Effects of Lumber Sustained Natural Apophyseal Glides on Lower Cross Syndrome
Riphah International University
36 participants
May 1, 2024
INTERVENTIONAL
Conditions
Summary
A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, alleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality
Eligibility
Inclusion Criteria8
- Age 30 to 50 years.
- Both genders
- Patient came with the complain of low back pain.
- Participants had to present with pain and hypomobility due to lower cross syndrome
- Participants had to meet the criteria for lower cross syndrome indicating tight hip flexors and erector spinae along with weak abdominals and glutei muscles
- Participants with hyperlordotic curve due to lower cross syndrome
- Participants presenting with anterior pelvic tilting greater than angle >7-10 degrees
- Willing to provide informed consent to participate in study
Exclusion Criteria4
- Musculoskeletal pathologies affecting the lower back, pelvis, hips, or lower extremities (e.g., herniated disc, lumbar radiculopathy, lumbar stenosis, hip labral tear).
- Participants who had undergone any lumber or pelvic surgery, as it will affect sacroiliac joint mechanics.
- Generalized inflammatory or infective connective tissue disorder
- Pregnancy
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Interventions
Conventional treatment protocol including moist Heating pad for low back pain for 15 minutes. TENS for pain for 10 minutes. Stretchings of tight muscles would be 1 set of 5-7 reps with 5 sec. hold 3 times a week. Strengthing of weak muscles would be 2-3 times a weak with 10-15 reps.Stretching protocol will be followed for Iliopsoas and erector spinae muscles. Strengthening protocol will be followed for weak abdominals and Gluteus maximus muscles
: Lumber mobilizations with conventional treatment protocol. * Lumber Mulligan(SNAGs) technique * Technique applied at L4-L5, L5-S1 level. * Techniques applied for flexion ,extension, side bending and rotation 6 to 8 cycles per session
Locations(1)
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NCT06707805