Effects of Neural Slump Mobilization in Addition to Conventional Physical Therapy in Low Back Pain

Sponsor

Foundation University Islamabad (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT05502419

Collaborator

(none)

Enrollment

Location

Arms

11.1

Anticipated Duration (Months)

3.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Low back pain is amongst the most prevalent musculoskeletal conditions worldwide.This condition has a significant impact on the person's quality of life by effecting their various activities of daily living. As of 2017 it remains the leading cause of years lived with disability.Various management strategies are used for the treatment of low back pain. In the recent years neurodynamic techniques are being used for the treatment of low back pain. Escpecially, patients of low back pain who have neural mechanosensitivity may benefit from neural mobilization techniques. Slump stretching is a neurodynamic technqiue which is used to improve the mobility of dural tissue.Different studies have shown postive results of slump stretching in patients of low back pain. However no such study has investigated the role of slump stretching in improving range of motiion in low back pain patients.So this study aims to investigate the the effect of slump stretching in low back pain patients specially on low back Low back pain is amongst the most prevalent musculoskeletal conditions worldwide.This condition has a significant impact on the person's quality of life by effecting their various activities of daily living. As of 2017 it remains the leading cause of years lived with disability.Various management strategies are used for the treatment of low back pain. In the recent years neurodynamic techniques are being used for the treatment of low back pain. Escpecially, patients of low back pain who have neural mechanosensitivity may benefit from neural mobilization techniques. Slump stretching is a neurodynamic technqiue which is used to improve the mobility of dural tissue.Different studies have shown postive results of slump stretching in patients of low back pain. However no such study has investigated the role of slump stretching in improving range of motiion in low back pain patients.So this study aims to investigate the the effect of slump stretching in low back pain patients specially on low back

Condition or Disease	Intervention/Treatment	Phase
Low Back Pain	Procedure: Neural slump mobilization Procedure: Conventional Physical Therapy	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

42 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

This study is a randomized controlled trial which will consist of two groups. Once will recieve conventional physcial therapy and the sencond will recieve conventional physcial therapy and slump stretching.Both groups will be recruited concurrently.This study is a randomized controlled trial which will consist of two groups. Once will recieve conventional physcial therapy and the sencond will recieve conventional physcial therapy and slump stretching.Both groups will be recruited concurrently.

Masking:

Single (Outcomes Assessor)

Masking Description:

The outcome assessor will be a another person who will be unaware of the group the participant belongs to.

Primary Purpose:

Treatment

Official Title:

Effects of Neural Slump Mobilization in Addition to Conventional Physical Therapy in Low Back Pain

Actual Study Start Date :

Mar 1, 2022

Anticipated Primary Completion Date :

Jan 1, 2023

Anticipated Study Completion Date :

Feb 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: conventional physical therapy	Procedure: Conventional Physical Therapy Moist heat with hydro collator pack, Maitland Mobilization for Lumbar spine, Therapeutic exercise: Core stability exercises
Experimental: conventional physical therapy with slump stretching	Procedure: Neural slump mobilization Slump stretching will be performed with the patient in the long sitting position with the patient's feet against the wall to assure the ankle remained in 0 degree dorsiflexion. The therapist will apply over pressure to the cervical spine flexion to the point where the patient's symptoms will be reproduced. The position will be held for 30 s. A total of 5 repetitions will be completed. Procedure: Conventional Physical Therapy Moist heat with hydro collator pack, Maitland Mobilization for Lumbar spine, Therapeutic exercise: Core stability exercises

Arm

Intervention/Treatment

Active Comparator: conventional physical therapy

Procedure: Conventional Physical Therapy

Moist heat with hydro collator pack, Maitland Mobilization for Lumbar spine, Therapeutic exercise: Core stability exercises

Experimental: conventional physical therapy with slump stretching

Procedure: Neural slump mobilization

Slump stretching will be performed with the patient in the long sitting position with the patient's feet against the wall to assure the ankle remained in 0 degree dorsiflexion. The therapist will apply over pressure to the cervical spine flexion to the point where the patient's symptoms will be reproduced. The position will be held for 30 s. A total of 5 repetitions will be completed.

Procedure: Conventional Physical Therapy

Moist heat with hydro collator pack, Maitland Mobilization for Lumbar spine, Therapeutic exercise: Core stability exercises

Outcome Measures

Primary Outcome Measures

ROM [2 weeks]
Range of motion will be measured with gravity based inclinometer. One inclinometer will be placed on T12 spinous process and the second inclinometer will be placed on S1 spinous process of participant. The patient is asked to perform forward flexion, extension and lateral flexion, The range of motion is recorded by subtracting the value on lower inclinometer from upper inclinometer.

Secondary Outcome Measures

Back Pain [2 weeks]
Back Pain will be measured via Numeric Pain Rating Scale. A higher score will signify higher level of pain.
Physical Function [2 weeks]
Repeated sit to stand test will be used to assess the physical function of the participant
Disability [2 weeks]
Disability will be assessed via Pain Disability Index. A higher score signifies poor outcome

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 44 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Patients aged 18-44 years
Both males and females
Persons with low back pain with a positive slump test
Patients with a NPRS intensity of at least 5

Exclusion Criteria:

Patients with signs or symptoms of nerve root involvement
Pregnant females, patients with history of spinal surgery, patients of spondylolistheis, spinal stenosis and disc herniation.
Patients with serious spinal conditions infection, tumors, osteoporosis, spinal fracture

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Fauji Foundation Hospital	Rawalpindi	Punjab	Pakistan	46000

Sponsors and Collaborators

Foundation University Islamabad

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Foundation University Islamabad

ClinicalTrials.gov Identifier:

NCT05502419

Other Study ID Numbers:

FUI/CTR/2022/8

First Posted:

Aug 16, 2022

Last Update Posted:

Aug 16, 2022

Last Verified:

Aug 1, 2022

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Back Pain

Low Back Pain

Study Results

No Results Posted as of Aug 16, 2022