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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
38
Mulligan SNAG mobilization tecnique
Conventional Physiotherapy
Faculty of Health Sciences in Biruni University
Istanbul, ZEYTINBURNU, Turkey (Türkiye)
Magnetic Resonance Imaging
to measure protrusion (bigger amount means worse outcome)
Time frame: 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)
Time frame: baseline and immediately after the intervention (in the 5th week)
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)
Time frame: baseline and immediately after the intervention (in the 5th week)
Functional Independence Measure- FIM
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)
Time frame: 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)
Time frame: 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)
Time frame: 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)
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Time frame: 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)
Time frame: 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)
Time frame: before and after the intervention (in the 5th week)