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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | SNAG |
|
| Group 2 | Active Comparator | Physiotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mulligan SNAG mobilization tecnique | Other | Mulligan SNAG mobilization tecnique |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Magnetic Resonance Imaging | to measure protrusion (bigger amount means worse outcome) | baseline and iafter the intervention (in the 5th week) |
| Visual Analog Scale-VAS | to measure pain intensity (min. score is 0 and max. score is 10- higher score means worse outcome) | baseline and immediately after the intervention (in the 5th week) |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Disability Index-ODI | to describe disabilty level resulting from pain (min. score is 0 and max. score is 50- higher score means worse outcome) | baseline and immediately after the intervention (in the 5th week) |
| Functional Independence Measure- FIM |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| UGUR CAVLAK, Prof. | Biruni University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Health Sciences in Biruni University | Istanbul | ZEYTINBURNU | 34010 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28559749 | Result | Hussien HM, Abdel-Raoof NA, Kattabei OM, Ahmed HH. Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain. J Chiropr Med. 2017 Jun;16(2):94-102. doi: 10.1016/j.jcm.2017.01.003. Epub 2017 Mar 30. |
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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Randomized controlled trial
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| Conventional Physiotherapy |
| Other |
Conventional Physiotherapy |
|
to measure independency in daily living activities (min. score is 18 and max score is 156- higger score means better independency in daily living activities) |
| baseline and immediately after the intervention (in the 5th week) |
| Tampa Kinesiophobia Scale- TKS | to measure anxiety-avoidance state (min. score is 17 and max. score is 68- higher score means worse outcome) | baseline and immediately after the intervention (in the 5th week) |
| One Leg stand Test- OLST | to measure static balance ability (min. score 0 and max. score is 60- Higher score means better balance) | before and after the intervention (in the 5th week) |
| Sit-Stand Test-SST | to measure lower extremity performance (min. score is 0 and max. score is 30- higher score means better outcome) | before and after the intervention (in the 5th week) |
| 10-m Walking test and cadance measurement | to measure walking speed (in second- higher score means worse outcome) and cadance (number of steps during the test- higher score means better outcome) | before and after the intervention (in the 5th week) |
| Nottingham Health profile-NHP | to describe level of quality of life (min. score is 38 and max. score is 3800 - higher score means poor health) | before and after the intervention (in the 5th week) |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |