الفهرس | Only 14 pages are availabe for public view |
Abstract Low back pain (LBP) is a serious health problem, affects many people and is the most common reasons of absence from work. Manual therapy is a common standard treatment for low back pain. Maitland mobilization is one technique of manual therapy. Objective: to investigate the effect of Maitland mobilization on lumbar proprioception, pain intensity, and functional disability in patients with chronic nonspecific low back pain (CNSLBP). Design: pretest posttest randomized controlled study. Setting: the out-patient clinic of the Faculty of Physical Therapy, Cairo University. Participants: Fifty-four subjects with CNSLBP were involved. Methods: The Subjects were randomly assigned into two groups. The experimental group: 28 subjects (aged 21.6 ± 3.2 years, BMI 23.1kg/m2, 23 men, 5 women) received a selected exercise program (stretching, strengthening, and lumbar stabilization exercises) and Maitland posterior–anterior vertebral mobilization three sessions /week, whereas the control group: 26 subjects (aged 22.3± 3.5, BMI 23.1kg/m2, 21 men, 5 women) received selected exercises only. Lumbar repositioning error (LRE), pain intensity, and function disability were measured using an isokinetic dynamometer, visual analog scale (VAS), and the Arabic version of the Oswestry Disability Index (ODI), respectively. Measurements were taken at baseline and four weeks after intervention. Results: Within-group analysis showed a significant decrease in LRE, VAS, and ODI after treatment (p < 0.001). Between-group analysis revealed a significant difference between groups post-intervention favoring the Maitland mobilization group (P < 0.001) where the mean differences at 95% confidence interval were [-2.10, -1.36] for LRE; [-34.53, -25.61] for VAS; and [-9.00, - 7.07] for ODI, respectively. Conclusions: Maitland mobilization is effective in improving lumbar proprioception, pain intensity, and functional disability in patients with CNSLBP. |