Comparison of the effect of mulligan SNAG and Maitland mobilization techniques on the kinematic parameters of Lumbo-pelvic during stand to sit and sit to stand in athletes with Non- specific chronic low back pain
1-Determining the effect of Mulligan and Maitland treatment techniques on mean and standard deviation of pain and disability in athletes with non-specific chronic low back pain
2- Kinematics of lumbar-pelvic spine after Mulligan techniques while sitting and getting up from a chair in athletes with non-specific chronic low back pain
3- Kinematic determination of lumbar-pelvic spine after performing Maitland techniques while sitting and getting up from a chair in athletes with non-specific chronic low back pain
Design
A clinical trial with a control group, double-blind, randomized with parallel groups will be done on 30 participants.
Settings and conduct
The study will be done in Semnan Neuromuscular Rehabilitation Reseaarch Center. Participants in the first group will receive the Maitland mobilization as an parallel movements and forces down and at the level of the facet joint. Second group will receive the Muligan SNAG mobilization as an glide during flexion. Both groups will be treated for 4 days a week for 4 weeks, each session lasting 30 minutes. For standard treatment in both groups, TENS modalities and IR will be used.
Participants/Inclusion and exclusion criteria
Inclusion criteria :People in the age range of 18-50 years low back pain that lasts at least 12 weeks; Having a VAS between 30-60 based on a 100 mm pain scale.
Non-inclusion criteria : diffuse pain originating from sciatic nerve involvement;
BMI more than 30 kg/m2 ; leg pain; paresthesia in the legs; movement defect or motor involvement in the muscles of the lower limbs; acute intervertebral disc herniation
Intervention groups
In the first group, they will receive the Maitland mobilization as PA Glide. In the second group, Mulligan Mobilization will receive SNAG as a spinal glide.
There is no intervention in the control group. The control group is healthy people.
Main outcome variables
Pain ؛ Disability
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20160808029264N11
Registration date:2021-06-18, 1400/03/28
Registration timing:prospective
Last update:2021-06-18, 1400/03/28
Update count:0
Registration date
2021-06-18, 1400/03/28
Registrant information
Name
Rasool Bagheri
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 23 3344 1022
Email address
rasool.bagheri@ymail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-08-20, 1400/05/29
Expected recruitment end date
2022-02-18, 1400/11/29
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of mulligan SNAG and Maitland mobilization techniques on the kinematic parameters of Lumbo-pelvic during stand to sit and sit to stand in athletes with Non- specific chronic low back pain
Public title
The effect of mulligan and Maitland techniques in athletes with low back pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
The age range of 18-50 years
Having a VAS between 30-60
Exclusion criteria:
Diffuse pain with sciatic nerve root involvement
History of surgery and fracture of the lumbar spine or other spinal structures
BMI greater than 30 kg / m2
leg pain spreading below the knee
paresthesia in the legs
movement impairment or motor involvement in limb muscles
Acute intervertebral disc herniation
Malignancy
Having any medical condition that has been contraindicated for exercise therapy
Pregnancy
Absence of radicular symptoms during daily activities especially walking
Rheumatic and heart diseases
Local swelling in the spine
Skin changes in the spine due to skin problems and burns
Age
From 18 years old to 50 years old
Gender
Both
Phase
3
Groups that have been masked
Participant
Investigator
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
This study is available and non-probable sampling that after entering the samples will be randomly entered into one of groups one and two using a sealed envelope and then a healthy group with this group of patients They will be matched in terms of age, sex, height and weight. They will be evaluated kinematically.
Blinding (investigator's opinion)
Double blinded
Blinding description
Patients do not know if they are in the Maitland or Mulligan group. Because each group will receive a different intervention through the manual contact on their lumbar spine. In addition, the evaluator will not know which group the patient is in.
Placebo
Not used
Assignment
Parallel
Other design features
Participants in the first group will receive the Midland Mobilization as PA Glide. In the initial sessions of treatment, 1 degree of oscillation will be applied. In the next sessions, the amount of mobilization will change according to the patient's response, which will be used in grades 2 and 3. Participants in the second group will receive SNAG Mulligan Mobilization as a spinal slide. .Sustainable manual force is applied directly to the spinal cord of the lumbar vertebrae during active flexion.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Semnan University of Medical Sciences
Street address
Basij Blvd
City
Semnan
Province
Semnan
Postal code
3513138111
Approval date
2020-03-14, 1398/12/24
Ethics committee reference number
IR.SEMUMS.REC.1398.302
Health conditions studied
1
Description of health condition studied
Chronic low back pain
ICD-10 code
M54.5
ICD-10 code description
Low back pain
Primary outcomes
1
Description
Lumbo-pelvic kinematic
Timepoint
before and after treatment
Method of measurement
motion analysis system of qualysis
2
Description
disability
Timepoint
Before and after treatment
Method of measurement
ODI Disability questionnaire
3
Description
pain
Timepoint
Before and after treatment
Method of measurement
100 mm VAS pain scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group 1: Participants in the first group will receive the Maitland Mobilization as an anterior-posterior glide, which is 4 days a week for 4 weeks and 16 sessions, each lasting 30 minutes.
Category
Treatment - Other
2
Description
Intervention group 2: This group will receive Mulligan mobilization as a spinal glide, which is 4 days a week for 4 weeks and 16 sessions, each session lasting 30 minutes.