Can a simple spine glide ease chronic back pain?
NCT ID NCT07415538
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding a gentle manual therapy technique called Mulligan SNAG to standard physical therapy helps people with long-term low back pain. Thirty adults with pain lasting at least six months were split into three groups: standard therapy alone, standard therapy plus SNAG, or standard therapy plus a fake SNAG. Researchers measured pain, function, and body awareness over six weeks to see if the real SNAG offered extra benefit.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mulligan Sustained Natural Apophyseal Glide (SNAG) manual therapy technique
- What this could lead to
- If effective, this could offer a simple, non-drug manual therapy option to reduce pain and improve movement in people with chronic low back pain.
- What could go wrong
- This is a small, completed trial with only 30 participants, so results may not apply to everyone. The sham group helps control for placebo, but the effect may still be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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30 people
The number who actually took part.
- Started
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Jan 2026
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged between 18 and 65 years * Presence of chronic nonspecific low back pain lasting for at least 6 months * No signs or symptoms of radicular pain or progressive neurological deficit * No history of lumbar spine surgery * No manual therapy, spinal injection, or structured physiotherapy program for low back pain within the last 3 months * Ability to participate in a physiotherapy and exercise program * Willingness to participate in the study and provision of written informed consent Exclusion Criteria: * Specific causes of low back pain (e.g., fracture, tumor, infection, inflammatory spinal disorders) * Presence of radiculopathy or severe neurological impairment * History of spinal surgery * Pregnancy * Severe balance, vestibular, or neurological disorders that may interfere with proprioception testing * Any medical condition contraindicating physical therapy or manual therapy * Participation in another clinical trial or receiving concurrent treatment for low back pain during the intervention period
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Biruni University
Istanbul, Zeytinburnu, 34015, Turkey (Türkiye)
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