Effects of Sustained Natural Apophyseal Glides in Combination With McKenzie Extension Protocol in the Management of Discogenic Low Back Pain

Effects of Sustained Natural Apophyseal Glides (SNAGs) in Combination With McKenzie Extension Protocol (Mechanical Diagnostic Therapy) in the Management of Discogenic Low Back Pain

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05314049

Enrollment

Registered

2022-04-06

Start date

2022-05-01

Completion date

2022-10-30

Last updated

2022-04-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Low Back Pain, Disk Prolapse, Disk Herniated Lumbar, Sciatic Radiculopathy

Brief summary

Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition. McKenzie's extension protocol is considered to be the gold standard physical therapy treatment for persons with acute discogenic low back pain, however the evidence is deficient in terms of additive benefits of sustained natural apophyseal glides in the management of discogenic low back pain. Thus, the current study will not only look into the positive effects of McKenzie's extension protocol in the management discogenic low back pain, but will also look into the additive benefits of sustained natural apophyseal glides in combination with McKenzie's extension protocol in the management of discogenic low back pain.

Interventions

PROCEDUREMckenzie Extension Protocol

Mckenzie Extension Exercise Protocol will be performed by participants in prone position

PROCEDURELumbar SNAGs

Lumbar SNAGs will be performed in lumbar flexion and extension in standing Position

DEVICEinferential therapy

4 pole inferential therapy in combination with superficial heating for 20 minutes

DEVICEHeat Therapy

superficial heating for 20 minutes

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 50 Years

Healthy volunteers

Inclusion criteria

* Both male and female participants * aged 18-50 years old * low back pain intensity less than 80/100mm on visual analogue scale * positive centralization phenomenon * low signal intensity of IV disc on T2 - weighted MRI * high intensity zone towards the posterior aspect of the disc on MRI

Exclusion criteria

Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study. \-

Design outcomes

Primary

Measure	Time frame	Description
Back Pain	2 weeks	Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.
Lumbar Range of Motion	2 weeks	Disability will be measured via inclinometer. A higher score signifies good outcome.
Postural Stability	2 weeks	Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.
Lumbar Disability	2 weeks	Disability will be measured via Oswestry Disability Index.

Contacts

Primary ContactMuhammad Osama, PhD*

osama@fui.edu.pk+923325540436

Backup ContactMuhammad Osama, PhD*

osama@fui.edu.pk

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026