Chronic Low-back PainNCT07055802
Effects Of Inversion Table Therapy Vs MT On Pain And Lumbar Flexibility In Patients With Chronic Low Back Pain
A study testing Inversion Table and Mulligan flexion biased exercises in people with Chronic Low-back Pain, run by Superior University at 1 site in Pakistan.
Trial summary
Chronic low back pain (CLBP) is a widespread yet difficult-to-manage and treat public health condition with a significant treatment failure rate. Both inversion table therapy and mulligan techniques are very effective in reducing low back pain. Read more about this study
- Who is it for?
- Ages 30 to 50 years
- Conditions the study is for
- Chronic Low-back Pain
- What is being tested?
- Inversion Table and Mulligan flexion biased exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 54 participants
- Where
- 1 sitePakistan
- Study dates
- 17 Mar 2025to 28 Feb 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 30 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Both Genders.
- Adults aged between 30-50.
- Low Back pain should be Persistent for more than 3 months
- Idiopathic pain
Who cannot join
- Pregnant females
- Patients with cauda equina syndrome (symptoms of bladder impairments)
- Cardiovascular disease in last 6 months
- Any progressive neurological deficit (like stroke and epilepsy)
- Patients history of vertigo and glaucoma
- Patient with flexion biased pain Persistent use of pain medication
- Patients who had undergone any other treatments, such as acupuncture or physical therapy, in last 3 months.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects Of Inversion Table Therapy Versus Mulligan Techniques On Pain And Lumbar Flexibility In Patients With Chronic Low Back Pain
Chronic low back pain (CLBP) is a widespread yet difficult-to-manage and treat public health condition with a significant treatment failure rate. Both inversion table therapy and mulligan techniques are very effective in reducing low back pain. A number of literature supports the effectiveness of both techniques individually but there is no literature available that provide comparison between these two techniques.
Read the detailed description
Study objective will be to compare the effect of inversion table therapy versus mulligan techniques on pain and lumber flexibility in patients with chronic low back pain
- Conditions
- Chronic Low-back Pain
- Being tested
- Inversion Table, Mulligan flexion biased exercises
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Inversion TableCombination product
Inversion Table group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given an inversion table therapy as a treatment at the angle of 60' for 5 minutes in every session. Two follow ups in a week were taken for total of 04 weeks. Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively
Mulligan flexion biased exercisesCombination product
experimental group named as Mulligan group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given mulligan technique. It was done at level just below ASIS (at level of L4-L5 spinous process), ten times/session, for 12 sessions three/week every other day for 4 weeks. . Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively
| Study group | Role | What they receive |
|---|---|---|
| Inversion Table group | Experimental | Not described Receives: Combination Product: Inversion Table |
| Mulligan group | Experimental | Not described Receives: Combination Product: Mulligan flexion biased exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Oswestry Disability Index
Oswestry disability index is used to identify level of disability or severity of lower back pain(20). For those suffering from low back pain (LBP), the Oswestry Disability Index is a commonly used outcome measure. It takes five minutes to complete and one minute to rate the self-administered ODI questionnaire. Scores correspond to a range of disabilities, from mild to bedridden. Time period for again filling of Oswestry questionnaire is 4 weeks. It is important to measure disability level in lower back pain and ODI is an important reliable tool to measure lower back disability. There are different scoring levels in percentage which indicates level of disability in ODI. From 0 to 4, there is no disability; from 5 to 14, a mild disability; from 15 to 24, a moderate disability; from 25 to 34, a severe disability; and from 35 to 50, a totally crippled person.
Measured: 12 Months
RAND SF-36
Rand SF-36 is a questionnaire used to assess quality of life. This tool consists of eight areas: physical function, vitality, emotional role function, general health awareness, physical aches, physical function, social function, and mental health. The higher the score, the better the quality of life. A score of 0 is equal to the maximum dysfunction, and a score of 100 means no dysfunction.
Measured: 12 Months
Sit and Reach Test
Sit and Reach test is used to measure lumber flexibility through flexing lumber spine. In this test subject is in sitting position with legs fully extended and relaxed knee. Subject is asked to reach his arms as far as possible at flexibility meter and hold for 2 seconds. It comprises of different scores in cm categorised as 9 (very poor), 13 (poor), 14 (average), 15 (good), 17 (very good) and 25+ (excellent) Sit and reach test is found to be more reliable tool for measuring flexibility
Measured: 12 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jul 2025
- Study start17 Mar 2025
- Primary completion1 Sep 2025 (estimated)
- Study completion28 Feb 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Low-back PainStudies of the same condition, open and under way.
- More trials run by Superior 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
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 54 participants (actual)
Sponsor and investigators
- Lead sponsor
- Superior University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Muhammad Naveed Babur, Superior University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07055802
- Sponsor's protocol ID
- MSRSW/Batch-Fall23/830
- Status last verified
- Jun 2025
- First submitted
- 28 Jun 2025
- Last updated
- 9 Jul 2025
- Results posted
- No
- Data monitoring committee
- Yes
- 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 9 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects Of Inversion Table Therapy Versus Mulligan Techniques On Pain And Lumbar Flexibility In Patients With Chronic Low Back Pain
- ClinicalTrials.gov ID
- NCT07055802
- Acronym / sponsor ID
- MSRSW/Batch-Fall23/830
- Conditions
- Chronic Low-back Pain
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 54 participants (actual)
- Lead sponsor
- Superior UniversityUniversity, hospital or other
- Study start
- 17 Mar 2025 (actual)
- Primary completion
- 1 Sep 2025 (estimated)
- Study completion
- 28 Feb 2026 (estimated)
- First posted
- 9 Jul 2025 (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.
Chronic low back pain (CLBP) is a widespread yet difficult-to-manage and treat public health condition with a significant treatment failure rate. Both inversion table therapy and mulligan techniques are very effective in reducing low back pain. A number of literature supports the effectiveness of both techniques individually but there is no literature available that provide comparison between these two techniques.
Detailed description
Study objective will be to compare the effect of inversion table therapy versus mulligan techniques on pain and lumber flexibility in patients with chronic low back pain
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Inversion Table group | Experimental | Combination Product: Inversion Table |
| Mulligan group | Experimental | Combination Product: Mulligan flexion biased exercises |
Who may qualify
- Ages
- 30 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Both Genders.
- Adults aged between 30-50.
- Low Back pain should be Persistent for more than 3 months
- Idiopathic pain
Key exclusion criteria (7 listed)
- Pregnant females
- Patients with cauda equina syndrome (symptoms of bladder impairments)
- Cardiovascular disease in last 6 months
- Any progressive neurological deficit (like stroke and epilepsy)
- Patients history of vertigo and glaucoma
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 |
|---|---|---|
| Inversion TableInversion Table group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given an inversion table therapy as a treatment at the angle of 60' for 5 minutes in every session. Two follow ups in a week were taken for total of 04 weeks. Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively | Combination product | Inversion Table group |
| Mulligan flexion biased exercisesexperimental group named as Mulligan group will receive flexion biased exercises in supine position with 05 repetitions every session and in addition will be given mulligan technique. It was done at level just below ASIS (at level of L4-L5 spinous process), ten times/session, for 12 sessions three/week every other day for 4 weeks. . Measurements were taken for NPRS, Oswestry low back disability questionnaire and sit and reach test respectively | Combination product | Mulligan group |
Primary outcome
Oswestry Disability Index
Time frame: 12 Months
Oswestry disability index is used to identify level of disability or severity of lower back pain(20). For those suffering from low back pain (LBP), the Oswestry Disability Index is a commonly used outcome measure. It takes five minutes to complete and one minute to rate the self-administered ODI questionnaire. Scores correspond to a range of disabilities, from mild to bedridden. Time period for again filling of Oswestry questionnaire is 4 weeks. It is important to measure disability level in lower back pain and ODI is an important reliable tool to measure lower back disability. There are different scoring levels in percentage which indicates level of disability in ODI. From 0 to 4, there is no disability; from 5 to 14, a mild disability; from 15 to 24, a moderate disability; from 25 to 34, a severe disability; and from 35 to 50, a totally crippled person.
RAND SF-36
Time frame: 12 Months
Rand SF-36 is a questionnaire used to assess quality of life. This tool consists of eight areas: physical function, vitality, emotional role function, general health awareness, physical aches, physical function, social function, and mental health. The higher the score, the better the quality of life. A score of 0 is equal to the maximum dysfunction, and a score of 100 means no dysfunction.
Sit and Reach Test
Time frame: 12 Months
Sit and Reach test is used to measure lumber flexibility through flexing lumber spine. In this test subject is in sitting position with legs fully extended and relaxed knee. Subject is asked to reach his arms as far as possible at flexibility meter and hold for 2 seconds. It comprises of different scores in cm categorised as 9 (very poor), 13 (poor), 14 (average), 15 (good), 17 (very good) and 25+ (excellent) Sit and reach test is found to be more reliable tool for measuring flexibility
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2025.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Inversion Table and Mulligan flexion biased exercises in people with Chronic Low-back Pain, run by Superior 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: under way, not looking for participants, as of the sponsor's last update on 9 Jul 2025. 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?
This study is still under way. Results are not available in the source record yet.
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?
Oswestry Disability Index (time frame: 12 Months). 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 9 Jul 2025.