Non-specific low back pain (NSLBP) is extensively musculoskeletal conditions, where manual therapy techniques have been widely employed in its management, but their short term efficacy in chronic low back pain still need more investigations. Objective: This study aimed to discuss the SNAG versus Maitland techniques in the management of NSLBP. Methods: 60 patients with chronic NSLBP will share in the study. Sessions will be conducted 3 times per week for 4 weeks. The outcomes will be evaluated for pain by the numerical rating pain scale (NPRS), disability through Oswestry Disability Index, flexion range of motion by back range of motion device, postural stability by Biodex system will be assessed at baseline, immediately post-intervention, and at a four-week follow-up
Adults aged 25 to 40 years.
Diagnosed with chronic NSLBP persisting for more than three months.
Pain intensity between 3 to 6 on the Visual Analog Scale (VAS) during lumbar extension in a sitting position.
Oswestry Disability Index (ODI) score between 20% to 40%.
Specific causes of low back pain (e.g., herniated disc, spinal stenosis).
History of spinal surgery or trauma.
Neurological deficits or systemic diseases affecting the musculoskeletal system.
Pregnancy.
Parallel
Maitland
Procedure/SurgeryMaitland technique therapy, which consists of passive mobilizations applied to the lumbar facet joints in an anterocranial direction while the patient is in a prone lying position
SNAG
Procedure/SurgeryThe technique involves applying a sustained glide to the lumbar facet joints while the patient is in a sitting position, and the pelvic girdle will be stabilized by a belt. Then the therapist will ask the patient for active forward flexion of the spine while the pressure on the facet joint is maintained during the movement till its end
Numeric Pain Rating Scale
The NPRS will be used to evaluate the level of pain by selecting a number on a rating scale, ranging from 0 (no pain) to 10 (worst and unbearable pain).
Functional disability
Assessed by the Oswestry Disability Index (ODI) where according to the scale the disability will be indicated as follow: 0-4 no disability, 5-14 mild disability, 5-24 moderate disability, 25-34 severe disability, and 35-50 complete disability
Lumbar flexion range of motion
Measured using a Back range of motion (BROM)
overall stability index (OSI)
Repositioning error evaluated through proprioceptive testing provided by the Biodex Balance System, no need for cut off) as the measurement differences will be compared.
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Ehab Mohamed Kamel Ahmed
Lead sponsor
University of Hail
Sponsor institution
The Scientific Research Deanship, University of Ha'il
Collaborator
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