PDF(Pubmed)
Abstract：
BACKGROUND: Various treatment modalities have been employed for mechanical low back pain (MLBP), but evidence of their efficacy varies greatly. Objectıve: This randomized controlled trial aimed to assess the outcomes of Mulligan concept applications, including sustained natural apophyseal glides (SNAGS) and natural apophyseal glides (NAGS), in obese patients with MLBP.
METHODS: The study, conducted between January 2021 and June 2022 at a tertiary hospital, involved randomizing patients into two groups. Both groups underwent six sessions of stretching and strengthening exercises every other day. The Mulligan group received additional intervention with SNAG and NAGS techniques. Measurements were made regarding the Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI) score and range of motion (ROM) for the patients\' MLBP level.
RESULTS: Post-interventions, both groups exhibited positive changes in flexion ROM, extension ROM, right and left rotation ROM, right and left lateral flexion ROM, VAS score, and ODI score compared to pre-intervention (p < 0.001 for both groups and variables). The Mulligan group showed a higher increase in ROM and a more significant decrease in VAS and ODI scores. Conclusıons: Mulligan mobilization techniques prove significantly beneficial for enhancing ROM in all directions, reducing pain levels, and alleviating disability in obese individuals with MLBP.
METHODS: The study, conducted between January 2021 and June 2022 at a tertiary hospital, involved randomizing patients into two groups. Both groups underwent six sessions of stretching and strengthening exercises every other day. The Mulligan group received additional intervention with SNAG and NAGS techniques. Measurements were made regarding the Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI) score and range of motion (ROM) for the patients\' MLBP level.
RESULTS: Post-interventions, both groups exhibited positive changes in flexion ROM, extension ROM, right and left rotation ROM, right and left lateral flexion ROM, VAS score, and ODI score compared to pre-intervention (p < 0.001 for both groups and variables). The Mulligan group showed a higher increase in ROM and a more significant decrease in VAS and ODI scores. Conclusıons: Mulligan mobilization techniques prove significantly beneficial for enhancing ROM in all directions, reducing pain levels, and alleviating disability in obese individuals with MLBP.
摘要：
背景：机械下腰痛（MLBP）已采用各种治疗方式，但是它们功效的证据差异很大。Objectve：这项随机对照试验旨在评估Mulligan概念应用的结果，包括持续的自然突滑行（SNAGS）和自然突滑行（NAGS），在患有MLBP的肥胖患者中。
方法：研究，2021年1月至2022年6月在一家三级医院进行，将患者随机分为两组。两组每隔一天进行六次伸展和加强锻炼。Mulligan组接受了SNAG和NAGS技术的额外干预。测量视觉模拟量表（VAS）评分，患者MLBP水平的Oswestry残疾指数（ODI）评分和活动范围（ROM）。
结果：干预后，两组均表现出屈曲ROM的积极变化，扩展ROM,左右旋转ROM，左右外侧屈曲ROM，VAS评分,与干预前相比，ODI评分（两组和变量均p<0.001）。Mulligan组的ROM增加更高，VAS和ODI评分下降更明显。结论：Mulligan动员技术证明对增强各个方向的ROM有显著的好处，降低疼痛程度,减轻患有MLBP的肥胖者的残疾。
方法：研究，2021年1月至2022年6月在一家三级医院进行，将患者随机分为两组。两组每隔一天进行六次伸展和加强锻炼。Mulligan组接受了SNAG和NAGS技术的额外干预。测量视觉模拟量表（VAS）评分，患者MLBP水平的Oswestry残疾指数（ODI）评分和活动范围（ROM）。
结果：干预后，两组均表现出屈曲ROM的积极变化，扩展ROM,左右旋转ROM，左右外侧屈曲ROM，VAS评分,与干预前相比，ODI评分（两组和变量均p<0.001）。Mulligan组的ROM增加更高，VAS和ODI评分下降更明显。结论：Mulligan动员技术证明对增强各个方向的ROM有显著的好处，降低疼痛程度,减轻患有MLBP的肥胖者的残疾。
