Effects of Sustained Natural Apophyseal Glides in Combination With McKenzie Extension Protocol in the Management of Discogenic Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effects of Sustained Natural Apophyseal Glides (SNAGs) in Combination With McKenzie Extension Protocol (Mechanical Diagnostic Therapy) in the Management of Discogenic Low Back Pain

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05314049
• Other study ID #: FUI/CTR/2022/4
• Status: Not yet recruiting
• Phase: N/A
• Start date: May 1, 2022
• Est. completion date: October 30, 2022

Study information

• Verified date: March 2022
• Source: Foundation University Islamabad
• Contact: Muhammad Osama, PhD*
• Phone: +923325540436
• Email: osama[@]fui.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition. McKenzie's extension protocol is considered to be the gold standard physical therapy treatment for persons with acute discogenic low back pain, however the evidence is deficient in terms of additive benefits of sustained natural apophyseal glides in the management of discogenic low back pain. Thus, the current study will not only look into the positive effects of McKenzie's extension protocol in the management discogenic low back pain, but will also look into the additive benefits of sustained natural apophyseal glides in combination with McKenzie's extension protocol in the management of discogenic low back pain.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 44
• Est. completion date: October 30, 2022
• Est. primary completion date: October 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• Both male and female participants

• aged 18-50 years old

• low back pain intensity less than 80/100mm on visual analogue scale

• positive centralization phenomenon

• low signal intensity of IV disc on T2 - weighted MRI

• high intensity zone towards the posterior aspect of the disc on MRI

Exclusion Criteria:

Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.

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Related Conditions & MeSH terms

• Back Pain
• Disk Herniated Lumbar
• Disk Prolapse
• Intervertebral Disc Displacement
• Low Back Pain
• Prolapse
• Radiculopathy
• Sciatic Radiculopathy

Intervention

Procedure:
• Mckenzie Extension Protocol
Mckenzie Extension Exercise Protocol will be performed by participants in prone position
• Lumbar SNAGs
Lumbar SNAGs will be performed in lumbar flexion and extension in standing Position

Device:
• inferential therapy
4 pole inferential therapy in combination with superficial heating for 20 minutes
• Heat Therapy
superficial heating for 20 minutes

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Back Pain	Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.	2 weeks
Primary	Lumbar Range of Motion	Disability will be measured via inclinometer. A higher score signifies good outcome.	2 weeks
Primary	Postural Stability	Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.	2 weeks
Primary	Lumbar Disability	Disability will be measured via Oswestry Disability Index.	2 weeks