Chronic Pain
Conditions
Keywords
Lumbal SNAGs, efficiency
Brief summary
Fifty five participants diagnosed with CNSLBP, will randomized into three groups. Group I (18 subjects) will receive 15 sessions of Conventional Physiotherapy program (CPP) 5 times per week, Group II (19 subjects) will receive 9 sessions of SNAGs, and Group III will receive CPP plus SNAGs. Outcome measures are pain, ROM, spinal mobility, fear avoidance behaviour and function. Measurements will record before, after and 6 month after the end of the treatment.
Detailed description
Inclussion criterias are; low back pain for at least 3 months, intensity of pain ranges from 3 to 6 according to VAS. Exclussion criterias are; undergoing surgical operation in the lumbar region or having a surgical indication, having an exercise therapy and / or physical therapy in the last 1 year, a history of trauma involving lumbar region and systemic and inflammatory disease targeting this region, participants using corticosteroids for a long time and being pregnant.Acording to our criterias 55 participants diagnosed with CNSLBP will randomised into three groups. Group 1 will receive Conventional Physiotherapy programme consisting of Hot pack, US and TENS applications. Group II aill receive Lumbar SNAGS consisting of Lumbar Extension SNAGS in prone, SNAGS in lion position and Lumbar flexion SNAGS in sitting, techniques. Group III will receive 9 sessions of SNAGs, and Group III will receive CPP plus SNAGs.Outcome measures are pain, ROM, spinal mobility, fear avoidance behaviour and function. Measurements will record before, after and 6 month after the end of the treatment. All treatment groups were treated with the same researcher. All assessments were made by another blind researcher three times at before, after and 6 month after treatment.
Interventions
PROCEDUREConventional Physiotherapy
Conventional Physiotherapy consist of Hotpacks, TENS and US.The participants were positioned in prone and supported with a pillow under the abdomen, 20 min hot pack was applied. Therapatic Ultrason were applied with the frequency of 1 MHz, intensity of 1,5 watt/cm² and duration of 5 minute. TENS was applied to the lumbar region with 2-channel, 4 surface electrodes at 60-120 Hz, and 50-100 pulse duration for 20 minutes.
PROCEDUREMulligan Mobilization
Extension SNAGS in prone, SNAGS in lion position and Lumbar flexion SNAGS in sitting, techniques were used. The techniques were applied in 3 sets with 10 repetitions and 60 seconds rest between sets.
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
All assessments were made by another blind researcher three times at before, after and 6 month after treatment.
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* low back pain for at least 3 months * intensity of pain ranges from 3 to 6 according to VAS
Exclusion criteria
* undergoing surgical operation in the lumbar region or having a surgical indication having an exercise therapy and / or physical therapy in the last 1 year * a history of trauma involving lumbar region and systemic and inflammatory disease targeting this region * corticosteroids consumption for a long time * being pregnant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Range of Motion from baseline at 3 weeks and from baseline at 6 months | Baseline, 3 weeks,6 months | ROM is measured by BROM II device during flexion and extension activity. |
| Change of Spinal Mobility from baseline at 3 weeks and from baseline at 6 months | Baseline, 3 weeks,6 months | Spinal mobility measured by Schober test. |
| Change from Pain Intensity from baseline at 3 weeks and from baseline at 6 months | Baseline, 3 weeks,6 months | Pain intensity during flexion and extension activity in lumbar region is measured by Numeric pain scale in which 0 shows No pain while 10 shows worst pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Fear Avoidance Behaviour from baseline at 3 weeks and from baseline at 6 months | Baseline, 3 weeks,6 months | It ıs measured by Fear Avoidance Behaviour Questionnaire-Turkish.The total score ranges from 0 to 96. Maximum score indicates increased fear avoidanve behaviour |
| Change from Disability level from baseline at 3 weeks and from baseline at 6 months | Baseline, 3 weeks,6 months | It ıs measured by measured by Rolland Morris Disability Questionnaire-Turkish.Total score ranked from 0 to 24. İncreased score represents disability in functional activities |
Countries
Turkey (Türkiye)
Contacts
Primary ContactŞule ŞİMŞEK, Dr.
Backup ContactMerve Bergin Korkmaz, Dr.
Outcome results
None listed