60
Participants
Start Date
October 31, 2025
Primary Completion Date
May 31, 2027
Study Completion Date
June 30, 2027
Specific Manual Therapy
Participants in this group receive a standardized physiotherapy program (exercise and education) plus 5 minutes of targeted lumbar postero anterior mobilizations. These mobilizations are selected using the Algo K decision algorithm, which guides the therapist to choose the most appropriate technique based on the patient's pain response during preliminary movement tests.
Non specific Manual Therapy
Participants in this group receive the same physiotherapy program, but the additional 5 minutes of mobilization are applied to the upper thoracic spine (T4-T7), away from the symptomatic lumbar region. This sham mobilization mimics the manual therapy without targeting the affected area or following the algorithm's logic.
Assistance Publique - Hôpitaux de Paris
OTHER