The effect of Upper lumbar segment Self-Mobilization of Kaltenborn-Evjenth Concept on Pain, Range of motion, Intervertebral motion, Stability, and Function in Chronic Low Back Pain

Objective: This study examined the effects of Kaltenborn-Evjenth Concept lumbar self-mobilization (LSM), thoracic self-mobilization (TSM), and McKenzie exercises (ME) on pain, range of motion (ROM), intervertebral mobility, stability, and functional ability in patients with chronic low back pain.Design:Randomized controlled trial.Methods: Sixty-seven participants were randomly allocated to three groups: the LSM (n=22), TSM (n=23),and ME (n=22) groups.Each group performed a 10-minute intervention twice weekly for 4 weeks.Outcomesincluded painintensity, the Korean Oswestry Disability Index (KODI) for lumbar dysfunction, lumbar and thoracic ROM, and spinal stability.Paired t-tests and analysis of variance evaluated within-group and between-group differences.Results: LSM, TSM, and ME produced significant improvements inpain, ROM, intervertebral mobility, stability, and functional ability (p<0.05).Between-group analysis demonstrated significantly greater reductions in pain and greater thoracic intervertebral mobility in the TSM group than in the ME group.Lumbar intervertebral mobility and instability improved significantly in all groups.Conclusions: Upper lumbar and thoracic self-mobilization combined with ME reduces pain, enhances spinal mobility and stability, and improves functional ability in patients with chronic low back pain.TSM produced greater improvements in thoracic mobility and pain reduction, indicating its value in managing spinal dysfunction.Integrating self-mobilization with ME may optimize rehabilitation outcomes for patients with chronic low back pain.