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

NCT06076408 | Completed

• 1 other identifier: REC/0165Ammar Javed
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

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.

Conditions

Lumbar Disc Herniation; Lumbar Radiculopathy

Keywords

disability; lumbar radiculopathy; low back pain; endurance

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  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"

  3 weeks

• Modified Oswestry Disability Index

  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"

  3 weeks

• Lumbar ROM by inclinometer

  Inclinometer is used to measure the range of motion on Lumbar spine. "Change in ROM will be measured from baseline to 3 weeks".

  3 weeks

Study Arms (2)

SNAGS with Pilates

EXPERIMENTAL

Sustained Natural Apophyseal glides and Pilates Exercises

Other: SNAGS with Pilates

SNAGS

ACTIVE COMPARATOR

Sustained Natural Apophyseal glides

Other: SNAGS

Interventions

SNAGS with Pilates 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 with Pilates

SNAGS OTHER

Patients will Receive Sustained Natural Apophyseal glides

SNAGS

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bakhtawar Amin Hospital Multan

Multan, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Intervertebral Disc Displacement; Radiculopathy; Low Back Pain

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Faiza Ashraf, TDPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Ammar Javed, MS OMPT*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 4, 2023
• First Posted: October 10, 2023
• Study Start: October 3, 2023
• Primary Completion: April 30, 2024
• Study Completion: April 30, 2024
• Last Updated: April 8, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)