An interventional study of Instrument assisted manipulation + Core exercises and Mulligan mobilization with movement + Core exercises in Chronic Low-back Pain, sponsored by Tokat Gaziosmanpasa University. Completed at 1 site in Turkey. Open to participants aged 20 Years to 55 Years. Per ClinicalTrials.gov, last updated 2022-12-06.
Sponsored by Tokat Gaziosmanpasa University · Not applicable, Interventional, and Treatment
We aimed to investigate the effects of instrument assisted manipulation (IAM) and Mulligan mobilization with movement (MWM) on joint range of motion (ROM), pain, proprioception, endurance, back awareness and disability in individuals with chronic non-specific low back pain (CNSLBP). Fifthy one participants were randomly divided into 3 groups. The first was the Mulligan group, the second was the IAM group, and the third was the core exercise group. Visual Analogue Scale (VAS) was used to assess pain severity. Lumbal flexibility was evaluated with the fingertip-to-floor test. Oswestry disability index (ODI) and Roland Morris Disability Questionnaire (RMDQ) used to evaluate the disability. Fremantle back awareness questionnaire (FBAQ) used to evaluate back awareness. Joint ROM (lumbal flexion, lumbal extension and lumbal lateral flexion) and proprioception (30° lumbal flexion in standing, 30° lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral position) evaluated with JTECH digital dual inclinometer. McGill core endurance tests were used for core endurance assessment. McGill core endurance assessment consists of 3 tests. These: Flexor endurance test, lateral endurance test and extensor endurance test.
IAM and Mulligan MWM interventions were applied 3 days a week for 2 weeks in total 6 sessions. All 3 groups did same core exercise program. The exercise program was done from the baseline for 6 weeks, 3 days a week, for a total of 18 sessions. Outcome measurements were done at baseline, at the end of the 2nd week, and at the end of the 6th week. The researcher who performed the outcome measurements did not know the participant's group. Assessment and treatment were performed by two different researchers with 8 years of professional experience. Visual Analogue Scale (VAS) was used to assess pain severity. Lumbal flexibility was evaluated with the fingertip-to-floor test. Oswestry disability index (ODI) and Roland Morris Disability Questionnaire (RMDQ) used to evaluate the disability. Fremantle back awareness questionnaire (FBAQ) used to evaluate back awareness. Joint ROM (lumbal flexion, lumbal extension and lumbal lateral flexion) and proprioception (30° lumbal flexion in standing, 30° lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral position) evaluated with JTECH digital dual inclinometer. The measurement of the joint ROM in the lumbal region with the dual inclinometer technique is a reliable method. McGill core endurance tests were used for core endurance assessment. McGill core endurance assessment consists of 3 tests. These: Flexor endurance test, lateral endurance test and extensor endurance test.
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Exclusion Criteria:
Instrument Assisted Manipulation + Core exercises
Other: Instrument assisted manipulation + Core exercises
Mulligan Mobilization with Movement + Core exercises
Other: Mulligan mobilization with movement + Core exercises
Core exercises
Other: Core exercises
The effect of Instrument assisted manipulation on chronic non-spesific low back pain
The effect of Mulligan mobilization with movement on chronic non-spesific low back pain
The effect of core exercises on chronic non-spesific low back pain
Change from baseline visual analogue scale at 2nd and 6th weeks
Pain assessment. The minimum score of the visual analogue scale is 0, and the maximum score is 10. Higher scores indicate worse outcome.
Time frame: Baseline, 2nd week, 6th week
Change from baseline fingertip-to-floor test at 2nd and 6th weeks
Lumbal flexibility
Time frame: Baseline, 2nd week, 6th week
Change from baseline joint ROM measurement with digital inclinometer at 2nd and 6th weeks
Lumbal flexion, lumbal extension and lumbal lateral flexion
Time frame: Baseline, 2nd week, 6th week
Change from baseline proprioception measurement with digital inclinometer at 2nd and 6th weeks
30° lumbal flexion in standing, 30° lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral position
Time frame: Baseline, 2nd week, 6th week
Change from baseline Oswestry disability index at 2nd and 6th weeks
Disability assessment. The minimum score of the Oswestry disability index is 0, and the maximum score is 50. Higher scores indicate worse outcome.
Time frame: Baseline, 2nd week, 6th week
Change from baseline Roland Morris disability questionnaire at 2nd and 6th weeks
Disability assessment. The minimum score of the Roland Morris disability questionnaire is 0, and the maximum score is 24. Higher scores indicate worse outcome.
Time frame: Baseline, 2nd week, 6th week
Change from baseline Fremantle back awareness questionnaire at 2nd and 6th weeks
Back awareness assessment. The minimum score of the Fremantle back awareness questionnaire is 0, and the maximum score is 36. Higher scores indicate worse outcome.
Time frame: Baseline, 2nd week, 6th week
Plan to share: No
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Tokat Gaziosmanpasa University