Effect of Mulligan Technique Versus Core Stability Exercises on Low Back Pain in Post Menopausal Women

Cairo University (CU)

Status: Not yet enrolling

Conditions: Low Back Pain

Treatments: Other: Core stability exercise; Other: Lifestyle modification advice; Other: Mulligan technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06634550

P.T.REC/012/005170

Details and patient eligibility

About

This study will be conducted to compare the effect of Mulligan technique and core stability exercises on low back pain in post menopausal women.

Full description

Low back pain is a major health problem affecting majority of the people at some point of their life.

Mulligan techniques can correct positional faults that occur in the spine and, thus, once the pain generator is released, normal function returns and the muscle guarding around the affected joint is resolved. Several studies have reported that along with the biomechanical changes, certain neurophysiological changes exist that occur at the spinal level after applying Mulligan techniques, including changes in descending pain inhibitory systems and changes in central pain processing mechanisms.

Core stability exercises are usually used to strengthen the muscles around the abdominal, lumbar, and pelvic regions, because the muscles of these regions play an important role in stability as well as in controlling the lumbar posture by using tonic or postural muscles during whole-body exercises.

So, this study will be conducted to provide new evidence and information about the efficacy of Mulligan technique versus core stability exercises on low back pain in postmenopausal women, to manage this problem for these women and add new information to the field of physical therapy.

Enrollment: 60 estimated patients

Sex: Female

Ages: 50 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Sixty postmenopausal women (at least one year after stoppage of menses).
• Their age will be ranged from 50 to 60 years.
• All of them are diagnosed with chronic low back pain.
• Their BMI will be less than 30 kg/ m2.
• All of them are of sedentary lifestyle.
• The score of pain will be 2 or more in a VAS.

Exclusion criteria

• Participants will be excluded from the study if they have:
• Spinal fractures or any other neurological disorders.
• Lumber disc herniation or spondylolithesis
• Body mass index more than 30 kg/m2.
• Pelvic pathology
• Gynecological diseases as chronic pelvic pain, uterine prolapse or retroversion flexion of the uterus.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Mulligan technique group

Experimental group

Description:

The participants will receive Mulligan technique and lifestyle modification advice for 4 weeks

Treatment:

Other: Mulligan technique

Other: Lifestyle modification advice

Core stability exercise group

Experimental group

Description:

The participants will receive core stability exercises and lifestyle modification advice for 4 weeks

Treatment:

Other: Lifestyle modification advice

Other: Core stability exercise

Lifestyle modification advice group

Active Comparator group

Description:

The participants will receive lifestyle modification advice only for 4 weeks

Treatment:

Other: Lifestyle modification advice