The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system

Moutzouri, Maria; Billis, Evdokia; Στριμπάκος, Νικόλαος; Kottika, Polixeni; Oldham, Jacqueline

doi:10.1186/1471-2474-9-131

Cited by 36 publications

(40 citation statements)

References 86 publications

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“…Range of motion was investigated in 4 out of the 5 studies. It was improved in 3 of them 10,25,26 ; no change was reported in the fourth trial by Moutzouri et al 21 The increase in ROM was reported only in the studies performed on LBP patients, and no improvement was reported when applied on healthy participants.…”

Section: Introductionmentioning

confidence: 92%

“…21,26,35,36 Some of the available reports cannot be used for generalization because of the limitations encountered in the study design. 23,37 Therefore, the purpose of this study was to investigate the effect of adding Mulligan concept lumbar SNAG to a conventional LBP program on RE, pain, and function compared with a conventional LBP program alone in patients with chronic nonspecific LBP.…”

Section: Introductionmentioning

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%

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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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Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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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“…These studies highlight how minimal treatment doses can produce clinically significant outcomes. However, research has shown that grade IV mobilisation produce greater mean force (Silvernail et al 2011) and increased plastic deformation of connective tissue (Bonutti et al, 1994;Moutzouri et al, 2008;Ulrich et al, 2010) than grade III techniques. This is of particular importance when improvements in ROM are sought within asymptomatic individuals.…”

Section: Introductionmentioning

confidence: 99%

Increased treatment durations lead to greater improvements in non-weight bearing dorsiflexion range of motion for asymptomatic individuals immediately following an anteroposterior grade IV mobilisation of the talus

Holland¹,

Campbell²,

Hutt³

2015

Manual Therapy

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“…Now for the improvement of ROM other possible mechanism rather than pain mechanism is explained by some researchers. Mulligan proposed that when an increase in pain-free range of movement occurs with a SNAG it is primarily the correction of a positional fault at the zygapophyseal joint, although a SNAG also influences the entire spinal functional unit [13].One study conducted by Maria Moutzouri (2008) [21], examined the effect of Lumbar SNAGS in asymptomatic subjects and did not found any significant improvement in lumbar flexion ROM. On the other hand Self SNAGS were also found to be effective in treatment reducing pain and disability and improving cervical ROM in the study conducted by Shilpi Chhabra et al (2008),among Computer professionals.…”

Section: To Study the Effect Of Muscle Energy Technique Versus Mulligmentioning

confidence: 99%

To Study the Effect of Muscle Energy Technique Versus Mulligan Snags on Pain, Range of Motion and Functional Disability for Individuals With Mechanical Neck Pain”. – A Comparative Study

Tank¹,

Choks²,

Makwana³

2018

IJPR

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Background: Mechanical Neck Pain is very common condition in general population. It still constitutes a major burden on patients in terms of pain, disability, loss of income, and on society in terms of healthcare costs and time of work. A wide variety of treatment protocols for mechanical neck pain are available, however, the most effective management remains an area of debate.Objective: Aim of the study is to compare the effectiveness ofMuscle Energy Technique and Mulligan SNAGS on pain, functional disability and active cervical range of motion for individuals with mechanical neck pain.Methodology: 40subjectsaccording to inclusion and exclusion criteria were randomly divided in to two groups for the study, Muscle Energy Technique plus conventional therapy and Mulligan SNAGS plus conventional therapy. Results: The results were analyzed by Paired t-test or Wilcoxon signed ranks test (Intra-group Comparison) and unpaired t-test or Mann-Whitney U test (Inter-group Comparison) comparing Muscle Energy Technique andMulligan SNAGS groups for post-treatment effects. Both the groups showed equal effectiveness regarding to VAS, NDI and Cervical ROM. Conclusion:Muscle energy Technique and Mulligan SNAGS can be used as alternate treatment along with conventional therapy for mechanical neck pain.

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The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system

Cited by 36 publications

References 86 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

Increased treatment durations lead to greater improvements in non-weight bearing dorsiflexion range of motion for asymptomatic individuals immediately following an anteroposterior grade IV mobilisation of the talus

To Study the Effect of Muscle Energy Technique Versus Mulligan Snags on Pain, Range of Motion and Functional Disability for Individuals With Mechanical Neck Pain”. – A Comparative Study

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