Mulligan SNAG Technique in Individuals With Lumbar Intervertebral Disc Protrusion

Biruni University

Status: Active, not recruiting

Conditions: Intervertebral Disc Protrusion

Treatments: Other: Mulligan SNAG mobilization tecnique; Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06521294

BiruniUniversity34

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 38 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Being between the ages of 20-60
2. Those diagnosed with lumbar intervertebral disc heniation (protrusion on L1-L2, L2-L3, L3-L4, L4-L5, L5-S1) at a single level
3. Those who voluntarily agreed to participate in the study

Exclusion criteria

• Individuals diagnosed with Lumbar Bulging, Extruded, Sequestered discs
• Individuals who have undergone lumbar region spinal surgery
• Individuals with spinal deformity (scoliosis, spondylolisthesis, Ankylosing Spondylitis)
• Individuals with lumbar stenosis
• Pregnant women
• Individuals receiving treatment for malignancy (primary or metastatic tumoral conditions in the lumbar region)
• Individuals diagnosed with advanced osteoporosis
• Individuals diagnosed with discitis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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38 participants in 2 patient groups

Group 1

Experimental group

Description:

SNAG

Treatment:

Other: Conventional Physiotherapy

Other: Mulligan SNAG mobilization tecnique

Group 2

Active Comparator group

Description:

Physiotherapy

Treatment:

Other: Conventional Physiotherapy