Immediate Effect of Two Selected Mulligan Techniques on Lumbar Sagittal Mobility in Nonspecific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- ROM
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Double blinded clinical randomized controlled trial (research assistant for assessment and patients will be blinded to about treatment).
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •3 to 7 on VAS.
- •Back Pain duration of 6 week or more .
- •20-40 years old .
- •Patients of both sexes will be concluded .
- •body mass index (18.5-29.9 KG/M2).
排除标准
- •fracture, osteoporosis, myelopathy, multiple adjacent radiculopathies, cauda equina syndrome, vertebral bone disease and bony joint instability .
- •Infective conditions of spine, autoimmune disorders, Pacemakers, malignancy .
- •History of surgery or injection at lumbar spine 1 year ago .
研究组 & 干预措施
mulligan SNAG
Patients in this group will receive mulligan SNAG from sitting position and McGill stabilization exercises.The glide will be performed six repetitions for three sets for one session and McGill stabilization exercises as a home program: 7 days a week and 10 repetitions of each exercise for 2times per day and a rest interval of 2 minutes between exercises
干预措施: mulligan SNAG and mulligan lion position (Procedure)
mulligan lion position
Patients in this group will receive mulligan modified lumbar SNAG lion position and McGill stabilization exercises.Modified lumbar SNAGs (lion position) will be applied in a quadruped position (lion position)six repetitions for three sets for one session . McGill stabilization exercises as a home program: 7 days a week and 10 repetitions of each exercise for 2times per day and a rest interval of 2 minutes between exercises The therapist stands to one side of the patient and applies (SNAG) centrally to the spinous process of the involved segment. The medial border of the hand is hooked under the chosen segment while the other arm encircles the trunk to stabilize the upper body. The therapist maintains the glide while the patient sits back towards their heels (for flexion) .
干预措施: mulligan SNAG and mulligan lion position (Procedure)
结局指标
主要结局
ROM
时间窗: up to 2 hours after technique
ROM by bubble inclinometer
次要结局
- degree of Pain(one week)
研究者
Samaa Atef Abd Elazeez Mohamed
principal investigator
Cairo University