Back Pain
Conditions
Keywords
mulligan, lumbar, sagittal, mobility, Back, pain
Brief summary
To compare between immediate effect of SNAG and mulligan lion position in range of motion (ROM) , pain, functional ability and kinesiophobia on patients with nonspecific low back pain.
Detailed description
Low back pain (LBP) is a global health problem.Orthopedic Manual therapy (OMT) is most commonly recommended form of treatment of LBP and it is also frequently used in clinical practice in various countries. Mulligan introduced a new technique in manual therapy. Mulligan has a great role in the treatment of LBP.General techniques of mulligan are MWM, SNAGs and natural apophyseal glides (NAGs). Lumber SNAG have immediate and short term on pain and function in treatment of patients with NSLBP.Mulligan has special techniques, one of them is modified lumbar SNAG (lion position) .It has short term effect in reducing pain and activity limitation. Up to investigated knowledge, No previous studies comparing immediate effect of two techniques in range of motion (ROM), pain, functional ability and kinesiophobia
Interventions
manual therapy techniques for lumbar spine
Sponsors
Study design
Masking description
Double blinded clinical randomized controlled trial (research assistant for assessment and patients will be blinded to about treatment).
Intervention model description
mulligan SNAG and mulligan lion position
Eligibility
Inclusion criteria
1. 3 to 7 on VAS. 2. Back Pain duration of 6 week or more . 3. 20-40 years old . 4. Patients of both sexes will be concluded . 5. body mass index (18.5-29.9 KG/M2).
Exclusion criteria
1. fracture, osteoporosis, myelopathy, multiple adjacent radiculopathies, cauda equina syndrome, vertebral bone disease and bony joint instability . 2. Infective conditions of spine, autoimmune disorders, Pacemakers, malignancy . 3. History of surgery or injection at lumbar spine 1 year ago .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ROM | up to 2 hours after technique | ROM by bubble inclinometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| degree of Pain | one week | Pain will be assessed by VAS. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Functional disability | one week | Functional disability will be assessed by the arabic version of Oswestry |
| Kinesiophobia | one week | Kinesiophobia will be assessed Tampa scale -Arabic version |
Countries
Egypt