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

Not Applicable

• Conditions: Disk Prolapse; Low Back Pain; Disk Herniated Lumbar; Sciatic Radiculopathy
• Interventions: Procedure: Mckenzie Extension Protocol; Procedure: Lumbar SNAGs; Device: inferential therapy; Device: Heat Therapy

• Registration Number: NCT05314049
• Lead Sponsor: Foundation University Islamabad

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-03
• Study First Submitted: 2022-03-29
• Study First Submitted QC: 2022-03-29
• Last Update Submitted: 2022-03-29
• Study First Posted: 2022-04-06
• Last Update Posted: 2022-04-06
• Study Start: 2022-05-01
• Primary Completion: 2022-10-30
• Study Completion: 2022-10-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 44

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Lumbar SNAGs	-
Experimental Group	Mckenzie Extension Protocol	-
Active Comparator Group	Heat Therapy	-
Experimental Group	Heat Therapy	-
Active Comparator Group	Mckenzie Extension Protocol	-
Active Comparator Group	inferential therapy	-
Experimental Group	inferential therapy	-

Primary Outcome Measures

Name	Time	Method
Back Pain	2 weeks	Pain will be measured via Visual Analogue Scale. A higher score signifies poor 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.
Lumbar Range of Motion	2 weeks	Disability will be measured via inclinometer. A higher score signifies good outcome.