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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mulligan SNAG | Experimental | 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 |
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| mulligan lion position | Experimental | 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) . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mulligan SNAG and mulligan lion position | Procedure | manual therapy techniques for lumbar spine |
|
| Measure | Description | Time Frame |
|---|---|---|
| ROM | ROM by bubble inclinometer | up to 2 hours after technique |
| Measure | Description | Time Frame |
|---|---|---|
| degree of Pain | Pain will be assessed by VAS. | one week |
| Measure | Description | Time Frame |
|---|---|---|
| Functional disability | Functional disability will be assessed by the arabic version of Oswestry | one week |
| Kinesiophobia | Kinesiophobia will be assessed Tampa scale -Arabic version |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Samaa Mohammed | Contact | 01144150689 | samaa19794@gmail.com | |
| Samaa Atef | Contact | 01144150689 | samaa19794@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| samaa Mohammed | physical therapist at Badr central hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samaa Atef Abd El Azeez Mohammed | Recruiting | Beheira | Egypt |
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| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D009068 | Movement |
| ID | Term |
|---|---|
| D010829 | Physiological Phenomena |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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mulligan SNAG and mulligan lion position
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Double blinded clinical randomized controlled trial (research assistant for assessment and patients will be blinded to about treatment).
| one week |