Original Article: JRCRS. 2025; 13(4):210-214
4- Comparison of Passive Translatoric Intervertebral Glides and Manual Segmental Traction in patients with Mechanical Low Back pain: A Randomized Controlled Trial
Mahnoor Zia1, Zainab Noor Qazi2, Sana Javaid3, Huma Mehrin Khan4, Shakeel Ahmad5
1 Physiotherapist, Aziz Bhatti Hospital, Gujrat, Pakistan
2 Lecturer, Margalla Institute of Health Sciences, Islamabad, Pakistan
3 Consultant physical therapist, Healing Hands Mega Medical Complex Rawalpindi, Pakistan
4 Physiotherapist, Behavior and Special Education Services (BASES), Rawalpindi, Pakistan
5 Lecturer, Department of Physical Therapy and Health Rehabilitation, Al Jouf University, Sakkaka, Saudi Arabia.
Read Full-Text Full-Text PDF DOI: https://dx.doi.org/10.53389/JRCRS.2025130404
ABSTRACT:
Background: Low back pain is a global health issue and leading cause of disability. It is frequently treated by using manual treatments in physiotherapy clinics including mobilizations and spinal traction.
Objective: To determine and compare the effects of joint mobilizations and manual spinal traction on pain, disablity and joint range of motion in mechanical low back pain
Methodology: In the Physiotherapy Department of Aziz Bhatti Hospital, Gujrat, 34 participants with the complaint of diagnosed and confirmed cases of mechanical low back pain, aged 25 to 65 years were split into two equal groups for a randomized clinical trial. Group A received Passive Translatoric Intervertebral Glides while Group B received Manual Lumbar Traction (MLT) and both received conventional core stability exercises. Data was gathered using Numeric Pain Rating Scale (NPRS), Modified Oswestry Diability Index (MODI), and a universal goniometer at baseline, 2nd week and 4th week using Non-probability convenient sampling technique. SPSS version 22 was used for data analysis. (Clinical Trial Registry Number: NCT05522543)
Results: A significant improvement in pain, disability and range of motion was seen in both groups at the 4th week of intervention (p<0.001). However, Group B (MLT) showed more improvement in NPRS compared with Group A (PTIG). Both the treatment groups including PTIG (p<0.001) and MLT (p=0.000) showed significant reduction in disability scores however no statistically significant difference was found in inter-group analysis for disability score (p=0.274), Flexion(p=0.610) or Extension (p=0.170).
Conclusion: The study concluded that both treatments are effective in lowering the pain, disability and improving lumbar range of motion. However, significant improvement was found in group B in reducing pain, while overall no significant group differences were observed.
Keywords: Joint range of motion, Mechanical low back pain, Mobilizations, Traction