Clinical trial NCT06521294: Mulligan SNAG Technique in Individuals With Lumbar Intervertebral Disc Protrusion
Official title: Effect of the Mulligan SNAG Technique on Structure of Intervertebral Disc and Physical Functioning in Individuals With Lumbar Intervertebral Disc Protrusion: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Intervertebral Disc Protrusion
Keywords: Lumbar disc herniation
Mulligan Snag technique
Low back pain
MRI
Physical Functioning
Quality of life
Lead sponsor: Biruni University
Sponsor class: OTHER
First posted: 2024-07-25
Enrollment: 38
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Magnetic Resonance Imaging
timeFrame: baseline and iafter the intervention (in the 5th week)
measure: Visual Analog Scale-VAS
timeFrame: baseline and immediately after the intervention (in the 5th week)
Secondary outcomes:
measure: Oswestry Disability Index-ODI
timeFrame: baseline and immediately after the intervention (in the 5th week)
measure: Functional Independence Measure- FIM
timeFrame: baseline and immediately after the intervention (in the 5th week)
measure: Tampa Kinesiophobia Scale- TKS
timeFrame: baseline and immediately after the intervention (in the 5th week)
measure: One Leg stand Test- OLST
timeFrame: before and after the intervention (in the 5th week)
measure: Sit-Stand Test-SST
timeFrame: before and after the intervention (in the 5th week)
measure: 10-m Walking test and cadance measurement
timeFrame: before and after the intervention (in the 5th week)
measure: Nottingham Health profile-NHP
timeFrame: before and after the intervention (in the 5th week)
Other outcomes:
Locations:
city: İ̇stanbul
country: Turkey
facility: Faculty of Health Sciences in Biruni University
state: Zeytinburnu
Study officials:
affiliation: Biruni University
name: UGUR CAVLAK, Prof.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hussien HM, Abdel-Raoof NA, Kattabei OM, Ahmed HH. Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain. J Chiropr Med. 2017 Jun;16(2):94-102. doi: 10.1016/j.jcm.2017.01.003. Epub 2017 Mar 30.