Dose Response of Neural Mobilization on Hamstring Flexibility in Low Back Pain

Dose Response of Neural Mobilization on Hamstring Flexibility in Patients With Non-specific Low Back Pain

This study will be a randomized control trial and will be conducted in Riphah International Hospital, National orthopedic and specialist hospital, Riphah international hospital and Chambeli institute of physiotherapy. A sample of 34 participants will be taken. Participants will be randomized into Group A and Group B through lottery method. Group A will receive High Dose Neural Mobilization Technique, Hot pack for 15 minutes, strengthening exercises with 10rep/8sets , strengthening exercises for quadriceps and static stretching exercise for hamstring with 10 rep/8sets, While Group B will receive Low Dose Neural Mobilization Technique with minimal intensity, hot pack: 15 minutes, strengthening exercises with 10rep/4sets. Both groups will be given session of 40 min/day, 2 days/week for 4 weeks, assessment will be done at baseline, at the end of 1st week, 2nd week, 3rd week & at the end of 4th week. The outcome measure will be Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), Active Knee Extension test (AKE) and Lumbar flexion by Schober method. Data will be analyzed be SPSS 22.

Inclusion Criteria:

• Low back pain > 3 months
• No exercises for last 6 months
• Non-specific LBP in its sub-acute & chronic phase

Exclusion Criteria:

• Specific causes of LBP (disc herniation, lumbar stenosis, spinal deformity, fracture, spondylolisthesis),
• Central or peripheral neurologic signs
• Systemic illness (tumor and rheumatologic diseases),
• Psychiatric and mental deficits.
• Patients who had undergone operations within 6 months