None listed
Conditions
Brief summary
this study has the aim of revealing the effect of Mulligan "SNAG" technique on low back priprioception, pain level, ROM, and functional level in patients suffering from chronic non-specific low back pain. the primary purpose of this study is to investigate if this technique has an effect on the improvement of lumbar spine proprioception which was proved to be affected in study patient population and may be a cause of their condition. this study try to investigate a new possible mechanism (effect on proprioception) that can explain the efficacy of SNAG technique reported by previous studies. this study is considered one of the few available study that tried to think outside the box regarding the effects of snag as one of the mulligan techniques as the majority of the previous studies adopted only the mechanical explanation mentioned by Mulligan himself.
Interventions
1- standard physiotherapy (including infrared heating of the low back for 15 minutes, stretching exercises for back, hamstrings, iliopsoas muscles - 3 repetitions X 30 seconds hold X 30 seconds rest , strengthening exercises for abdominal muscles 1 set X 10 repetitions X 5 seconds hold.
- frequency of standard treatment sessions: 3 x 40 minutes per week for 4 weeks.
- (estimated total session duration is: 40 mins,
2- "SNAG" Mulligan technique applied from setting position on the L4, and L5 spi
1- standard physiotherapy (including infrared heating of the low back for 15 minutes, stretching exercises for back, hamstrings, iliopsoas muscles - 3 repetitions X 30 seconds hold X 30 seconds rest , strengthening exercises for abdominal muscles 1 set X 10 repetitions X 5 seconds hold. - frequency of standard treatment sessions: 3 x 40 minutes per week for 4 weeks. - (estimated total session duration is: 40 mins, 2- "SNAG" Mulligan technique applied from setting position on the L4, and L5 spinous processes in a cephalic direction for 3 sets X 5 repetitions (for about 10 mins / session . 3 session /week for 4 weeks). SNAG technique will be applied by physiotherapist. - SNAG will be applied at the end of the session for the study group only (the total study group session time will be 50 mins. (the 10 minutes lack in control group session time will be filled with examination and history talking to achieve equality in time involved in patients treatment and caring) Note: first program will be introduced to the control group, the first and second program will be both introduced to the experimental (study) group
Sponsors
Hisham Mohamed AbdelRaheem Hussien
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
17 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1- patients diagnosed (by physician) with chronic non-specific low back pain. 2- signs and symptoms lasts more than 3 months. 3- patient must be able to assume at least more than 30 degrees of trunk flexion to be able to perform the task required for repositioning accuracy on the isokinetic machine. 4- patients with moderate Oswestry Disability Index results only will be included.
Exclusion criteria
1- Any low back pain due to a definite cause as; arthritis, degenerative joint diseases, disc lesion, inflammation and facet joint disease. 2- Patients with a history of head trauma or other neurological manifestations. 3- Obese patients with body mass index (BMI) above 25, and pregnant females. 4- Any patients having the common contraindications for manual therapy as joint hyperlaxity, instability, acute infection. 5-Severe disabling LBP.
Outcome results
None listed