Non-specific Low Back Pain (NSLBP)
Conditions
Brief summary
Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up
Interventions
PROCEDUREMaitland
Maitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position
PROCEDURESNAG
The technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end
Sponsors
The Scientific Research Deanship, University of Ha'il
Ehab Mohamed Kamel Ahmed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 25 to 40 years. * Diagnosed with chronic NSLBP persisting for more than three months. * Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position. * Oswestry Disability Index (ODI) score between 20% to 40%. * Restriction of the movement only in flexion ROM with the ability to perform at least 40° of trunk flexion.
Exclusion criteria
* Specific causes of low back pain (e.g., herniated disc, spinal stenosis). * History of spinal surgery or trauma. * Neurological deficits or systemic diseases affecting the musculoskeletal system. * Pregnancy. * Current participation in other physiotherapy programs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | 4 weeks | The NPRS will be used to evaluate the level of pain by selecting a number on a rating scale, ranging from 0 (no pain) to 10 (worst and unbearable pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional disability | 4 weeks | Assessed by the Oswestry Disability Index (ODI) where according to the scale the disability will be indicated as follow: 0-4 no disability, 5-14 mild disability, 5-24 moderate disability, 25-34 severe disability, and 35-50 complete disability |
| Lumbar flexion range of motion | 4 weeks | Measured using a Back range of motion (BROM) |
| overall stability index (OSI) | 4 weeks | Repositioning error evaluated through proprioceptive testing provided by the Biodex Balance System, no need for cut off) as the measurement differences will be compared. |
Countries
Saudi Arabia
Contacts
Primary ContactEhab Ahmed, PhD
Outcome results
None listed