Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial
Objective: The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain,...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
Elsevier Inc
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/30741 |
| _version_ | 1848753175985651712 |
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| author | Hidalgo, B. Pitance, L. Hall, Toby Detrembleur, C. Nielens, H. |
| author_facet | Hidalgo, B. Pitance, L. Hall, Toby Detrembleur, C. Nielens, H. |
| author_sort | Hidalgo, B. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability, and kinesiophobia. Methods: This was a 2-armed randomized placebo-controlled trial. Subjects, blinded to allocation, were randomized to either a real-SNAG group (n = 16) or a sham-SNAG group (n = 16). All patients were treated during a single session of real/sham SNAG (3 × 6 repetitions) to the lumbar spine from a sitting position in a flexion direction. Two new KA from a validated kinematic spine model were used and recorded with an optoelectronic device. Pain at rest and during flexion as well as functional disability and kinesiophobia was recorded by self-reported measures. These outcomes were blindly evaluated before, after treatment, and at 2-week follow-up in both groups. Results: Of 6 variables, 4 demonstrated significant improvement with moderate-to-large effect sizes (ES) in favor of the real-SNAG group: KA-R (P = .014, between-groups ES Cliff δ = − .52), pain at rest and during flexion (visual analog scale, P < .001; ES = − .73/− .75), and functional-disability (Oswestry Disability Index, P = .003 and ES = − .61). Kinesiophobia was not considered to be significant (Tampa scale, P = .03) but presented moderate ES = − .46. Kinematic algorithms for speed was not significantly different between groups (P = .118) with a small ES = − .33. All 6 outcome measures were significantly different (P ≤ .008) during within-group analysis (before and after treatment) only in the real-SNAG group. No serious or moderate adverse events were reported. Conclusion: This study showed evidence that lumbar spine SNAGs had a short-term favorable effect on KA-R, pain, and function in patients with nonspecific low back pain. |
| first_indexed | 2025-11-14T08:20:21Z |
| format | Journal Article |
| id | curtin-20.500.11937-30741 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:20:21Z |
| publishDate | 2015 |
| publisher | Elsevier Inc |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-307412017-09-13T15:55:20Z Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial Hidalgo, B. Pitance, L. Hall, Toby Detrembleur, C. Nielens, H. Objective: The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability, and kinesiophobia. Methods: This was a 2-armed randomized placebo-controlled trial. Subjects, blinded to allocation, were randomized to either a real-SNAG group (n = 16) or a sham-SNAG group (n = 16). All patients were treated during a single session of real/sham SNAG (3 × 6 repetitions) to the lumbar spine from a sitting position in a flexion direction. Two new KA from a validated kinematic spine model were used and recorded with an optoelectronic device. Pain at rest and during flexion as well as functional disability and kinesiophobia was recorded by self-reported measures. These outcomes were blindly evaluated before, after treatment, and at 2-week follow-up in both groups. Results: Of 6 variables, 4 demonstrated significant improvement with moderate-to-large effect sizes (ES) in favor of the real-SNAG group: KA-R (P = .014, between-groups ES Cliff δ = − .52), pain at rest and during flexion (visual analog scale, P < .001; ES = − .73/− .75), and functional-disability (Oswestry Disability Index, P = .003 and ES = − .61). Kinesiophobia was not considered to be significant (Tampa scale, P = .03) but presented moderate ES = − .46. Kinematic algorithms for speed was not significantly different between groups (P = .118) with a small ES = − .33. All 6 outcome measures were significantly different (P ≤ .008) during within-group analysis (before and after treatment) only in the real-SNAG group. No serious or moderate adverse events were reported. Conclusion: This study showed evidence that lumbar spine SNAGs had a short-term favorable effect on KA-R, pain, and function in patients with nonspecific low back pain. 2015 Journal Article http://hdl.handle.net/20.500.11937/30741 10.1016/j.jmpt.2015.06.013 Elsevier Inc fulltext |
| spellingShingle | Hidalgo, B. Pitance, L. Hall, Toby Detrembleur, C. Nielens, H. Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title | Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title_full | Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title_fullStr | Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title_full_unstemmed | Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title_short | Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial |
| title_sort | short-term effects of mulligan mobilization with movement on pain, disability, and kinematic spinal movements in patients with nonspecific low back pain: a randomized placebo-controlled trial |
| url | http://hdl.handle.net/20.500.11937/30741 |