Investigation of the Effects of a Centrally Applied Lumbar Sustained Natural Apophyseal Glide Mobilization on Lower Limb Sympathetic Nervous System Activity in Asymptomatic Subjects

Moutzouri, Maria; Perry, Jo; Billis, Evdokia

doi:10.1016/j.jmpt.2012.04.016

Cited by 29 publications

(27 citation statements)

References 62 publications

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“…25 The SNAG dose for each level was 3 sets of 6 repetitions 3 times per week for 1 month. 22,46 It was performed before the conventional program.…”

Section: Interventionsmentioning

confidence: 99%

“…[15][16][17][18][19][20] Few studies have been concerned with the effects of SNAG on the lumbar spine. 10,21,22 The rest of the available research was in the form of case reports or case series. 23,24 Only 5 trials have investigated different effects of the SNAG technique when applied to the lumbar region, none of them concerned with its effects on proprioception.…”

Section: Introductionmentioning

confidence: 99%

“…Their results did not indicate any significant effect. 22 Sensorimotor control, spinal segmental function, dynamic joint stability, and good motor control all are integral parts of back function. They largely are affected by proprioceptive deficits.…”

Section: Introductionmentioning

confidence: 99%

“…Only a few studies have focused on neurophysiological effects of SNAG technique 12,22 ; the majority have investigated its mechanical effect. 21,26,35,36 Some of the available reports cannot be used for generalization because of the limitations encountered in the study design.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the outcomes of adding lumbar sustained natural apophyseal glide (SNAG) to a conventional therapy program for chronic nonspecific low back pain (LBP). Methods: Forty-two participants with chronic nonspecific LBP were randomly divided into 2 groups. The study group (aged 27.1 ± 8.3, 20 men, 3 women) received a conventional physical therapy program consisted of stretching and strengthening exercises plus SNAG (based on the Mulligan concept) on the affected lumbar levels, and the control group (aged 28.9 ± 7.7, 13 men, 6 women) received the same conventional program without SNAG 3 times per week for 1 month. Outcome measures were repositioning error (the primary outcome), pain, and function measured by an isokinetic dynamometer, visual analog scale, and the Oswestry Disability Index. Measurements were recorded before and after the end of the treatment period. Results: The comparison between pretreatment and posttreatment test scores indicated that both study and control groups had significant improvement in all dependent variables (P N .001). However, adding SNAG to the conventional program resulted in higher improvement in terms of repositioning error, pain, and function (P = .02, .002, .008) respectively. Conclusions: This preliminary study indicated improvement in both groups. Adding SNAG to conventional programs in the treatment of chronic nonspecific LBP may result in greater improvement of repositioning error, pain reduction, and improved function. (J Chiropr Med 2017;16:94-102)

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“…25 The SNAG dose for each level was 3 sets of 6 repetitions 3 times per week for 1 month. 22,46 It was performed before the conventional program.…”

Section: Interventionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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“…47,46 Further potential mechanisms of action could be through sympathoexcitation, which has been shown to occur following MWM in the lumbar spine. 48 In addition to neurophysiological effects, it is also suggested that MWM has mechanical effects by restoring the normal biomechanics to the dysfunctional joint, reducing a positional fault allowing greater range of pain-free movement. 24 There is evidence of positional faults occurring in musculoskeletal pain disorder, for example at the inferior tibiofibular joint following ankle sprain 49,50 and at the patellofemoral joint.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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Objectives: Shoulder pain and impairment is a prevalent and disabling condition. While some Mulligan mobilization with movement (MWM) techniques have been shown to have beneficial effects, Hand Behind Back (HBB) MWM has not been investigated. The aim of this study was to investigate the effects of HBB MWM on shoulder pain, impairment and disability. Methods: We conducted a double blind randomized controlled trial in 44 subjects with shoulder pain and movement impairment presenting to an Indian general hospital. Subjects were allocated to receive either MWM and exercise/hot pack (n=22) or exercise/hot pack alone (n=22). The primary outcome was HBB range of motion (ROM). Secondary variables were shoulder internal rotation ROM, pain intensity score, and shoulder disability identified by the Shoulder Pain and Disability index (SPADI). All variable were evaluated by a blinded assessor before and immediately after 9 treatment sessions spread over 3-weeks. Results: A total of 60 patients were screened and 44 randomized. The average duration of symptoms was 4.1 and 4.7 weeks in the exercise and MWM groups respectively. Paired t-tests revealed that both groups demonstrated statistically significant improvements (p< 0.001) with large effect sizes for all variables. However, for all variables the MWM with exercise group showed significantly greater improvements (p< 0.05) than the exercise group. HBB ROM showed a mean difference of 9.31˚ (95% CI 7.38 to 11.27), favoring greater improvement in the MWM with exercise group. Conclusions: Shoulder HBB MWM with exercise improves outcomes in patients with acute shoulder pain and disability greater than exercise/hot packs alone.

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ESSOMM European core curriculum and principles of manual medicine

Acarkan¹,

Barth²,

Borgstrøm³

et al. 2022

Manuelle Medizin

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Language coordinatorNicholas Straiton, MD (Great Britain) Scan QR code & read article online Contents A. Part I: Curriculum of manual medicine 1. Introduction 1.1. Subject of manual medicine 1.2. Prerequisites for learning and practicing manual medicine 1.3. Manual medicine and its relationship to osteopathy and chiropractic 1.4. Principle structure of the professional postgraduate apprenticeship in manual medicine 2. Implementation of the courses 3. Structure of the courses 4. Content of the courses 4.1. Basic course 4.2. Advanced course 5. Main focus of the courses 5.1. Basic knowledge 5.2. Anatomy objectives 5.3. Physiology objectives 5.4. Biomechanics objectives 5.5. Pain objectives 5.6. Diagnostic examination 5.7. Treatment modalities 5.8. Clinical pictures 6. Certification B. Part II: Principles of manual medicine 1. Neurophysiological background of dysfunction Part I: Curriculum of manual medicine S4 Manuelle Medizin • Suppl 1 • 2022Acquisition of basic knowledge and basic skills. 30 h (. Table 3). Practical experience. 70 h (. Table 4).

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Investigation of the Effects of a Centrally Applied Lumbar Sustained Natural Apophyseal Glide Mobilization on Lower Limb Sympathetic Nervous System Activity in Asymptomatic Subjects

Cited by 29 publications

References 62 publications

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

ESSOMM European core curriculum and principles of manual medicine

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