| CTRI Number |
CTRI/2026/01/100022 [Registered on: 01/01/2026] Trial Registered Prospectively |
| Last Modified On: |
29/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A short-term study comparing two physiotherapy treatment methods to reduce pain and improve movement and daily function in people with low back pain. |
|
Scientific Title of Study
|
Comparing the Short-term Effect of Mulligan and Maitland Mobilization on Pain,Range of Motion and Functional Disability in patients with Non-specific Low Back Pain |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| Nil |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DrAnushree Sudesh Datar |
| Designation |
PG student |
| Affiliation |
TMVS Lokmanya Tilak College of Physiotherapy |
| Address |
TMVs Lokmanya Tilak College of Physiotherapy,3rd Floor, Department of Muculoskeletal Physiotherapy,Tilak Maharashtra Vidyapeeth,Block J, Near Raghunath Vihar, Sector 14, Kharghar- 410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
7506414820 |
| Fax |
|
| Email |
dataranushree3@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Ruturaj Shete |
| Designation |
Associate Professor |
| Affiliation |
TMVS Lokmanya Tilak College of Physiotherapy |
| Address |
TMVs Lokmanya Tilak College of Physiotherapy, Block J, Raghunath Vihar, Sector 14, Kharghar- 410210
TMVs Lokmanya Tilak College of Physiotherapy, Block J, 3rd Floor, Department of Musculoskeletal Physiotherapy,Raghunath Vihar, Sector 14, Kharghar, Maharashtra, India-410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
9870881008 |
| Fax |
|
| Email |
ruturaj.53@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Ruturaj Shete |
| Designation |
Associate Professor |
| Affiliation |
TMVS Lokmanya Tilak College of Physiotherapy |
| Address |
TMVs Lokmanya Tilak College of Physiotherapy, Block J, Raghunath Vihar, Sector 14, Kharghar- 410210
TMVs Lokmanya Tilak College of Physiotherapy, Block J, 3rd floor, Department of Musculoskeletal Physiotherapy,Raghunath Vihar, Sector 14, Kharghar, Maharashtra,India- 410210
Raigarh
MAHARASHTRA
410210
India |
| Phone |
9870881008 |
| Fax |
|
| Email |
ruturaj.53@gmail.com |
|
|
Source of Monetary or Material Support
|
| TMVS Lokmanya Tilak College of Physiotherapy |
|
|
Primary Sponsor
|
| Name |
TMVS Lokmanya Tilak College of Physiotherapy |
| Address |
TMVs Lokmanya Tilak College of Physiotherapy,3rd Floor, Department of Musculoskeletal Physiotherapy,Tilak Maharashtra Vidyapeeth,Block J, Near Raghunath Vihar, Sector 14, Kharghar- 410210 |
| Type of Sponsor |
Research institution |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| TMVs Lokmanya Tilak College of Physiotherapy |
TMVs Lokmanya Tilak College of Physiotherapy,3rd Floor, Department of Musculoskeletal Physiotherapy,Tilak Maharashtra Vidyapeeth,Block J, Near Raghunath Vihar, Sector 14, Kharghar- 410210 |
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Anushree Datar |
TMVS Lokmanya Tilak College of Physiotherapy |
TMVs Lokmanya Tilak College of Physiotherapy,3rd Floor, Department of Musculoskeletal Physiotherapy,Tilak Maharashtra Vidyapeeth,Block J, Near Raghunath Vihar, Sector 14, Kharghar- 410210
Raigarh
MAHARASHTRA |
7506414820
dataranushree3@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| TMVS Lokmanya Tilak College of Physiotherapy Institutional Ethics Committee (Academics) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M255||Pain in joint, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Mulligan Mobilization for Lumbar Spine- SNAGs |
Frequency- 10-12 Repetitions per Set, 2-3sets
Time - 1Week
Type- Mulligan Mobilization -SNAGs
Patient will be assessed pre-intervention and post-intervention for for Pain, Range of Motion of Lumbar Spine and Functional Disability using reliable and valid outcome measures.
Along with this, patient will be given conventional physiotherapy treatment.
|
| Comparator Agent |
Postero-anterior Glide Maitland Mobilization to the Lumbar Spine |
Frequency -1 week
Intensity-
Type- Postero-anterior Glide Maitland Mobilization to the Lumbar Spine.Patient will be assessed pre-intervention and post-intervention for Pain, Range of Motion and Functional Disability using Reliable and Valid Outcome Measures.
Along with this, patient will be given conventional physiotherapy treatment. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
45.00 Year(s) |
| Gender |
Both |
| Details |
Patients Suffering with sub-acute to chronic Non-specific Low Back Pain.
Visual Analog Scale of more than 4/10
Back Pain Increased with active Lumbar Flexion or Extension Movement.
Oswestry Disability Index Score of more than 20percent. |
|
| ExclusionCriteria |
| Details |
1) Any Red Flags- (tumors, rheumatoid arthritis, severe
osteoporosis, fractures, aortic aneurysms, TB spine)
2) Any contraindications to Manual therapy
3) Associated abnormality of bowel and bladder function,
peripheral vascular disease, pregnancy and neuropathic
pain.
4) Viscerogenic Back Pain with disorders of the kidney,
pelvic viscera, and retroperitoneal tumors
5) Patient with PIVD of lumbar Spine, Sacroiliac joint
dysfunction, sacroiliitis, Lumbar Spondylolisthesis,
spinal instability, Lumbar Canal stenosis, and
Spondyloarthropathies as Ankylosing Spondylitis,
psoriatic arthritis. |
|
|
Method of Generating Random Sequence
|
Stratified randomization |
|
Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Visual Analog Scale,
Modified Modified Schobers Test,
Oswestry Disability Index |
1week |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="44"
Sample Size from India="44"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
30/01/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="6"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This this study is a randomized control trial to study Comparing short term effect of Mulligan and Maitland Mobilization on Pain Range of Motion and Functional Disability in patients with Non-specific Low Back Pain.
Currently, no evidence establishes the superiority of one technique over the other in achieving optimal outcomes of short-term effects on Pain relief, Range of motion (ROM), and Functional Disability for patients with Non-specific Low back pain. Conducting a comparative study assessing short-term effects would provide greater precision in selecting the most appropriate technique based on individual patient presentations, optimizing the rehabilitation process and potentially accelerating patient recovery. Identifying the mobilization technique that provides optimal short-term pain relief can enhance patient adherence and improve overall rehabilitation outcomes in Non-specific Low back pain. Hence, the need of this study is to determine the comparative Short-Term effects of Maitland PA glide mobilization and Mulligan’s Lumbar SNAGs in reducing pain, improving Range of Motion (ROM), and enhancing functionality in patients with Non-specific Low Back pain. In this study total 44 patients will be recruited in the age group of 18 to 45 years.
The Outcome Measures Used in this study are Visual Analog Scale, Modified Modified Schobers Test and Oswestry Disability Index.
There will be two groups group A and Group B.
Group A- Mulligans Lumbar SNAGS- The patient is positioned in four point kneeling position close to the edge of the treatment table with their feet over the edge. The therapist stands at the side of the treatment table facing the patient’s head. The technique involves specific hand contact- the stabilizing hand is wrapped around the patient’s abdomen while the mobilizing hands thinner eminence contacts. Under the target’s finest process. The Glide is applied in a cranially directed manner over the thinner eminence contact point while the patient simultaneously sits back towards their heels.
GROUP B- Maitland’s postero-anterior Glide mobilization to Lumbar spine- the patient is lying in prone position with arms by their side of the treatment table. The therapist stands at the side of the plinth facing the patient’s lumbar spine. The hand contact points involve the therapist’s thumbs being placed in direct contact with each other onto the target spinous process. This mobilization is performed using grade one to grade 4 oscillations.
Conventional physiotherapy- Both the groups will be given conventional physiotherapy which includes several exercises for the lower back, including stretching. The exercises included in conventional physiotherapy are- cat and camel exercises, bridging, core activation, and core stability exercises. Along with exercises. With exercises, the patient is given stretching for the hamstrings, Piriforms and gluteus maximus muscles.
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