Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain

Ehab Mohamed Kamel Ahmed

Status: Not yet enrolling

Conditions: Non-specific Low Back Pain (NSLBP)

Treatments: Procedure: Maitland; Procedure: SNAG

Study type: Interventional

Funder types: Other

Identifiers

NCT07177040

H-2025-858

Details and patient eligibility

About

Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up

Enrollment: 60 estimated patients

Sex: All

Ages: 25 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 25 to 40 years.
• Diagnosed with chronic NSLBP persisting for more than three months.
• Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position.
• Oswestry Disability Index (ODI) score between 20% to 40%.
• Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion.

Exclusion criteria

• Specific causes of low back pain (e.g., herniated disc, spinal stenosis).
• History of spinal surgery or trauma.
• Neurological deficits or systemic diseases affecting the musculoskeletal system.
• Pregnancy.
• Current participation in other physiotherapy programs.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Maitland

Active Comparator group

Description:

Participants will receive Maitland technique therapy

Treatment:

Procedure: SNAG

Procedure: Maitland

SNAG

Active Comparator group

Description:

Participants will receive SNAG therapy based on the Mulligan Concept

Treatment:

Procedure: SNAG

Procedure: Maitland