Effect of Mulligan Technique Versus Core Stability Exercises on Low Back Pain in Post Menopausal Women

Effect of Mulligan Technique Versus Core Stability Exercises on Low Back Pain in Post Menopausal Women

This study will be conducted to compare the effect of Mulligan technique and core stability exercises on low back pain in post menopausal women.

Low back pain is a major health problem affecting majority of the people at some point of their life.

Mulligan techniques can correct positional faults that occur in the spine and, thus, once the pain generator is released, normal function returns and the muscle guarding around the affected joint is resolved. Several studies have reported that along with the biomechanical changes, certain neurophysiological changes exist that occur at the spinal level after applying Mulligan techniques, including changes in descending pain inhibitory systems and changes in central pain processing mechanisms.

Core stability exercises are usually used to strengthen the muscles around the abdominal, lumbar, and pelvic regions, because the muscles of these regions play an important role in stability as well as in controlling the lumbar posture by using tonic or postural muscles during whole-body exercises.

So, this study will be conducted to provide new evidence and information about the efficacy of Mulligan technique versus core stability exercises on low back pain in postmenopausal women, to manage this problem for these women and add new information to the field of physical therapy.

Inclusion Criteria:

• Sixty postmenopausal women (at least one year after stoppage of menses).
• Their age will be ranged from 50 to 60 years.
• All of them are diagnosed with chronic low back pain.
• Their BMI will be less than 30 kg/ m2.
• All of them are of sedentary lifestyle.
• The score of pain will be 2 or more in a VAS.

Exclusion Criteria:

• Participants will be excluded from the study if they have:
• Spinal fractures or any other neurological disorders.
• Lumber disc herniation or spondylolithesis
• Body mass index more than 30 kg/m2.
• Pelvic pathology
• Gynecological diseases as chronic pelvic pain, uterine prolapse or retroversion flexion of the uterus.