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Effects of a Mulligan Mobilisation in the Lumbar Flexion Range of Asymptomatic Subjects

This study has been completed.
Sponsor:
Information provided by:
University of Manchester
ClinicalTrials.gov Identifier:
NCT00678093
First received: May 8, 2008
Last updated: May 13, 2008
Last verified: May 2008
History of Changes
  Purpose

Mulligan's mobilisation techniques are believed to increase the range of movement (ROM) in patients with low back pain. The primary aim of this study was to investigate the mechanical effects of Mulligan's "SNAG" technique on lumbar flexion ROM. The secondary aim was to measure the intra- and inter-day reliability of lumbar ROM employing the same procedure, and utilising a 3-D motion analysis system for measuring range of motion (ROM).


Condition Intervention
Low Back Pain
 Other: Application of the SNAG technique

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: The Effects of the Mulligan Mobilisation Sustained Natural Apophyseal Glide (SNAG) in the Lumbar Flexion Range of Asymptomatic Subjects as Measured by the Zebris CMS20 3-D Motion Analysis System

Resource links provided by NLM:

MedlinePlus related topics: Back Pain
U.S. FDA Resources

Further study details as provided by University of Manchester:

Primary Outcome Measures:
  • Range of Movement (ROM) [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Enrollment: 49
Study Start Date: January 2005
Study Completion Date: June 2005
Primary Completion Date: June 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: SNAG
SNAG is a painless and gentle manual technique, mimicking a slide with concurrent active movement, performed in the lumbar spine (in this study) by an experienced manual therapist-physiotherapist.
 Other: Application of the SNAG technique
SNAG is a painless and gentle manual technique, mimicking a slide with concurrent active movement, performed in the lumbar spine (in this study) by an experienced manual therapist-physiotherapist.
Other Names:
  • Sustained Natural Apophyseal Glide
  • Mulligan mobilisation

Detailed Description:

The primary aim of this study was to investigate the mechanical effects of Mulligan's "SNAG" technique on lumbar flexion ROM. The secondary aim was to measure the intra- and inter-day reliability of lumbar ROM employing the same procedure. For the interventional component of the study, 49 asymptomatic volunteers participated in it. Subjects were randomly assigned into either a treatment (SNAG) group (n=25), or a placebo (SHAM) group (n=24). The "SNAG" technique was applied on L3 and L4 spinal levels by an experienced manual therapist. SNAGs were performed with active flexion in sitting, 10 times at each level. The placebo-SHAM was similar to the SNAG without however applying the appropriate direction or force. Lumbar ROM was measured by a three dimensional electronic goniometer (Zebris CM20), before and after each technique. For the reliability component, five measurements in two different days (one week apart) were performed in 20 healthy subjects.

  Eligibility

Ages Eligible for Study:   18 Years to 40 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • asymptomatic
  • health individuals

Exclusion Criteria:

  • Low back pain
  • spinal pathology
  • vascular or heart problems
  • subjects taking anticoagulants
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00678093

Locations
United Kingdom
Centre for Rehabilitation Science
Manchester, United Kingdom, M13 9PT
Sponsors and Collaborators
University of Manchester
Investigators
Principal Investigator: Evdokia Billis, MSc University of Manchester
  More Information

No publications provided by University of Manchester

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Evdokia Billis, Lecturer in Physiotherapy, Department of Physiotherapy, TEI of Lamia
ClinicalTrials.gov Identifier: NCT00678093     History of Changes
Other Study ID Numbers: Mulligan
Study First Received: May 8, 2008
Last Updated: May 13, 2008
Health Authority: Greece: Ethics Committee

Keywords provided by University of Manchester:
Low back pain
Manual therapy
Mulligan snag

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Pain
 Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on June 17, 2013