ELDOA Technique Versus Lumbar SNAGS With Motor Control Exercises
Condition: Low Back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      Study will be a Randomized clinical trial to check the effects of ELDOA technique versus
      lumbar SNAGS with motor control exercises on pain, function and mobility in patients with
      chronic low back pain. Duration of study will be 8 months, non probability convenience
      sampling technique will be used, subject following eligibility criteria from District
      Headquarters Hospital Okara will be randomly allocated in two groups using computer random
      number generator. baseline assessment will be done. Group A participants will be given
      baseline treatment along with ELDOA exercises, Group B participants will be given baseline
      treatment along with Lumbar SNAGS and motor control exercises for 3 weeks. Assessment will be
      done by using Numeric Pain Rating Scale, Oswestry Disability Index and Inclinometer at
      baseline, at 3 weeks and a follow up will be taken at 6 weeks. 3 sessions per week will be
      given, data will be analyzed by using SPSS version 21.
    

Detailed description: 
      LBP is a significant global health problem, and its impact is still great. In 2019, there
      were 6972.5 (95% UI 6190.5 to 7860.5) age-standardized point prevalence estimates for LBP
      worldwide, with 568.4 million (95% UI 505.0 to 640.6 million) prevalent cases. The GBD
      research also revealed that LBP has a worldwide point prevalence of 9.4%, with men having a
      greater prevalence than women (8.7% vs. 10.1%). Back discomfort might arise as a result of
      mobility disorders, musculoskeletal sprains, incorrect spine positioning, or nucleus pulposus
      degeneration. There is huge literature regarding the management of low back pain and yet
      after the decades of research there are gaps in treatment options. The current study will
      compare the ELDOA technique to Lumbar SNAGS with motor control exercises. The current study
      is novel in a way that there is very limited evidence avialbale on ELDOA Technique and Motor
      Control Exercises. This study will provide vital insights into their efficacy and can help to
      guide clinical decision making for individuals with low back pain. Furthermore, this study
      can add to the expanding body of information regarding low back pain treatment and will help
      to improve patient outcomes.
    

Intervention name(s): ELDOA exercises; Lumbar SNAGS and motor control exercises
Intervention type(s): Other; Other
Intervention description(s): The patients will be asked to sit down on a floor in upright position and keep their legs apart and knees semi-flexed, feet in outward and upward position, knees constantly pushing downwards, straight lower back, raise arms with palms facing upward, and chin should be pulled back.
ELDOA stretch for L5-S1 level Patients will be asked to lay on floor and flatten and bring their legs up and straight with the support of wall, straight knees and keep distance between them, connect their toes, raise arm and externally rotate with wrist extension than press their heels and palms out.
ELDOA exercises will be performed with 2 sets of 5 repetitions with 45 second hold and15 sec rest between each set once a day.; The patient will be seated and his pelvis will be stabilized with belt at the level of the anterior superior iliac spine while the SNAGs are administered. The ulnar aspect of the therapist's hand will be placed over the spinous processes of the affected segment's superior vertebrae, for flexion glide and inferior vertebrae for extension glide respectively. A passive glide will be applied and kept up until the patient finished a full movement arc. The glides will be given for six repetitions for three sets every session. Glide can be given unilateral for other movements.
Motor Control Exercises:
Exercise training with 7sec Hold and 10 reps
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Core stability; Disability; Low Back Pain; Stretching Exercise