Low Back Pain, Manual Therapy, Sustained Natural Apophyseal Glide (SNAG)
Conditions
Keywords
low back pain, manual therapy, Mulligan, sustained natural apophyseal glide (SNAG), Kinematic spine model
Brief summary
Objectives: Determine the efficacy of the SNAG technique (Mulligan) applied to a subgroup of people with non-specific low back pain (LBP) on two new kinematic-algorythms, on pain, functional disability and kinesiophobia. Design: A randomized double blinded placebo controlled trial with double arms in accordance with the CONSORT statement. Subjects: Patients with non-specific low back pain will be recruting from Saint-Luc hospital, only a subgroup of them will be included according to specific inclusion criteria tailored for indication of application of SNAG's therapy (Mulligan technique applied on the lumbar spine). Method: Subjects will be randomized in 2 groups; real-SNAG and sham-SNAG groups. All patients will be treated during a single session, and real/sham SNAG will be applied from a sitting position with the belt, and in a flexion direction. Two kinematic-algorythms (ROM and Speed) from a validated kinematic spine model will be used and recorded with an opto-electronic device (BTS-Elite). Pain at rest and during flexion, as well as functional disability and kinesiophobia will be recorded by self-reported measures. These outcomes will be blindly evaluated before and after treatment to compare both groups with Two-Way-ANOVA statistic with for factors; time and groups.
Interventions
DEVICESNAG
sustained natural apophyseal glide: SNAG / Mulligan technique
DEVICESham
Sponsors
Université Catholique de Louvain
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* non-specific LBP, mechanical LBP with a pain in flexion direction, the pain in flexion is reduce with the application of SNAG therapy
Exclusion criteria
* specific LBP, non-mechanical LBP, the pain is not release in a flexion direction when SNAG is appllied
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinematic spine model (Hidalgo et al 2012 Journal of rehabilitation medicine) | Change from baseline until discharge of treatment (same day, single session) | Use of quantitative variables for ROM and SPEED kinematic (Logit scores index) |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry Disability questionnaire | change from baseline until 2 weeks after treatment |
| present pain with visual analog scale (VAS) | change from baseline and after treatment the same day (single session) |
| Tampa scale for kinesiophobia | change from baseline until two weeks after treatment |
Countries
Belgium
Outcome results
None listed