{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T23:05:11Z","timestamp":1794351911071,"version":"4.9.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low back pain is the third most reported complaint after headache and chronic fatigue, and more than 80% of the population will experience low back pain at some point in their lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Object\u0131ve<\/jats:title>\n                    <jats:p>We conducted this study to investigate the effects of instrument-assisted manipulation (IAM) and mobilization with movement (MWM) on joint range of motion (ROM), pain, proprioception, endurance, back awareness, and disability in individuals with chronic nonspecific low back pain (CNSLBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>51 participants with CNSLBP were randomized to one of three groups: (1) MWM; (2) IAM; or (3) core exercise. Joint ROM, pain, proprioception, endurance, back awareness, and disability were assessed at baseline, week 2 and 6.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Joint ROM and activity pain scores increased in all groups (p\u2009&lt;\u20090.05). Both activity and resting pain improved in the MWM group (p\u2009&lt;\u20090.001; p\u2009=\u20090.004). Most measures related to proprioception improved in the MWM group (p\u2009=\u20090.005; p\u2009=\u20090.016; p\u2009=\u20090.016). Endurance increased in all groups, but the flexor endurance increase was higher in the MWM group (p\u2009&lt;\u20090.05). Back awareness and disability increased in all groups (p\u2009&lt;\u20090.05), but disability increased most in MWM group (p\u2009=\u20090.022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclus\u0131ons<\/jats:title>\n                    <jats:p>MWM could effectively improve pain, proprioception, endurance, and disability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127241309343","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T03:12:51Z","timestamp":1739243571000},"page":"640-650","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Effects of instrument-assisted manipulation and mobilization with movement in chronic non-specific low back pain: A randomized controlled trial"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0087-1821","authenticated-orcid":false,"given":"Erkan","family":"Erol","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpa\u015fa University, Tokat, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2372-0102","authenticated-orcid":false,"given":"Mustafa","family":"Burak","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, F\u0131rat University, Elaz\u0131\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8714-0214","authenticated-orcid":false,"given":"B\u00fclent","family":"Elbasan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-12-200412210-00008"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b48809"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000143619.34308.b4"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00018"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66696-2"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0160454"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61686-9"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000252697.07214.65"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2007.01.015"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1054\/math.2002.0469"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2006.07.012"},{"key":"e_1_3_4_13_2","volume-title":"Manual therapy: NAGS, SNAGS, MWMS, Etc","author":"Mulligan BR","year":"2004","unstructured":"Mulligan BR. Manual therapy: NAGS, SNAGS, MWMS, Etc. Minnesota: OPTP, 2004."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.16965\/ijpr.2015.126"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2015.06.013"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1773"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000724"},{"key":"e_1_3_4_18_2","first-page":"880","article-title":"Spinal manipulation plus laser therapy versus laser therapy alone in the treatment of chronic non-specific low back pain: a randomized controlled study","volume":"54","author":"Nambi G","year":"2018","unstructured":"Nambi G, Kamal W, Es S, et al. Spinal manipulation plus laser therapy versus laser therapy alone in the treatment of chronic non-specific low back pain: a randomized controlled study. Eur J Phys Rehabil Med 2018; 54: 880\u2013889.","journal-title":"Eur J Phys Rehabil Med"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2006.06.012"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2017.03.006"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2005.06.004"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2005.07.006"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.26.1237"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(93)90027-M"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.05.001"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-229"},{"key":"e_1_3_4_27_2","first-page":"25","article-title":"Effect of 8-week core stabilization exercises on low back pain, abdominal and back muscle endurance in patients with chronic low back pain due to disc herniation","volume":"4","author":"Ebrahimi H","year":"2014","unstructured":"Ebrahimi H, Blaouchi R, Eslami R, et al. Effect of 8-week core stabilization exercises on low back pain, abdominal and back muscle endurance in patients with chronic low back pain due to disc herniation. Phys Treat - Specif Phys Ther 2014; 4: 25\u201332.","journal-title":"Phys Treat - Specif Phys Ther"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2016.06.003"},{"key":"e_1_3_4_29_2","first-page":"1497","article-title":"Nonspecific low back pain and return to work","volume":"76","author":"Nguyen T","year":"2007","unstructured":"Nguyen T, Randolph D. Nonspecific low back pain and return to work. Am Fam Physician 2007; 76: 1497\u20131502.","journal-title":"Am Fam Physician"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.26.1985"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000113869.13209.03"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112150-00024"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002909"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0578-2"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90087-4"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2009.08.004"},{"key":"e_1_3_4_37_2","volume-title":"The mulligan concept of manual therapy-ebook: textbook of techniques","author":"Hing W","year":"2014","unstructured":"Hing W, Hall T, Rivett D, et al. The mulligan concept of manual therapy-ebook: textbook of techniques. Australia: Elsevier Health Sciences, 2014."},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2011.04.006"},{"key":"e_1_3_4_39_2","first-page":"98","article-title":"Influence of core stability exercise on lumbar vertebral instability in patients presented with chronic low back pain: a randomized clinical trial","volume":"6","author":"Javadian Y","year":"2015","unstructured":"Javadian Y, Akbari M, Talebi G, et al. Influence of core stability exercise on lumbar vertebral instability in patients presented with chronic low back pain: a randomized clinical trial. Casp J Intern Med 2015; 6: 98.","journal-title":"Casp J Intern Med"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2013.37.1.110"},{"key":"e_1_3_4_41_2","volume-title":"Low back disorders: evidence-based prevention and rehabilitation","author":"McGill S","year":"2015","unstructured":"McGill S. Low back disorders: evidence-based prevention and rehabilitation. Champaign, IL: Human Kinetics, 2015."},{"key":"e_1_3_4_42_2","volume-title":"Foundations of clinical research: applications to evidence-based practice","author":"Portney LG","year":"2020","unstructured":"Portney LG. Foundations of clinical research: applications to evidence-based practice. 4th ed. Philadelphia, PA: F.A. Davis Company, 2020.","edition":"4"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2017.01.003"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2011.05.005"},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2005.03.003"},{"key":"e_1_3_4_46_2","first-page":"142","article-title":"Effectiveness of sustained natural apophyseal glides and Maitland mobilization in facet joint syndrome: a single blind randomized control pilot study","volume":"4","author":"Anap D","year":"2014","unstructured":"Anap D, Khatri S, Zambre B. Effectiveness of sustained natural apophyseal glides and Maitland mobilization in facet joint syndrome: a single blind randomized control pilot study. Int J Heal Sci Res 2014; 4: 142\u2013150.","journal-title":"Int J Heal Sci Res"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127241309343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127241309343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127241309343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:28:13Z","timestamp":1777382893000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127241309343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,11]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1177\/10538127241309343"],"URL":"https:\/\/doi.org\/10.1177\/10538127241309343","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,11]]}}}