EFFECTS OF SUSTAINED NATURAL APOPHYSEAL GLIDES WITH AND WITHOUT PILATES ON PAIN, RANGE OF MOTION AND DISABILITY IN PATIENTS WITH LUMBAR DISC BULGE

https://doi.org/10.5281/zenodo.17524733

Abstract

Background: Many people encounter the issue of dealing with a broad and incapacitating lumbar disc bulge, which causes functional impairment and discomfort due to the protrusion or displacement of intervertebral discs in the lower back. Lumbar disc bulges can cause varied degrees of discomfort and impairment, affecting daily activities significantly. According to studies, people with lumbar disc bulges may have difficulty bending, lifting, sitting for long periods of time, and walking. Lumbar disc bulges can cause immobility and restricted range of motion in the lumbar spine. This can have an impact on activities of daily living that include bending, twisting, or reaching, such as clothing, grooming, and housework.

Objective: To compare effects of Sustained Natural Apophyseal Glides with and    without Pilates on pain, range of motion and disability in patients with lumbar Disc Bulge

Study design: It was a randomized clinical experiment.

Place and duration of study: This Study was conducted in Bakhtawar Amin hospital Multan and the study was completed within 8 months after synopsis approval from ethical committee of Riphah College of Rehabilitation & Allied Health Sciences.

Methods: The research, which used a Randomized Clinical Trial design and lasted eight months at Bakhtawar Amin Hospital in Multan, was authorized by the Riphah College of Rehabilitation & Allied Health Sciences' ethics board. 44 individuals were split evenly between Group A (the experimental group) and Group B (the control group), with the sample size determined using G power. Group A was given TENS, Pilates, sustained natural apophyseal glides, and therapeutic ultrasound; Group B received TENS, sustained natural apophyseal glides, and therapeutic ultrasound. The participants were chosen using the Convenient Sampling Technique. Data collection tools included an inclinometer to quantify lumbar range of motion, the Modified Oswestry Disability Index (ODI), and the Numeric Pain Rating Scale (NPRS). The data was examined using SPSS version 26.

Results: According to the study's findings, patients with lumbar disc prolapse who were in Group A (SNAGS with Pilates) and Group B (SNAGS) experienced statistically significant improvements in their pain, range of motion, and impairment. However, when comparing the two groups, the ODI score improved more in Group A than in Group B, the spinal flexion range of motion improved more in Group A, and the spinal extension range of motion improved equally in both groups.

Conclusion: SNAGS with Pilates is more effective in reducing pain and disability in patients with lumbar disc bulge.