Effectiveness of Snags Mobilization in Chronic Mechanical Low Back Pain

Abstract

Objectives: To determine effectiveness of SNAGS Mobilization in Chronic Mechanical Low Back Pain. Design: Randomized Control Trial Methodology: A total of 40 patients were included as per inclusion criteria and randomly assigned into two groups each having 20 patients. Group A was given SNAG consisted of stretching and strengthening exercises while Group B was given Ultrasound consisted of stretching and strengthening exercises for 4 weeks, 3 sessions per week one session per day. The patient‟s outcome measures were assessed by visual analog scale, ODI and Goniometry of Lumbar Range of Motion. Measurements were recorded before and after the end of the treatment period. Results: Results revealed that means and S.D of both group were significant (p=.000 ) statically but clinically the Group of patients treated with SNAGS along with stretching and strengthening exercises managed pain (pre=7.61±1.26, post=0.45±0.47), ODI(pre= 40±20.57 ,post= 9±4.69) and range of motion (flexion pre=31±6.01,post=52±10.12,extension pre=16±2.23,post=30±5.17 Rt side flexion pre=11±2.17,post=20±4.21 and lt. side flexion pre=10±2.85, post=21±4.33, Rt side rotation pre= 9±1.97,post=18±2.15) lt. side rotation pre=9±2.01,post=18±2.47 better than group of patient treated with Ultrasound along with stretching and strengthening exercises in terms of pain( pre=6.67±1.51,post=2.83±1.17), ODI (pre=43±21.62,post=25±12.8) and range of motion (flexion pre=25±5.95,post=37±10.56, extension pre=14±2.13,post=21±5.41, Rt side flexion pre=10± 2.15 post=15±2.28, lt Side flexion pre=12±2.75, post=18±2.96, Rt side rotation pre=9±1.90 post=15.±2.71, lt Side rotation pre=8±1.85, post=16±3.17. Conclusion: The result of study suggests that both SNAG and Ultrasound improves the symptoms of chronic Mechanical back pain. Better improvement was shown by SNAG group than Ultrasound group. Based on these results SNAG and Exercise should be the treatment of choice for chronic Mechanical Low back pain rather than Ultrasound with Exercise.