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

NCT ID: NCT06076408

Last Updated: 2025-04-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-10-03
• Study Completion Date: 2024-04-30

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.

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.

Conditions

Lumbar Disc Herniation; Lumbar Radiculopathy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

SNAGS with Pilates

Sustained Natural Apophyseal glides and Pilates Exercises

Group Type: EXPERIMENTAL

SNAGS with Pilates

Intervention Type: OTHER

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

SNAGS

Sustained Natural Apophyseal glides

Group Type: ACTIVE_COMPARATOR

SNAGS

Intervention Type: OTHER

Patients will Receive Sustained Natural Apophyseal glides

Interventions

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

Intervention Type: OTHER

SNAGS

Patients will Receive Sustained Natural Apophyseal glides

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Faiza Ashraf, TDPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Ammar Javed, MS OMPT*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Bakhtawar Amin Hospital Multan

Multan, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/0165Ammar Javed

Identifier Type: -

Identifier Source: org_study_id