back pain increased by active lumbar flexion movement
Exclusion criteria
* Confirmed nerve root compression * Neurological symptoms * Lumbar spine stenosis * Back surgery history * Chronic pain syndrome * LBP from fracture * Infection * Visceral disease * Pregnancy * Major clinical depression * Cauda equina syndrome * Significant osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Flexibility | immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months) | Change of lumbar flexibility with sit and reach objective test( cm) |
| Endurance | immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months) | Change of endurance of lumbar extensors with Sorensen endurance test(sn) |
| Functionality with patient specific function scale | immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months) | Change of function |
| Disabilities with Oswestry disability index(scale) | immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months) | Change of disabilities |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| range of motion with goniometer | immediate(post intervention)-5 weeeks(after 5 week treatment)-3 months(after 3 months)-6 months(after 6 months)-12 months | change of range of motion |
Outcome results
None listed