STUDY ON SHORT TERM EFFECT OF MODIFIED LUMBAR SNAGS WITH CONVENTIONAL PROGRAM IN NON-SPECIFIC CHRONIC LOW BACK PAIN PATIENTS

Abstract

Background: Chronic Non Specific Low Back Pain (CNSLBP) is a common, complex and disabling condition that has been present for longer than three months and is not caused by a serious pathology. Where as mulligan introduced a new technique in manual therapy, which has a great role in the treatment of Low back pain in subjects may experience pain, limited Range of motion , discomfort while bending and lifting, difficulty in walking for a long distance. Objective: To find out short term effects of mulligan concept in modified lumbar SNAGS with Interferential therapy and McGill stabilization exercise in patients with non specific chronic low back pain. Methods: 30 subjects (32.77±6.118) were recruited for study. Age group from 21to 40 years. All patients received modified SNAG mobilization at the respective painful site followed by conventional therapy. The outcome measures were assessed pre and post mobilization. The subjects were further treated with conventional therapy for 8 sessions for two weeks. Outcome measures: Visual Analog Scale (VAS), Lumbar flexion range of motion (ROM) modified modified shober test(MMST)& modified oswestry low back disability questionnaire (MODQ). Results: Mean difference between pre and post treatment values for Visual Analog Scale Lumbar flexion range modified modified shober test & modified oswestry low back disability questionnaire. were 7.43 ± 2.85, 18.82 ± 22.55 and 59.38 ± 16.96 respectively. All outcome measures were highly significant with p<0.0001. Conclusion: This study concludes that there is significant result on subjects with non specific chronic low back pain by the intervention of modified lumbar snags with (IFT) interferential therapy and Mc Gill stabilization exercises.