Effects of SNAGS With and Without Pilates in Lumbar Disc Bulge Patients

Sponsor

Riphah International University (Other)

Overall Status

Recruiting

CT.gov ID

NCT06076408

Collaborator

(none)

Enrollment

Location

Arms

5.9

Anticipated Duration (Months)

7.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of this study is to compare the effects of Sustained Natural Apophyseal Glides with and without Pilates on pain, range of motion and disability in patients with lumbar Disc Bulge.

Condition or Disease	Intervention/Treatment	Phase
Lumbar Disc Herniation Lumbar Radiculopathy	Other: SNAGS with Pilates Other: SNAGS	N/A

Detailed Description

Lumbar disc disease may occur when a disc in the low back area of the spine bulges or herniates between the bony areas of the spine. Lumbar disk disease causes lower back pain and leg pain and weakness that is made worse by movement and activity. Lumbar disc bulge is typically managed through a multidimensional approach that integrates various therapeutic techniques aimed at reducing symptoms and enhancing functional outcomes. The use of SNAGs has been shown to produce positive results such as decreased pain levels and increased mobility in previous studies. Overall physical conditioning can be improved by using a holistic approach that consists of controlled movements combined with breathing techniques and mindfulness. In order to treat lumbar disc bulge patients more effectively, it is important to understand how use and efficacy differ when applying SNAGs alone versus together with Pilates. Delving into how combining SNAGs and Pilates affects lumbar disc bulge patients contributes to an expanding body of proof advocating for a multimodal treatment.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

44 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Effects of Sustained Natural Apophyseal Glides With and Without Pilates on Pain, Range of Motion and Disability in Patients With Lumbar Disc Bulge

Actual Study Start Date :

Oct 3, 2023

Anticipated Primary Completion Date :

Apr 1, 2024

Anticipated Study Completion Date :

Apr 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: SNAGS with Pilates Sustained Natural Apophyseal glides and Pilates Exercises	Other: SNAGS with Pilates Patients will Receive Sustained Natural Apophyseal glides and Pilates Technique. Pilates Exercises focusses on five main areas (breath control, pelvic lumbar region, chest, shoulder positioning, head and neck positioning) a special session was organized for each patient
Active Comparator: SNAGS Sustained Natural Apophyseal glides	Other: SNAGS Patients will Receive Sustained Natural Apophyseal glides

Arm

Intervention/Treatment

Experimental: SNAGS with Pilates

Sustained Natural Apophyseal glides and Pilates Exercises

Other: SNAGS with Pilates

Patients will Receive Sustained Natural Apophyseal glides and Pilates Technique. Pilates Exercises focusses on five main areas (breath control, pelvic lumbar region, chest, shoulder positioning, head and neck positioning) a special session was organized for each patient

Active Comparator: SNAGS

Sustained Natural Apophyseal glides

Other: SNAGS

Patients will Receive Sustained Natural Apophyseal glides

Outcome Measures

Primary Outcome Measures

Numeric Pain Rating Scale (NPRS) [3 weeks]
NPRS scale can be used to quantify pain intensity levels. The 11-point scale ranges from '0' for the least amount of pain "no pain" to '10' for the most extreme levels of pain "pain as severe as you can imagine". It is convenient to use NPRS for patients. Its score ranges between 0-10. "change will be measured from baseline to 3 weeks"
Modified Oswestry Disability Index [3 weeks]
The ODI is a disease specific disability measure is used to establish measure a level of disability stage of patients' acuity status and monitor change over time. The final score ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. "Change will be measured from baseline to 3 weeks"
Lumbar ROM by inclinometer [3 weeks]
Inclinometer is used to measure the range of motion on Lumbar spine. "Change in ROM will be measured from baseline to 3 weeks".

Eligibility Criteria

Criteria

Ages Eligible for Study:

40 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Patient of both gender under the age of 40-60 year.
Unilateral radiating pain through the course of sciatic nerve
a duration of pain of at least 3 months
Restricted lumbar range of motion.
Subjects who can understand the instructions and are willing to participate in the study
Positive slump test with positive pain location and positive pain descriptors.
Passive Lumbar Extension If the patient experiences severe low back pain or if there is a feeling of heaviness on the lower back or a feeling as though the lower back were about to 'come off' the test is considered positive.
Straight Leg Raise SLR test positive when it evokes radiating pain along the course of the sciatic nerve and below the knee between 30 and 70 degrees of hip flexion

Exclusion Criteria:

History of trauma, dislocation and subluxation of lower extremity.
Rheumatoid Arthritis
Systemic diseases such as blood coagulation disorders, chronic pain syndrome, cancer, allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
Lumbar spine surgery patients.
Malignancy
neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
clinical diagnosis of lumbar bilateral radiculopathy or myelopathy
history of previous physical therapy intervention for the lumbar region in last 6 months