Effect of Sustained Natural Apophyseal Glides on Stiffness of Lumbar Stabilizer Muscles in Patients With Nonspecific Low Back Pain: Randomized Controlled Trial

Çirak, Yasemin; Yurdaışık, Işıl; Elbasi, Nurgul Durustkan; Tütüneken, Yunus Emre; Köçe, Kübra; ÇINAR, Betül

doi:10.1016/j.jmpt.2021.06.005

Cited by 8 publications

(8 citation statements)

References 37 publications

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“…Buran conducted a study on SNAG mobilization which confirmed that SNAG improved muscle endurance, flexibility and reduce the stiffness which eventually reduce the disability and improve the functional status 16 . Seo in study concluded that SNAG reduce nociceptor, improve positional fault, reduce the fear of avoidance of repeated movements which eventually decrease the disability 8 .…”

Section: Discussionmentioning

confidence: 94%

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Salik¹,

Rani²,

Hayat³

et al. 2022

PJMHS

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Background: Low back pain is a common musculoskeletal problem of the modern society as 70-80% people of any age and gender get affected by this in their lifetime which affect their normal activities of daily living. Aim: To compare the efficacy between Mulligan SNAGs and McKenzie exercises in improving pain level, range of motions and functional status in chronic mechanic al low back pain patients. Method: A randomized control trial study was conducted on 45 patients suffering from chronic mechanical low back pain at Physiotherapy Department of Mayo Hospital Lahore from16th December to 21th January 2021.The patients were randomly allocated in three group’s i.e; Conventional and two trial groups by computerized generated list. In Conventional group; 15 patients were treated with conventional therapy. In trial groups; one was treated with Mulligan SNAGs and Conventional therapyand the other trial group were treated with McKenzie exercises and Conventional therapy 3 sessions per week. Pain measured by Numeric Pain Rating Scale (NPRS), Lumbar spine's ranges measured by Goniometer and functional status measured by Oswestry Disability Index (ODI) at the completion of the 4 weeks treatment session. Results: NPRS scoring and Ranges showed significant improvement in all groups but NPRS significantly improved in McKenzie exercises group and significant improvement in ROM showed in Mulligan SNAGs group in all movements but there was no significant difference found between three groups comparison in improving the functional status with p-value =0.243. Practical implication: The study provides the opportunity to the patients to consider physiotherapy as an effective treatment for the mechanical low back pain. It also provides the statistical knowledge about these physiotherapy techniques and their effectiveness in treating the low back pain. Conclusion: Both the Mulligan SNAGs and McKenzie exercises are effective in treatment of Chronic lumbar pain as pain is most reduced through McKenzie exercise (3.33±1.29, p<0.000) while ranges of spine is improved through Mulligan SNAGs mobilization in all directions. Keywords: Chronic Mechanical Low back pain, Mulligan SNAGs mobilization, McKenzie exercises

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Section: Discussionmentioning

confidence: 94%

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Salik¹,

Rani²,

Hayat³

et al. 2022

PJMHS

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“…In different studies, Muro-Culebras and Cuesta-Vargas used sono-myography and sono-myoelastography to measure trigger-point tissue stiffness, while Karayol and Sibel used Shear Wave Elastography to measure tissue elasticity in rhomboid major muscles. However, in this study, SEL was used, and has been proven to be a useful and reliable technique to measure tissue properties [ 6 , 27 , 28 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. In addition, SEL measurement was performed, adhering to the proper protocol, on the characteristic Myofascial Trigger Points present in subjects with FM [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Do Psychological Factors Influence the Elastic Properties of Soft Tissue in Subjects with Fibromyalgia? A Cross-Sectional Observational Study

et al. 2022

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Nowadays, there is evidence related to the impact that psychological factors have on symptoms, specifically vegetative ones, and on the autonomic nervous system in patients with fibromyalgia (FM). However, there are no studies to correlate the level of association between psychological factors and the elastic properties of tissue in the FM population. Elastic properties of soft tissue reflect age- and disease-related changes in the mechanical functions of soft tissue, and mechanical failure has a profound impact on morbidity and mortality. The study has a cross-sectional observational design with 42 participants recruited from a private clinic and rehabilitation service. The Pain Catastrophizing Scale, Tampa Kinesiophobia Scale and Self-Efficacy Scale were used to assess psychological factors. The elastic properties of the tissue in the characteristic painful points, which patients suffering from FM described, were assessed by strain elastography. A low and significant level of association was found between pain catastrophising scale (PCS) and the non-dominant lateral epicondyle (r = −0.318; p = 0.045). Kinesiophobia was found to be related to the dominant lateral epicondyle (r = 0.403; p = 0.010), the non-dominant knee (r = −0.34; p = 0.027) and the dominant forearm (r = 0.360; p = 0.010). Self-Efficacy showed a low level of association with the non-dominant supraspinatus (r = −0.338; p = 0.033) and the non-dominant medial epicondyle (r = −0.326; p = 0.040). Psychological factors and the elastic properties of tissue seem to be associated in patients suffering from FM. The most profound association between psychological factors and non-dominant parts of the body could be related to neglect and non-use of those parts of the body.

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“…They aimed to see the effect of Mulligan SNAG on the stiffness of muscles in subjects with NSLBP using ultrasound waves and the effect on pain and disability was seen. They concluded that the subjects in the SNAG group had improved compared to the control group [33].…”

Section: Author Study Type Studymentioning

confidence: 99%

“…Pain threshold has also been reported to reduce, which leads to increased pain receptor exposure to neurogenic inflammation. Shreds of evidence have suggested changes in substantia alba and substantia grisea [33].…”

Section: Author Study Type Studymentioning

confidence: 99%

A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

Chitale¹,

Patil²,

Phansopkar³

et al. 2022

Cureus

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Low back pain is a leading cause of functional disability. Low back pain is a problem that every one of all age groups faces and there are various methods used to correct low back pain. Manual therapy is a specialized area in physiotherapy which manages neuromuscular pain. Manual therapy techniques include the Maitland mobilization technique, Kaltenborn mobilization technique, Mulligan technique, Active release technique, and many more. Manual therapy mainly works on arthrokinematics and osteokinematics of the joint. It is one of the main strategies used to manage low back pain. Low back pain can be because by spinal dysfunction, Sacroiliac dysfunction, muscle pathology, or any ligamentous strain. The cause of the low back pain should be identified and treated accordingly. Articles using keywords -chronic low back pain, Mulligan, and non-specific low back pain were searched on the database of Pubmed and Scopus a total of 30 articles from the timeframe of 2011 to 2021 were included in the study. From this review, we can conclude that Mulligan mobilization with movement is an effective way to reduce low back pain. Further studies need to be conducted to check the effectiveness of manual therapy techniques in chronic low back pain.

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Effect of Sustained Natural Apophyseal Glides on Stiffness of Lumbar Stabilizer Muscles in Patients With Nonspecific Low Back Pain: Randomized Controlled Trial

Cited by 8 publications

References 37 publications

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Do Psychological Factors Influence the Elastic Properties of Soft Tissue in Subjects with Fibromyalgia? A Cross-Sectional Observational Study

A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

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