Non-specific Low Back PainNCT06139848
Comparison of Posterior-anterior Spinal Mobilization and Prone Press up in Patients With Non Specific Low Back Pain
A study testing Traditional Physical Therapy and Posterior-anterior spinal mobilization, prone press up Techniques in people with Non-specific Low Back Pain, run by Riphah International University at 1 site in Pakistan.
Trial summary
No previous literature found on the comparison of posterior-anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. Read more about this study
- Who is it for?
- Ages 22 to 40 years
- Conditions the study is for
- Non-specific Low Back Pain
- What is being tested?
- Traditional Physical Therapy and Posterior-anterior spinal mobilization, prone press up Techniques
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 sitePakistan
- Study dates
- 22 May 2023to 15 Jan 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 22 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Non-specific low back pain of duration <3 months
- Both male and female Age 22-40
- Increased localized pain with lumber extension during standing
- NPRS < 6
Who cannot join
- Spinal Surgery
- Subject who administered epidural injections
- Psychological low back pain
- History of injury from past 3 months
- Neurological deficit
- Hyper-mobility
- Subjects with mental disorder
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Khyber Teaching Hospital Peshawar
Peshawar, Khyber Pakhtun Khwa, 25000
About this study
Official title: Comparison of Posterior -Anterior Spinal Mobilization and Prone Press up on Pain ,Range of Motion and Disability in Patients With Non Specific Low Back Pain.
No previous literature found on the comparison of posterior-anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. This study will approach the results of posterior- anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. In previous researches the patients were not properly followed to see pre session, immediate after the session and after twenty- four hours effects of both interventions Posterior- anterior mobilization and Press-ups. Secondly, they have not taken the control group in their studies. In current study two techniques along with conventional treatment will be compared in three different groups to see their individual effects and combine effect of Maitland and Mackenzie technique
Read the detailed description
Non-specific low back pain refers to pain without any specific cause. The term "non- specific low back pain" refers to a condition where the cause of the symptoms cannot be identified with certainty, indicating that the underlying pathology is currently unknown and difficult to diagnose reliably. This pain is known for the main leading cause to effect activities of daily life, absenteeism and health care. Non-specific low back pain is a widely known serious condition in the worldwide . this was a randomized control trial and patients were randomly selected according to inclusion criteria and divided into A and B and C groups. The base line demographic, clinical and disability data was collected through structured questionnaire. Group A received both posterior-anterior mobilization on L4 and L5 level and Prone press- ups technique along with a conventional therapy whether group B had received only posterior-anterior spinal mobilization along with the conventional therapy. While group C received prone press-ups technique along with conventional treatment. Patient outcomes were measured at baseline, immediate after the session and 24 hours after the session outcomes measures (NPRS, GONIOMETER, ODI).
- Conditions
- Non-specific Low Back Pain
- Being tested
- Traditional Physical Therapy, Posterior-anterior spinal mobilization, prone press up Techniques
- Keywords
- Non specific low back pain, Range of motion, Disability
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Traditional Physical TherapyOther
Also called Conventional Therapy
Conventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch.
Posterior-anterior spinal mobilization, prone press up TechniquesOther
Posterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints.
Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions.
| Study group | Role | What they receive |
|---|---|---|
| Maitland, Mackenzie Techniques and Conventional Treatment | Experimental | posterior-anterior spinal mobilization and prone press up along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch Receives: Other: Posterior-anterior spinal mobilization, prone press up Techniques |
| Maitland Mobilization Techniques and Conventional Treatment | Active comparator | Posterior-anterior spinal mobilization along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch Receives: Other: Traditional Physical Therapy |
| Meckinzie Techniques and Conventional Treatment | Active comparator | Prone press up technique will be given along with conventional treatment as:
Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch Receives: Other: Traditional Physical Therapy; Other: Posterior-anterior spinal mobilization, prone press up Techniques |
What is being measured
The primary outcome is the main question the study is designed to answer.
NPRS (Numeric pain rating scale)
NPRS (Numeric pain rating scale) is a scale used to check whether the pain is mild, moderate and severe.
Measured: Baseline, after treatment and after 24 hours of session
Inclinometer
Inclinometer device is used to measure range of motion of the lower back
Measured: Baseline, after treatment and after 24 hours of session
Oswestory Disability Index
Oswestory Disability Index is a measuring tool to collect data from patients. 0-4 shows no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, 35-50 reveals completely disabled. it helps to provide data about patient's low back pain.
Measured: Baseline, after treatment and after 24 hours of session
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2023
- Study start22 May 2023
- Primary completion15 Dec 2023
- Study completion15 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-specific Low Back PainStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nadia Ishtiaq, MS-OMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06139848
- Sponsor's protocol ID
- RCRAHS-ISB-REC/MS-PT-01609
- Status last verified
- Mar 2024
- First submitted
- 15 Sep 2023
- Last updated
- 5 Mar 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Posterior -Anterior Spinal Mobilization and Prone Press up on Pain ,Range of Motion and Disability in Patients With Non Specific Low Back Pain.
- ClinicalTrials.gov ID
- NCT06139848
- Acronym / sponsor ID
- RCRAHS-ISB-REC/MS-PT-01609
- Conditions
- Non-specific Low Back Pain
- Keywords
- Non specific low back pain, Range of motion, Disability
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 22 May 2023 (actual)
- Primary completion
- 15 Dec 2023 (actual)
- Study completion
- 15 Jan 2024 (actual)
- First posted
- 18 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
No previous literature found on the comparison of posterior-anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. This study will approach the results of posterior- anterior spinal mobilization and prone press-up on pain, range of motion and disability in patients with non-specific low back pain. In previous researches the patients were not properly followed to see pre session, immediate after the session and after twenty- four hours effects of both interventions Posterior- anterior mobilization and Press-ups. Secondly, they have not taken the control group in their studies. In current study two techniques along with conventional treatment will be compared in three different groups to see their individual effects and combine effect of Maitland and Mackenzie technique
Detailed description
Non-specific low back pain refers to pain without any specific cause. The term "non- specific low back pain" refers to a condition where the cause of the symptoms cannot be identified with certainty, indicating that the underlying pathology is currently unknown and difficult to diagnose reliably. This pain is known for the main leading cause to effect activities of daily life, absenteeism and health care. Non-specific low back pain is a widely known serious condition in the worldwide . this was a randomized control trial and patients were randomly selected according to inclusion criteria and divided into A and B and C groups. The base line demographic, clinical and disability data was collected through structured questionnaire. Group A received both posterior-anterior mobilization on L4 and L5 level and Prone press- ups technique along with a conventional therapy whether group B had received only posterior-anterior spinal mobilization along with the conventional therapy. While group C received prone press-ups technique along with conventional treatment. Patient outcomes were measured at baseline, immediate after the session and 24 hours after the session outcomes measures (NPRS, GONIOMETER, ODI).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Maitland, Mackenzie Techniques and Conventional Treatment | Experimental | Other: Posterior-anterior spinal mobilization, prone press up Techniquesposterior-anterior spinal mobilization and prone press up along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch |
| Maitland Mobilization Techniques and Conventional Treatment | Active comparator | Other: Traditional Physical TherapyPosterior-anterior spinal mobilization along with conventional treatment as Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch |
| Meckinzie Techniques and Conventional Treatment | Active comparator | Other: Traditional Physical Therapy, Other: Posterior-anterior spinal mobilization, prone press up TechniquesProne press up technique will be given along with conventional treatment as: Heating pad for 10 minutes Bridging exercises (10 rep, 3 sets) Paraspinal muscle stretch |
Who may qualify
- Ages
- 22 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Non-specific low back pain of duration <3 months
- Both male and female Age 22-40
- Increased localized pain with lumber extension during standing
- NPRS < 6
Key exclusion criteria (7 listed)
- Spinal Surgery
- Subject who administered epidural injections
- Psychological low back pain
- History of injury from past 3 months
- Neurological deficit
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Traditional Physical TherapyAlso: Conventional TherapyConventional therapy include heating therapy for 10 mints, Bridging exercises (10 rep, 3 sets), Paraspinal muscle stretch. | Other | Maitland Mobilization Techniques and Conventional Treatment, Meckinzie Techniques and Conventional Treatment |
| Posterior-anterior spinal mobilization, prone press up TechniquesPosterior-anterior spinal mobilization and prone press- ups techniques. Posterior- Anterior glides and prone press up along with conventional therapy. PA Mobilization on lumber spine, grade I if patient feel no pain the therapist will proceed to grade III-IV. 3 sets for 40 seconds. Total time 10 mints. Prone press-ups will be performed actively by the patients without no reproduction of pain with lumber extension in standing. In prone press-up the patient pelvis stabilized in prone position and asked for active extension. End range time 5 seconds. Total 10 repetitions. | Other | Maitland, Mackenzie Techniques and Conventional Treatment, Meckinzie Techniques and Conventional Treatment |
Primary outcome
NPRS (Numeric pain rating scale)
Time frame: Baseline, after treatment and after 24 hours of session
NPRS (Numeric pain rating scale) is a scale used to check whether the pain is mild, moderate and severe.
Inclinometer
Time frame: Baseline, after treatment and after 24 hours of session
Inclinometer device is used to measure range of motion of the lower back
Oswestory Disability Index
Time frame: Baseline, after treatment and after 24 hours of session
Oswestory Disability Index is a measuring tool to collect data from patients. 0-4 shows no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, 35-50 reveals completely disabled. it helps to provide data about patient's low back pain.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2024.
- Individual participant dataSharing planned: No
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Chronic Non Specific Mechanical Low Back Pain
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nadia Ishtiaq, MS-OMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Traditional Physical Therapy and Posterior-anterior spinal mobilization, prone press up Techniques in people with Non-specific Low Back Pain, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NPRS (Numeric pain rating scale) (time frame: Baseline, after treatment and after 24 hours of session). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2024.