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Comparison Of The Efficacy Of Low-Grade Mobilization Vs. Slump Neural Mobilization In Patients With Low Back Pain: A Randomized Controlled Trial

. Sumaira Nawaz, Hajra Ameer Shaikh, Muhammad Amir, Nida Waheed & Rabia Noureen


Abstract

 Low Back Pain (LBP) is a common health problem around the globe. However, there is a lack of evidence regarding the efficacy of mobilization techniques. Therefore, the purpose of this Randomized Controlled Trial (RCT) was to compare the efficacy of Low-Grade Mobilization (LGM) vs. Slump Neural Mobilization (SNM) in the management of pain and functional disability in LBP patients. A single-blinded, two arms, parallel-group design RCT was conducted on LBP patients. A total of 50 volunteers aged between 20 to 60 years of age, with a history of LBP and a positive slump test, were enrolled. Participants were randomly divided into two groups. Group A (25 patients) received LGM and group B received SNM. Both groups also performed core stability exercises. Treatment was provided 3 days per week for 30 minutes. The pain was assessed using the Numerical Pain Rating Scale (NPRS) and functional disability was assessed using the Modified Oswestry Low Back Pain Disability Index (MOLBPDI). Readings were taken pre and post two weeks intervention. Results revealed that before treatment, the NPRS in group A reported that 44% of participants have moderate pain and 44% had severe pain while after treatment 56% have no pain and 44% had mild pain. Group B reported that 24% have severe pain while after treatment 56% have no pain. However, the MOLBPDI post-test mean in group A was 16.36 and in group, B was 13.88 with a t-value of 1.223. No statistically significant difference was found between LGM and SNM at 95% CI (p= ≤ 0.05). LGM and SNM both are significantly effective in reducing pain and functional disability in patients with LBP. However, no statistically significant difference was found between these two techniques.

Keywords: Low back pain, Maitland low-grade mobilization, slump neural mobilization, slump test.

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