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Comparisons of Spinal Mobilization With Leg Movement and Spinal Extension-Oriented Mobilization in Patients with Lumbar Disc Herniation

Comparisons of Spinal Mobilization With Leg Movement and Spinal Extension-Oriented Mobilization on Pain, Straight Leg Raise, 5-Meter Walk Test, and Disability in Patients with Lumbar Disc Herniation

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
TCTR
Registry ID
TCTR20201022005
Enrollment
66
Registered
2020-10-22
Start date
2020-11-02
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lumbar disc herniation Spinal Mobilization With Leg Movement Spinal Mobilization With Movement Mulligan Mobilization With Movement Mckenzie Mckenzie method Mckenzie therapy Low back pain Straight Leg Raise Low back

Interventions

Spinal mobilization with leg movement (SMWLM) is one of the technique from Brian R. Mulligan besides mobilization with movement (MWM) which mostly used on peripheral joints&#44
natural apophyseal glides (NAGS) and sustained natural apophyseal glides (SNAGS) which used in vertebrae. The interesting part of this technique is the combination techniques that applied to the verte
it can help in improving patient’s symptoms. Tsirakis and co&#45
workers in 2014 studied the effects of a modified SMWLM on sympathetic outflow to the lower limbs. The result showed that there was a significant sympatho&#45
excitatory response during the SMWLM technique. It is believed that SMWLM produces immediate effect on pain reduction through central inhibitory system activation. SMWLM will be performed in the exper
lying with their affected leg uppermost closer to the physical therapist. Then physical therapist applies a sustained transverse glide towards the floor on spinous process of the involved segment whil
free range actively. In case the patient cannot actively move his/her leg&#44
they will be allowed to move according to the voluntary movement of the length they can or according to their bearable sensation of the tension. The physical therapist must make sure the patients perf
Experimental Other,Experimental Other
Spinal Mobilization With Leg Movement,Spinal Extension&#45
Oriented Mobilization

Sponsors

Mahidol University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
25 Years to 55 Years

Inclusion criteria

Inclusion criteria: 1. Age between 25 – 55 years 2. MRI findings of disc herniation in lumbar region with grade 1 or 2 3. Pain intensity with a visual analogue scale (VAS) score greater than 3/10 4. Symptoms present at low back and radiates into leg during SLR 5. Include in Derangement one to five in derangement classification

Exclusion criteria

Exclusion criteria: 1. Body mass index (BMI) obesity ≥ 30 kg/m2 2. Other specific spine disorders, for instance, spondylolisthesis, rheumatoid arthritis, stenosis, osteoporosis, ankylosing. 3. Difficulty to communicate in Indonesian language 4. Pregnancy 5. History of spinal or lower limb surgery within 6 months 6. Currently taking pain medication (i.e. analgesics, muscle relaxants, and corticosteroids injection) 7. Red flags - Back-related tumor - Cauda equina syndrome (CES) - Back-related infection - Spinal compression fracture - Abdominal aneurysm

Design outcomes

Primary

MeasureTime frame
Pain intensity at pre-intervention and after intervention in all sessions Visual analogue scale,Walking speed at pre-intervention and after intervention in all sessions Five-Meter Walk Test—

Secondary

MeasureTime frame
Lower limb neurodynamic at pre-intervention and after intervention in all sessions Straight leg raise,Low back funtional disability at pre-intervention and the end of program Modified Oswestry disability index—

Countries

Indonesia

Contacts

Public ContactHalidadjiyah -

Mahidol University

halida.schmidt@gmail.com+62 858-4275-7359

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026