A comparative study of SNAG versus Mulligan’s Bent Leg Raise technique along with traditional physiotherapy in patients with non-specific mechanical low back pain

Not yet recruiting

Brief Summary: This randomized comparative experimental study aims to evaluate and compare the effectiveness of two manual therapy techniques Sustained Natural Apophyseal Glide SNAG and Mulligans Bent Leg Raise BLR when used alongside traditional physiotherapy in the treatment of non specific mechanical low back pain NSMLBP. A total of 58 participants aged 18 to 60 years will be randomly assigned into two equal groups. Group A will receive SNAG with traditional physiotherapy while Group B will receive Mulligans BLR technique with traditional physiotherapy. Both groups will undergo treatment three times per week for four weeks. Outcome measures including pain measured by Numeric Pain Rating Scale NPRS functional disability assessed by Oswestry Disability Index ODI lumbar range of motion measured by goniometry and the Straight Leg Raise SLR test will be assessed at baseline mid intervention second week and post intervention fourth week. The study seeks to determine which manual therapy approach provides superior clinical outcomes in pain relief mobility and functional improvement in patients with NSMLBP.

Recruitment & Eligibility

Inclusion Criteria

Both males and females Patients with non-specific Mechanical low back pain.

Exclusion Criteria

1.Fracture 2.Tumors 3.Infection 4.Inflammatory diseases 5.Individuals with neurological deficits 6.Chronic pathological pain 7.Conditions that could affect their ability to participate in the exercises.
8.Patients who had undergone previous surgical interventions for low back pain.
9.Any contraindication to physiotherapy & manual therapy.
10.Those who were currently receiving other forms of treatment for low back pain that could confound the results.

Primary Outcome Measures

Name	Time	Method
NPRS -Numeric Pain Rating Scale	Baseline (Day 0) \| Mid-intervention (on 15th day) \| post intervention (on 30th day)
ODI-Oswestry Disability Index	Baseline (Day 0) \| Mid-intervention (on 15th day) \| post intervention (on 30th day)
GONIOMETER	Baseline (Day 0) \| Mid-intervention (on 15th day) \| post intervention (on 30th day)
Straight Leg Raise (SLR) test	Baseline (Day 0) \| Mid-intervention (on 15th day) \| post intervention (on 30th day)

Secondary Outcome Measures

Name	Time	Method

Locations (1): Shri Mahant Indiresh Hospital
🇮🇳
Dehradun, UTTARANCHAL, India
Shri Mahant Indiresh Hospital
🇮🇳Dehradun, UTTARANCHAL, India
Dr Rohan Bhardwaj
Principal investigator
9579939682
bhardwajrohan21@gmail.com