Effect of Mulligan Versus Maitland Mobilization on Lumbar Proprioception in Patients With Chronic Nonspecific Low Back Pain (LBP)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Low Back Pain

Treatments: Other: Maitland mobilization; Other: mulligan group; Other: traditional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06941220

P.T.REC/012/005680

Details and patient eligibility

About

this study will be conducted to compare between the effect of mulligan mobilization versus Maitland mobilization on pain ,function and lumbar proprioception in patients with chronic nonspecific low pain

Full description

Low back pain (LBP) is considered as one of the most widespread musculoskeletal disorders, impacting over 80% of the world's population, resulting in work absence, medical consultation, a decline in quality of life, and financial burden. Lumbar repositioning error was high around 30° of trunk flexion in individuals with CLB. When lumbar proprioceptive deficiencies arise, the activation pattern of back muscles is disturbed, the mechanics of the spinal unit differs from that of a healthy spine, and the recurrence rate of LBP increases . CLBP is managed using various intervention modalities, including drug therapy and physical therapy approaches . Physical therapy modalities, such as manual therapy, therapeutic exercises, and biopsychosocial techniques, are used for treating LBP. Manual therapy is a common and suggested modality for treating CLBP that has strong evidence. It is employed in physical therapy practice, including Maitland mobilization and Mulligan mobilization. Mulligan mobilization as well as Maitland mobilization has significant effect on pain ,function disability and lumbar repositioning error. But there is gap about which is more beneficial. So we conduct this study to determine which technique is more beneficial for patients

Enrollment: 90 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• They had interrupted or continuous LBP symptoms for more than 3 months
• both gender

Exclusion criteria

• specific LBP
• those who were pregnant
• those with neurological problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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90 participants in 3 patient groups

mulligan group

Experimental group

Description:

thirty patients will receive mulligan sustained natural apophyseal glide (SNAG) for each level was 3 sets of 6 repetitions 3 times per week for 1 month plus traditional therapy

Treatment:

Other: traditional therapy

Other: mulligan group

Maitland mobilization

Experimental group

Description:

thirty patients will receive Maitland 3 times per week for 1 month plus traditional therapy

Treatment:

Other: traditional therapy

Other: Maitland mobilization

traditional therapy

Active Comparator group

Description:

thirty patients will receive traditional therapy three times a week for four weeks

Treatment:

Other: traditional therapy