Effect of Two Different Mobilization Techniques in the Treatment of Low Back Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Maitland, SNAG.
- Who it may be relevant to
- Registry conditions: Non-specific Low Back Pain (NSLBP). Basic parameters: 25 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Saudi Arabia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of SNAG Versus Maitland Techniques in the Management of Non-Specific Low Back Pain
Overview
Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up
Interventions
- Procedure Maitland
Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position - Procedure SNAG
The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end
Primary outcome measures
- Numeric Pain Rating Scale [Time frame: 4 weeks]
Secondary outcome measures (3)
- Functional disability [Time frame: 4 weeks]
- Lumbar flexion range of motion [Time frame: 4 weeks]
- overall stability index (OSI) [Time frame: 4 weeks]
Eligibility criteria
Inclusion criteria
- Adults aged 25 to 40 years.
- Diagnosed with chronic NSLBP persisting for more than three months.
- Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position.
- Oswestry Disability Index (ODI) score between 20% to 40%.
- Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion.
Exclusion criteria
- Specific causes of low back pain (e.g., herniated disc, spinal stenosis).
- History of spinal surgery or trauma.
- Neurological deficits or systemic diseases affecting the musculoskeletal system.
- Pregnancy.
- Current participation in other physiotherapy programs.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Saudi Arabia · 1 center
- University Medical Clinics — Ha'il
Identifiers
NCT: NCT07177040 · H-2025-858