الفهرس 
Effect of Maitland mobilization on lumbar proprioception in chronic nonspecific low back pain patients
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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.