Individuals With Lumbar SpondylosisTME-HMENCT07482527
Thoracic Mobility Versus Hip Mobility Exercises to Core Stabilization in Lumbar Spondylitis
A study testing Group B: Thoracic Mobility Exercises (1st experimental group only) and Group C: Hip Mobility Exercises (2nd experimental group only) in people with Individuals With Lumbar Spondylosis, run by Cairo University at 1 site in Egypt.
Trial summary
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity (NPRS-Ar), functional disability (MODI-Ar), lumbar range of motion (BROM), spinal mobility (modified schober test), quality of life (SF-36-Ar) and fear of movement (Tampa-Ar) in… Read more about this study
- Who is it for?
- Ages 40 to 60 years
- Conditions the study is for
- Individuals With Lumbar Spondylosis
- What is being tested?
- Group B: Thoracic Mobility Exercises (1st experimental group only) and Group C: Hip Mobility Exercises (2nd experimental group only)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 25 Mar 2026to 31 May 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 40 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 1. Patients will be referred from an orthopedic surgeon with confirmed diagnosis of lumbar spondylosis with imaging findings (MRI, CT or X-ray reports within the last 6 months) (Battié et al., 2014). 2.Duration of patient's symptoms will be more than 3 months (Oliveira et al., 2022). 3. Patients' age will range from 40-60 years (Kalichman \& Hunter, 2008). 4.Localized back pain and pain radiating to lower extremities with no distal involvement below knee with an NPRS more than 3 (Thompson et al., 2021).
Who cannot join
- Spinal or hip surgery history (Williams et al., 2022).
- Red Flags: Cauda equina syndrome, fracture, infection, malignancy (Finucane et al., 2020).
- Neurological Disorders: Parkinsonism, multiple sclerosis, or other neurological deficits (Odzimek et al., 2023).
- Inflammatory Conditions: Rheumatoid arthritis, ankylosing spondylitis, or infectious spinal disorders (Lee et al., 2018).
- Cognitive Impairment: Unable to understand or follow instructions (Martinez et al., 2024).
- Pregnancy. -
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt1 site
Faculity Og Physical Therapy in Cairo Univercity
Cairo
YAHYA S KULAYBI, MASTER DEGREE, +966568085421, yk-pt@hotmail.com
MOAAZ RIADH, DOCTORAL DEGREE, +201007210132, moaaz.elsakka@gmail.com
About this study
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity (NPRS-Ar), functional disability (MODI-Ar), lumbar range of motion (BROM), spinal mobility (modified schober test), quality of life (SF-36-Ar) and fear of movement (Tampa-Ar) in treatment of patients with lumbar spondylitis.
Read the detailed description
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity
, functional disability , lumbar range of motion , spinal mobility , quality of life and fear of movement in treatment of patients with lumbar spondylitis.
- Conditions
- Individuals With Lumbar Spondylosis
- Being tested
- Group A : Core stabilization exercises (control group), Group B: Thoracic Mobility Exercises (1st experimental group only), Group C: Hip Mobility Exercises (2nd experimental group only)
- Keywords
- lumbar spondylosis
- Medical subject headings
- Spondylosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group A : Core stabilization exercises (control group)Behavioural
Before starting the exercise, patients will be taught to reduce the lumbar lordosis by contracting and drawing in the abdominal muscles and to find the 24 lumbar and pelvic neutral position by moving the pelvis forwards and backwards (pelvic tilt, bridge, bird-dog and plank etc.). In each session, the neutral position will be found first and attention will be paid to maintain the neutral position throughout the exercise. In addition, core stability exercises including simultaneous contractions of the multifidus and pelvic floor muscles will be given in different positions such as supine, prone, crawling, bridge, kneeling, sitting and standing. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition.
Group B: Thoracic Mobility Exercises (1st experimental group only)Behavioural
The exercise will consist of movements in all directions of thoracic spine flexion, extension, lateral flexion, and rotation. In the thoracic spine extension exercise, both hands will be locked behind the wrists and the back will be placed on a foam roller with the feet positioned 25 flat on the floor. The knee will be maintained at 90° to perform the extension exercise on the foam roller. The hands will be locked with the elbow on a chair. After kneeling, the hip will be moved toward the heels to extend the thoracic spine. In the thoracic spine flexion exercise, the thoracic spine will be flexed by moving backward until the hip touched the heels in a quadruped position.The rotation exercise will be conducted with patients lying on their sides.The elbows will be straight and the palms will be held together. The leg facing the ceiling will be bent to the level of the stomach. Then, the arm facing the ceiling will be moved backward in a large arc to rotate the thoracic spine.
Group C: Hip Mobility Exercises (2nd experimental group only)Behavioural
The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds.
| Study group | Role | What they receive |
|---|---|---|
| Core stabilization exercises (control group) | Experimental | Before starting the exercise, patients will be taught to reduce the lumbar lordosis by contracting and drawing in the abdominal muscles and to find the 24 lumbar and pelvic neutral position by moving the pelvis forwards and backwards (pelvic tilt, bridge, bird-dog and plank etc.). In each session, the neutral position will be found first and attention will be paid to maintain the neutral position throughout the exercise. In addition, core stability exercises including simultaneous contractions of the multifidus and pelvic floor muscles will be given in different positions such as supine, prone, crawling, bridge, kneeling, sitting and standing. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. Receives: Behavioral: Group A : Core stabilization exercises (control group); Behavioral: Group B: Thoracic Mobility Exercises (1st experimental group only); Behavioral: Group C: Hip Mobility Exercises (2nd experimental group only) |
| Thoracic Mobility Exercises (1st experimental group only) | Experimental | The exercise will consist of movements in all directions of thoracic spine flexion, extension, lateral flexion, and rotation. In the thoracic spine extension exercise, both hands will be locked behind the wrists and the back will be placed on a foam roller with the feet positioned 25 flat on the floor. The knee will be maintained at 90° to perform the extension exercise on the foam roller. The hands will be locked with the elbow on a chair. After kneeling, the hip will be moved toward the heels to extend the thoracic spine. In the thoracic spine flexion exercise, the thoracic spine will be flexed by moving backward until the hip touched the heels in a quadruped position.The rotation exercise will be conducted with patients lying on their sides.The elbows will be straight and the palms will be held together. The leg facing the ceiling will be bent to the level of the stomach. Then, the arm facing the ceiling will be moved backward in a large arc to rotate the thoracic spine. Receives: Behavioral: Group A : Core stabilization exercises (control group) |
| Hip Mobility Exercises (2nd experimental group only) | Experimental | The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds. Receives: Behavioral: Group A : Core stabilization exercises (control group) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain levels
Pain levels in participants were assessed using the Numerical Pain Rating Scale (NPRS-Ar).
Measured: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Disability
Using the Arabic MODI (Appendix III), Patients will be instructed to choose the best answer of the possible answers which describes the level of function and disability during daily activities in each of items of the questionnaire (Alnahdi, 2025).
Measured: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Lumbar Range of motion
The Back Range of Motion (BROM) device will be utilized to measure the lumbar range of motion (ROM), as a valid and reliable measure of spinal motion (Kumar \& Singh, 2021; Chen et al., 2022), according to established procedures (Madson et al., 1999). After palpating and marking the spinous processes of T 12 and S1 with adhesive dots, a warm-up trial for each plane of motion will be completed by patients. The BROM device will be used to measure active ROM in the order of flexion/extension, right/left lateral flexion, and right/left rotation.
Once the data for each movement was taken, the BROM device was removed, and the skin markers were reapplied after a 10-15 second rest period. Each motion will have three trials, and data from the three trials will be averaged and used for analysis in order to maximize reliability.
Measured: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Spinal mobility:
Using the Modified Schober Test, Patient will be standing. The examiner will mark both posterior superior iliac spine (PSIS) and then will draw a horizontal line at the center of both marks. A second line is marked 5 cm below the first line. A third line is marked 10 cm above the first line. Patient will be instructed to flex forward as if attempting to touch his/her toes. The examiner re measures the distance between the top and bottom line (Rezvani et al., 2012). Three trials will be conducted and the mean of the three trials will be chosen for the purpose of data analysis
Measured: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Fear of movement
Using the Arabic Tampa (Appendix V), Patients will be asked about any excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re-injury (Al Shudifat et al., 2020).
Measured: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Mar 2026
- Study start25 Mar 2026 (estimated)
- Primary completion30 Mar 2026 (estimated)
- Study completion31 May 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (96)Papers the sponsor has linked to this study.
- Other trials for Individuals With Lumbar SpondylosisStudies of the same condition, open and under way.
- More trials run by Cairo 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
- Model description
- Single blinded randomized controlled trial (examiner)This study will be conducted on patients with lumbar spondylosis. Patients will be randomly assigned into 3 groups . The control group will receive core stabilization. The 1st experimental group will receive core stabilization in addition to thoracic mobility exercises. The 2nd experimental group will receive core stabilization in addition to hip mobility exercises.
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, YAHYA ABDU S KULAYBI, Cairo University
- Investigators
- MOAAZ RAGAB RIYAD, PhD, Study director, CAIRO UNIVERCITY
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07482527
- Sponsor's protocol ID
- P.T.REC/012/006229
- Acronym
- TME-HME
- Status last verified
- Feb 2026
- First submitted
- 16 Mar 2026
- Last updated
- 19 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
World Health Organization, (WHO). (2023). Global health estimates 2019: Deaths by cause, age, sex, by country and by region, 2000-2019.
Wilson, A. & Clarke, S. (2023). Hip mobility interventions in chronic low back pain: A biomechanical analysis using 3D motion capture. Clin Biomech, 98: 105-112.
Wilson, A., Thompson, M. & Kumar, S. (2023). Multi-regional approach to chronic low back pain: Combining thoracic and hip interventions. J Rehabil Med, 55(4): 245-253.
Thompson, M., Reiman, M. P., Sylvain, J., Tenforde, A. S. & Davis, I. S. (2021). The role of hip abductor strength in people with patellofemoral pain: A systematic review and meta-analysis. Sports Health, 12(6): 552 558.
Skundric, G., Vukicevic, V., & Lukic, N. (2021). Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review. Journal of Anthropology of Sport and Physical Education, 5(1), 17-23. https://doi.org/10.26773/jaspe.210104
Sivakumar, R. & Hossain, S. (2025). Effects of thoracic mobility exercises combined with breathing techniques on pain, muscle strength, and self efficacy in undergraduate students with upper back pain. Int J Therap Rehabil, 32(1): 1-9. DOI:10.13140/RG.2.2.34909.01767
Scholtes, S. A., Gombatto, S. P. & Van Dillen, L. R. (2009). The influence of hip motion on the lumbar spine and pelvis during gait in people with and without low back pain. Phys. Ther., 89(11): 1151-1160.
Salah Eldeen, A. A., Rehab, N. I., Fahmy, E., Shendy, W. S. & Alsaid, H. M. (2024). Effect of thoracic spine mobilization as an adjunct to conventional physical therapy on chronic lumbosacral radiculopathy: A randomized controlled trial. Benha Int J Phys Ther, 2(2): 35 - 42. DOI: 10.21608/bijpt.2024.303076.1034
Rose, G., Wellman, S., Hughes, J. & DiBenedetto, M. (2020). Thoracic spine extension mobility in young adults and its relation to shoulder function. Phys. Ther. Sport, 42: 134-142.
Ramzy, R. (2008). Validation of the Arabic Version of the Oswestry Disability Index Developed in Tunisia for low back pain patients in the UAE. Master Thesis, Physical Therapy, Stellenbosch University.
Ramirez-Velez, R., Correa-Bautista, J. E., Sanders-Tordecilla, A., Ojeda Pardo, M. L., Cobo-Mejía, E. A., Castellanos-Vega, R. P., García Hermoso, A., González-Jiménez, E., Schmidt-RioValle, J. & González Ruíz, K. (2021). Yoga practice decreases levels of anxiety, depression, and perceived stress in women with breast cancer: A randomized controlled trial. J Clin Med, 8(10): 1645.
Rahman, M. S., Islam, M. S., Alam, M. M., Haque, A., Rahman, A. & Choudhury, M. R. (2023). Effectiveness of thoracic spine mobilization with conventional physiotherapy versus conventional physiotherapy alone in patients with lumbar spondylolisthesis. J Phys Ther Sci, 35(2): 123-128.
Patel, L. (2024). Effect of 4 weeks core stabilization exercise on muscle activity, range motion Fizjoterapiapolska.pl. and function in Lumbar Spondylosis. https://fizjoterapiapolska.pl/en/article/wplyw-4 tygodniowych-cwiczen-stabilizacji-centralnej-na-aktywnosc-miesni zakres-ruchu-i-funkcje-u-pacjentow-z-ledzwiowa-spondyloza/
Park, K. N. & Kim, S. H. (2020). Effects of real-time ultrasound-guided core strengthening exercises on muscle thickness and pain in patients with chronic low back pain. Clin Rehabil, 34(1): 98-106.
Park, D. & Lee, K. S. (2024). Effects of Thoracic Mobility Exercise Program on Pain, Proprioception, and Static Balance Ability in Patients with non Specific Chronic Low Back Pain. Phys Ther Rehabil Sci 2024;13:1-7. DOI: 10.14474/ptrs.2024.13.1.1
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Thoracic Mobility Versus Hip Mobility Exercises to Core Stabilization in Lumbar Spondylitis
- ClinicalTrials.gov ID
- NCT07482527
- Acronym / sponsor ID
- TME-HME / P.T.REC/012/006229
- Conditions
- Individuals With Lumbar Spondylosis
- Keywords
- lumbar spondylosis
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 25 Mar 2026 (estimated)
- Primary completion
- 30 Mar 2026 (estimated)
- Study completion
- 31 May 2026 (estimated)
- First posted
- 19 Mar 2026 (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.
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity (NPRS-Ar), functional disability (MODI-Ar), lumbar range of motion (BROM), spinal mobility (modified schober test), quality of life (SF-36-Ar) and fear of movement (Tampa-Ar) in treatment of patients with lumbar spondylitis.
Detailed description
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity
, functional disability , lumbar range of motion , spinal mobility , quality of life and fear of movement in treatment of patients with lumbar spondylitis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 3
- Model description
- Single blinded randomized controlled trial (examiner)This study will be conducted on patients with lumbar spondylosis. Patients will be randomly assigned into 3 groups . The control group will receive core stabilization. The 1st experimental group will receive core stabilization in addition to thoracic mobility exercises. The 2nd experimental group will receive core stabilization in addition to hip mobility exercises.
| Arm | Type | Receives |
|---|---|---|
| Core stabilization exercises (control group) | Experimental | Behavioral: Group A : Core stabilization exercises (control group), Behavioral: Group B: Thoracic Mobility Exercises (1st experimental group only), Behavioral: Group C: Hip Mobility Exercises (2nd experimental group only)Before starting the exercise, patients will be taught to reduce the lumbar lordosis by contracting and drawing in the abdominal muscles and to find the 24 lumbar and pelvic neutral position by moving the pelvis forwards and backwards (pelvic tilt, bridge, bird-dog and plank etc.). In each session, the neutral position will be found first and attention will be paid to maintain the neutral position throughout the exercise. In addition, core stability exercises including simultaneous contractions of the multifidus and pelvic floor muscles will be given in different positions such as supine, prone, crawling, bridge, kneeling, sitting and standing. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. |
| Thoracic Mobility Exercises (1st experimental group only) | Experimental | Behavioral: Group A : Core stabilization exercises (control group)The exercise will consist of movements in all directions of thoracic spine flexion, extension, lateral flexion, and rotation. In the thoracic spine extension exercise, both hands will be locked behind the wrists and the back will be placed on a foam roller with the feet positioned 25 flat on the floor. The knee will be maintained at 90° to perform the extension exercise on the foam roller. The hands will be locked with the elbow on a chair. After kneeling, the hip will be moved toward the heels to extend the thoracic spine. In the thoracic spine flexion exercise, the thoracic spine will be flexed by moving backward until the hip touched the heels in a quadruped position.The rotation exercise will be conducted with patients lying on their sides.The elbows will be straight and the palms will be held together. The leg facing the ceiling will be bent to the level of the stomach. Then, the arm facing the ceiling will be moved backward in a large arc to rotate the thoracic spine. |
| Hip Mobility Exercises (2nd experimental group only) | Experimental | Behavioral: Group A : Core stabilization exercises (control group)The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds. |
Who may qualify
- Ages
- 40 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- 1. Patients will be referred from an orthopedic surgeon with confirmed diagnosis of lumbar spondylosis with imaging findings (MRI, CT or X-ray reports within the last 6 months) (Battié et al., 2014). 2.Duration of patient's symptoms will be more than 3 months (Oliveira et al., 2022). 3. Patients' age will range from 40-60 years (Kalichman \& Hunter, 2008). 4.Localized back pain and pain radiating to lower extremities with no distal involvement below knee with an NPRS more than 3 (Thompson et al., 2021).
Key exclusion criteria (6 listed)
- Spinal or hip surgery history (Williams et al., 2022).
- Red Flags: Cauda equina syndrome, fracture, infection, malignancy (Finucane et al., 2020).
- Neurological Disorders: Parkinsonism, multiple sclerosis, or other neurological deficits (Odzimek et al., 2023).
- Inflammatory Conditions: Rheumatoid arthritis, ankylosing spondylitis, or infectious spinal disorders (Lee et al., 2018).
- Cognitive Impairment: Unable to understand or follow instructions (Martinez et al., 2024).
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 |
|---|---|---|
| Group A : Core stabilization exercises (control group)Before starting the exercise, patients will be taught to reduce the lumbar lordosis by contracting and drawing in the abdominal muscles and to find the 24 lumbar and pelvic neutral position by moving the pelvis forwards and backwards (pelvic tilt, bridge, bird-dog and plank etc.). In each session, the neutral position will be found first and attention will be paid to maintain the neutral position throughout the exercise. In addition, core stability exercises including simultaneous contractions of the multifidus and pelvic floor muscles will be given in different positions such as supine, prone, crawling, bridge, kneeling, sitting and standing. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. | Behavioural | Core stabilization exercises (control group), Hip Mobility Exercises (2nd experimental group only), Thoracic Mobility Exercises (1st experimental group only) |
| Group B: Thoracic Mobility Exercises (1st experimental group only)The exercise will consist of movements in all directions of thoracic spine flexion, extension, lateral flexion, and rotation. In the thoracic spine extension exercise, both hands will be locked behind the wrists and the back will be placed on a foam roller with the feet positioned 25 flat on the floor. The knee will be maintained at 90° to perform the extension exercise on the foam roller. The hands will be locked with the elbow on a chair. After kneeling, the hip will be moved toward the heels to extend the thoracic spine. In the thoracic spine flexion exercise, the thoracic spine will be flexed by moving backward until the hip touched the heels in a quadruped position.The rotation exercise will be conducted with patients lying on their sides.The elbows will be straight and the palms will be held together. The leg facing the ceiling will be bent to the level of the stomach. Then, the arm facing the ceiling will be moved backward in a large arc to rotate the thoracic spine. | Behavioural | Core stabilization exercises (control group) |
| Group C: Hip Mobility Exercises (2nd experimental group only)The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds. | Behavioural | Core stabilization exercises (control group) |
Primary outcome
Pain levels
Time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Pain levels in participants were assessed using the Numerical Pain Rating Scale (NPRS-Ar).
Disability
Time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Using the Arabic MODI (Appendix III), Patients will be instructed to choose the best answer of the possible answers which describes the level of function and disability during daily activities in each of items of the questionnaire (Alnahdi, 2025).
Lumbar Range of motion
Time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)
The Back Range of Motion (BROM) device will be utilized to measure the lumbar range of motion (ROM), as a valid and reliable measure of spinal motion (Kumar \& Singh, 2021; Chen et al., 2022), according to established procedures (Madson et al., 1999). After palpating and marking the spinous processes of T 12 and S1 with adhesive dots, a warm-up trial for each plane of motion will be completed by patients. The BROM device will be used to measure active ROM in the order of flexion/extension, right/left lateral flexion, and right/left rotation. Once the data for each movement was taken, the BROM device was removed, and the skin markers were reapplied after a 10-15 second rest period. Each motion will have three trials, and data from the three trials will be averaged and used for analysis in order to maximize reliability.
Spinal mobility:
Time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Using the Modified Schober Test, Patient will be standing. The examiner will mark both posterior superior iliac spine (PSIS) and then will draw a horizontal line at the center of both marks. A second line is marked 5 cm below the first line. A third line is marked 10 cm above the first line. Patient will be instructed to flex forward as if attempting to touch his/her toes. The examiner re measures the distance between the top and bottom line (Rezvani et al., 2012). Three trials will be conducted and the mean of the three trials will be chosen for the purpose of data analysis
Fear of movement
Time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)
Using the Arabic Tampa (Appendix V), Patients will be asked about any excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re-injury (Al Shudifat et al., 2020).
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 19 Mar 2026.
- Results publicationWorld Health Organization, (WHO). (2023). Global health estimates 2019: Deaths by cause, age, sex, by country and by region, 2000-2019.
- Results publicationWilson, A. & Clarke, S. (2023). Hip mobility interventions in chronic low back pain: A biomechanical analysis using 3D motion capture. Clin Biomech, 98: 105-112.
- Results publicationWilson, A., Thompson, M. & Kumar, S. (2023). Multi-regional approach to chronic low back pain: Combining thoracic and hip interventions. J Rehabil Med, 55(4): 245-253.
- Results publicationThompson, M., Reiman, M. P., Sylvain, J., Tenforde, A. S. & Davis, I. S. (2021). The role of hip abductor strength in people with patellofemoral pain: A systematic review and meta-analysis. Sports Health, 12(6): 552 558.
- Results publicationSkundric, G., Vukicevic, V., & Lukic, N. (2021). Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review. Journal of Anthropology of Sport and Physical Education, 5(1), 17-23. https://doi.org/10.26773/jaspe.210104
- Results publicationSivakumar, R. & Hossain, S. (2025). Effects of thoracic mobility exercises combined with breathing techniques on pain, muscle strength, and self efficacy in undergraduate students with upper back pain. Int J Therap Rehabil, 32(1): 1-9. DOI:10.13140/RG.2.2.34909.01767
- Results publicationScholtes, S. A., Gombatto, S. P. & Van Dillen, L. R. (2009). The influence of hip motion on the lumbar spine and pelvis during gait in people with and without low back pain. Phys. Ther., 89(11): 1151-1160.
- Results publicationSalah Eldeen, A. A., Rehab, N. I., Fahmy, E., Shendy, W. S. & Alsaid, H. M. (2024). Effect of thoracic spine mobilization as an adjunct to conventional physical therapy on chronic lumbosacral radiculopathy: A randomized controlled trial. Benha Int J Phys Ther, 2(2): 35 - 42. DOI: 10.21608/bijpt.2024.303076.1034
- Results publicationRose, G., Wellman, S., Hughes, J. & DiBenedetto, M. (2020). Thoracic spine extension mobility in young adults and its relation to shoulder function. Phys. Ther. Sport, 42: 134-142.
- Results publicationRamzy, R. (2008). Validation of the Arabic Version of the Oswestry Disability Index Developed in Tunisia for low back pain patients in the UAE. Master Thesis, Physical Therapy, Stellenbosch University.
- Results publicationRamirez-Velez, R., Correa-Bautista, J. E., Sanders-Tordecilla, A., Ojeda Pardo, M. L., Cobo-Mejía, E. A., Castellanos-Vega, R. P., García Hermoso, A., González-Jiménez, E., Schmidt-RioValle, J. & González Ruíz, K. (2021). Yoga practice decreases levels of anxiety, depression, and perceived stress in women with breast cancer: A randomized controlled trial. J Clin Med, 8(10): 1645.
- Results publicationRahman, M. S., Islam, M. S., Alam, M. M., Haque, A., Rahman, A. & Choudhury, M. R. (2023). Effectiveness of thoracic spine mobilization with conventional physiotherapy versus conventional physiotherapy alone in patients with lumbar spondylolisthesis. J Phys Ther Sci, 35(2): 123-128.
- Individual participant dataSharing planned: No
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.
MOAAZ RAGAB RIYAD, PhD study director
CAIRO UNIVERCITY
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Group B: Thoracic Mobility Exercises (1st experimental group only) and Group C: Hip Mobility Exercises (2nd experimental group only) in people with Individuals With Lumbar Spondylosis, run by Cairo University at 1 site in Egypt.
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 1 inclusion and 6 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: opening soon, as of the sponsor's last update on 19 Mar 2026. 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 Egypt. 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?
Contact YAHYA ABDU KULAYBI, MSc (+966568085421, yk-pt@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain levels (time frame: (pre-treatment) and after 6 weeks of intervention (post-treatment)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07482527, which also lists 96 linked publications.
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 19 Mar 2026.