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Volume 8
Journal of Novel Physiotherapies: Open Access
Physiotherapy Conference 2018
November 19-20, 2018
November 19-20, 2018 Bangkok, Thailand
6
th
International Conference on
Physiotherapy
J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C4-033
MDR tuberculosis contact prophylaxis of a newborn
Deepak B Anap
Maharashtra University of Health Sciences, India
Background & Aim:
Low back pain is a major cause of disability affecting performance at work. One of the hidden and
less studied culprits of chronic low back pain is facet joint syndrome. Currently, there is paucity in the literature regarding
the effectiveness of physiotherapy techniques in treating facet joint syndrome. Hence this trial was undertaken to study the
effectiveness of Passive Accessory Intervertebral Movement (PAIVM) such as Maitland’s mobilization and passive sustained
accessory mobilization, such as Mulligan’s technique (SNAGS) along with conventional physiotherapy intervention as
compared to conventional physiotherapy in facet joint syndrome.
Method:
A single-blind, randomized control trial was conducted on participants diagnosed with lumbar facet joint syndrome.
Outcome measures for the study were Visual Analogue Scale (VAS), Modified Oswestry Disability Questionnaire (MODQ),
Pressure Pain Threshold (PPT), Back muscle endurance, Spinal flexion and extension ROM. After baseline assessment,
participants were randomly assigned to Group-A which received Mulligans Sustained Natural Apophyseal Glides (SNAGS),
therapeutic ultrasound (Cont.1 MHz, 1.5 W/cm2) and spinal exercises, Group-B received Maitland’s spinal mobilization (PA
Glides), therapeutic ultrasound and spinal exercises and Group-C received therapeutic ultrasound and spinal exercises for the
period of 2 weeks. Follow up was done at 3rd week.
Result:
Total 186 participants were analyzed using Kruskal-Wallis test and Dunn-Bonferroni post hoc test. K-W test showed a
significant difference in all three groups in terms of VAS, MODQ, PPT and Spinal ROM. Post Hoc test showed the significant
difference (p<0.001) between SNAGS and Maitland Group in terms of flexion and extension ROM and there was no significant
difference (p>0.05) between SNAGS and Maitland’s manual therapy groups in terms of pain, MODQ and PPT.
Conclusion:
SNAGS is more effective in improving spinal ROM, however SNAGS and Maitland’s spinal mobilization are
equally effective in reducing pain, disability and improving pressure pain threshold. Back muscle endurance improved in all
the three groups, but the difference was not statistically significant.
deepak.anap@hotmail.com