Health TrialsbyHealthPanel

Mulligan Mobilization Techniques for Non-Specific Low Back Pain

ConditionNon-specific Low Back Pain (NSLBP)
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorGazi University

About this trial

This study aims to compare the effectiveness of two different Mulligan mobilization techniques in patients with non-specific low back pain. A total of 30 adults with chronic low back pain will be randomly assigned to three groups: (1) conventional physiotherapy plus hip internal rotation Mulligan mobilization, (2) conventional physiotherapy plus straight leg raise Mulligan mobilization, or (3) conventional physiotherapy only. The interventions will be applied twice a week for four weeks. The main outcomes are pain intensity (measured by Visual Analog Scale) and lumbar range of motion. Secondary outcomes include disability level (Oswestry Disability Index) and back awareness (Fremantle Back Awareness Questionnaire). The study will help determine whether Mulligan techniques provide additional benefits beyond conventional physiotherapy in reducing pain and improving function in people with non-specific low back pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Diagnosed with non-specific low back pain (NSLBP) for at least 3 months

Able to walk independently

Willing to participate and provide written informed consent

Disqualifiers

Specific causes of low back pain (e.g., disc herniation, spinal stenosis, tumor)

Presence of neurological deficits or radiculopathy

Hip joint pathologies limiting mobility (e.g., osteoarthritis)

History of lumbar surgery in the last 6 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Hip Internal Rotation Mulligan Mobilization

    Behavioral

    Mulligan mobilization applied to hip internal rotation using a mobilization belt. Performed in 3 sets of 10 repetitions, twice weekly for 4 weeks, in addition to conventional physiotherapy.

  • Straight Leg Raise Mulligan Mobilization

    Behavioral

    Mulligan mobilization applied to straight leg raise under manual traction. Performed in 3 sets of 10 repetitions (15-20 seconds hold), twice weekly for 4 weeks, in addition to conventional physiotherapy.

  • Conventional Physiotherapy

    Behavioral

    Conventional physiotherapy including transcutaneous electrical nerve stimulation (20 minutes), massage, lumbar stretching and strengthening exercises, postural training, and patient education. Delivered twice weekly for 4 weeks.

Treatment groups

30 Participants
are divided into 3 treatment groups
Group A: Conventional Physiotherapy + Hip Internal Rotation Mulligan MobilizationExperimental treatment 2 interventions
Group B: Conventional Physiotherapy + Straight Leg Raise Mulligan MobilizationExperimental treatment 2 interventions
Group C: Conventional Physiotherapy OnlyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pain Intensity (Visual Analog Scale, VAS)

Pain intensity will be assessed using the Visual Analog Scale (VAS), a 100 mm horizontal line ranging from "no pain" to "worst pain imaginable." Participants will mark their pain level, and the distance in millimeters will be recorded.

Time frame
Baseline (week 0) and post-treatment (week 4).
2

Lumbar Range of Motion (ROM)

Lumbar spinal range of motion will be measured using a goniometer. Participants will perform active forward flexion, and the angle of motion will be recorded in degrees.

Time frame
Baseline (week 0) and post-treatment (week 4).

Secondary outcomes

1

Disability Level (Oswestry Disability Index - ODI)

Functional disability will be assessed using the Oswestry Disability Index (ODI). The scale consists of 10 items, each scored from 0 to 5, with higher scores indicating greater disability. The total score ranges from 0 (no disability) to 50 (maximum disability).

Time frame
Baseline (week 0) and post-treatment (week 4)
2

Back Awareness (Fremantle Back Awareness Questionnaire - FreBAQ)

Body perception related to the lumbar region will be measured using the Fremantle Back Awareness Questionnaire (FreBAQ). The questionnaire has 9 items scored on a Likert scale (0-4), with higher scores reflecting reduced back awareness.

Time frame
Baseline (week 0) and post-treatment (week 4).

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Gazi University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: