Effect of the Mulligan SNAG Technique on Structure of Intervertebral Disc and Physical Functioning in Individuals With Lumbar Intervertebral Disc Protrusion: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Magnetic Resonance Imaging
研究概览
简要总结
This study aimed to examine the effects of the Mulligan SNAG mobilization technique, applied in addition to conventional physiotherapy on the structure of the intervertebral disc and physical functioning in patients diagnosed with low back pain due to lumbar intervertebral disc protrusion. 38 volunteer patients will participate in the study. The participants will be randomized as an interventional and control gropus.
详细描述
Participants will be treated 3 days a week for 4 weeks. The session duration will be 40-45 minutes. Visual analog scale-VAS, oswestry disability index, magnetic imaging-MRI assessment, functıonal independence scale-FIM, Tampa kinesiophobia scale, one leg stand test, sit-stand test, 10-meter walking test, cadence , Nottingham health profile will be used to assses the participants in the two groups. All participants will be evaluated in the 5th week of the study. The program includes physical therapy session (Hot packed, trans cuteneal electric stimulation, therapeutic ultrasound, and therapautic exercises) and the Mulligan SNAG mobilization technique.
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
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being between the ages of 20-60
- •Those diagnosed with lumbar intervertebral disc heniation (protrusion on L1-L2, L2-L3, L3-L4, L4-L5, L5-S1) at a single level
- •Those who voluntarily agreed to participate in the study
排除标准
- •Individuals diagnosed with Lumbar Bulging, Extruded, Sequestered discs
- •Individuals who have undergone lumbar region spinal surgery
- •Individuals with spinal deformity (scoliosis, spondylolisthesis, Ankylosing Spondylitis)
- •Individuals with lumbar stenosis
- •Pregnant women
- •Individuals receiving treatment for malignancy (primary or metastatic tumoral conditions in the lumbar region)
- •Individuals diagnosed with advanced osteoporosis
- •Individuals diagnosed with discitis
结局指标
主要结局
Magnetic Resonance Imaging
时间窗: baseline and iafter the intervention (in the 5th week)
to measure protrusion (bigger amount means worse outcome)
Visual Analog Scale-VAS
时间窗: baseline and immediately after the intervention (in the 5th week)
to measure pain intensity (min. score is 0 and max. score is 10- higher score means worse outcome)
次要结局
- Functional Independence Measure- FIM(baseline and immediately after the intervention (in the 5th week))
- Sit-Stand Test-SST(before and after the intervention (in the 5th week))
- Oswestry Disability Index-ODI(baseline and immediately after the intervention (in the 5th week))
- Nottingham Health profile-NHP(before and after the intervention (in the 5th week))
- Tampa Kinesiophobia Scale- TKS(baseline and immediately after the intervention (in the 5th week))
- 10-m Walking test and cadance measurement(before and after the intervention (in the 5th week))
- One Leg stand Test- OLST(before and after the intervention (in the 5th week))
研究者
Ugur Cavlak
CLINICAL PROFESSOR
Biruni University