Myofascial release versus Mulligan sustained natural apophyseal glides’ immediate and short-term effects on pain, function, and mobility in non-specific low back pain
| Autor: | Vivek Dineshbhai Patel, Steve Milanese, Vignesh Bhat P, Manisha Shenoy, Charu Eapen |
|---|---|
| Přispěvatelé: | Vignesh Bhat, P, Patel, Vivek Dineshbhai, Eapen, Charu, Shenoy, Manisha, Milanese, Steve |
| Rok vydání: | 2021 |
| Předmět: |
Mulligan SNAGs
medicine.medical_specialty Non-specific low back pain Visual analogue scale Myofascial release lcsh:Medicine Mulligan General Biochemistry Genetics and Molecular Biology myofascial release non-specific low back pain strengthening exercises 03 medical and health sciences 0302 clinical medicine Lumbar Medicine Clinical Trials Functional ability Anesthesiology and Pain Management 030203 arthritis & rheumatology 030222 orthopedics business.industry General Neuroscience lcsh:R General Medicine Kinesiology Low back pain Oswestry Disability Index Orthopedics Strengthening exercises Physical therapy Manual therapy medicine.symptom General Agricultural and Biological Sciences business |
| Zdroj: | PeerJ, Vol 9, p e10706 (2021) PeerJ |
| ISSN: | 2167-8359 |
| Popis: | Background Myofascial release (MFR) and Mulligan Sustained Natural Apophyseal Glides (SNAGs) are manual therapy techniques routinely practiced in the management of non-specific low back pain (NSLBP). As a solo intervention or along with other therapies, both methods have reported positive results for individuals with NSLBP. However, which technique improves NSLBP-related pain, restricted range of motion (ROM) and disability, warrants further research. Objective To study the comparative effects of MFR and SNAGs on pain, disability, functional ability, and lumbar ROM in NSLBP. Method A parallel-group study was conducted at tertiary care hospitals. Sixty-five Sub-acute or chronic NSLBP patients were allocated to receive strengthening exercises along with either MFR (n = 33) or SNAGs (n = 32) for six treatment sessions over one week. An independent assessor evaluated outcome measures such as the Visual Analog Scale (VAS), Patient-Specific Function Scale (PSFS), and ROM at baseline, immediate (after 1st treatment), and short-term (post-sixth day of the intervention). The Modified Oswestry disability index (MODI) was assessed at baseline and short-term. Results Within-group analysis found clinically and statistically significant (p p Conclusions Pain and restricted function associated with NSLBP can be improved using SNAGs or MFR, along with strengthening exercises. For limited lumbar flexion ROM, Mulligan SNAGs have a better outcome than MFR over the short-term. Hence, both manual therapy techniques can be incorporated along with exercises for immediate and short-term management of sub-acute to chronic NSLBP. Clinical Trial Registration. CTRI/2018/12/016787 (http://ctri.nic.in/Clinicaltrials/). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|