Amna Zia - Academia.edu (original) (raw)

Papers by Amna Zia

Research paper thumbnail of Association of jaw dysfunction with Upper cross syndrome in subjects with Temporomandibular Joint Disorder

Rawal Medical Journal, 2021

Research paper thumbnail of Effect of Trunk Stabilization Exercises on Static and Dynamic Sitting Balance among Children with Cerebral Palsy: A Randomized Control Trial

Pakistan Journal of Medical and Health Sciences

Aim: To evaluate the effectiveness of trunk stabilization exercises on Static and Dynamic Sitting... more Aim: To evaluate the effectiveness of trunk stabilization exercises on Static and Dynamic Sitting Balance among Children with Cerebral Palsy Method: This randomized controlled trail was conducted at physiotherapy department, Mayo hospital, Lahore. 38 children were with cerebral palsy were enrolled in this study via non-probability purposive sampling technique which later on randomized and allocated to two equal groups. Group A received specific core stability training while group B received conventional physical therapy treatment. Written informed consent was procured from every participant or their guardian through signed consent forms. Questionnaire used for data collection was Gross Motor Function Measure (GMFM-88) also used for assessment of sitting balance. Results: Descriptive statistics showed participants were having mean age of6.00 ±2.00 for group A and 5.52±.1.80 for Group B. Participants who received trunk stabilization exercises showed marked improvement as compared to g...

Research paper thumbnail of Comparison of High-grade Maitland Mobilization and Post Isometric Relaxation (PIR) Muscle Energy Technique on pain, range of motion, and functional status in patients with Adhesive Capsulitis

Pakistan Journal of Medical and Health Sciences

Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-gr... more Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-grade Maitland mobilization technique on pain, glenohumeral joint abduction and external rotation, and functional activities in the subject of frozen shoulder. Study design: Randomized control trial Methods: A total of 60 patients were initially assessed for eligibility and 52 were included in the study after taking written consent. Patients were divided into two groups; Group A was treated with post isometric relaxation (PIR) technique and group B with Maitland grade (IV) mobilization for 4 weeks. Pain with a Numeric Pain rating scale, Glenohumeral joint abduction and external range of motion with a goniometer and shoulder function with shoulder pain and disability index were evaluated. Results: Both groups were similar at baseline (p> 0.05) and within-group comparison has shown that there was a significant improvement in all variables in both groups as p<0.05, but between-group com...

Research paper thumbnail of Effects of Combined Aerobic-Strength Training vs Fitness Education Program in COPD Patients

International journal of sports medicine, Jan 5, 2017

We compared the effects of a new physical activity education program approach (EDU), based on a p... more We compared the effects of a new physical activity education program approach (EDU), based on a periodically supervised protocol of different exercise modalities vs traditionally supervised combined strength-endurance training (CT) on health-related factors in patients with stable chronic obstructive pulmonary disease (COPD). Twenty-eight COPD patients without comorbidities were randomly assigned to receive either EDU or CT. CT was continuously supervised to combine strength-endurance training; EDU was taught to progressively increase the rate of autonomous physical activity, through different training modalities such as Nordic walking, group classes and circuit training. Body composition, walking capacity, muscle strength, flexibility and balance, total daily energy expenditure and quality of life were evaluated at baseline, after 28 weeks training period (3d/week) and after a 14-week follow-up. No adverse events occurred during the interventions. After training, CT and EDU similar...

Research paper thumbnail of Comparison of Team-Based and Flipped Classroom Learning on Academic Achievements of Physical Therapy Students

Pakistan Journal of Medical and Health Sciences

Aim: In this study, the post-implementation effects of two active learning strategies i.e., team-... more Aim: In this study, the post-implementation effects of two active learning strategies i.e., team-based learning (TBL) and flipped classroom learning (FCL) on academic achievements in terms of test scores were compared in undergraduate physical therapy students. Methods: This was a quasi-experimental study. Fifty undergraduate physical therapy students were included in this study. Students were equally divided into two groups i.e., team-based learning (TBL) and flipped classroom learning (FCL). The perception of students about this mode of learning was assessed by using the Likert scale. To assess post-implementation performance multiple choice question (MCQ) based test was used. Results: The average age of students in TBL group was 19.12±0.60 years whereas, in the FCL group average age was 19.04±0.45 years. 52% of students of the TBL group and 56% of students of the FCL group preferred the implemented active learning strategies as a better learning mode as compared to the convention...

Research paper thumbnail of Comparison of neural mobilization and conservative treatment on pain, range of motion, and disability in cervical radiculopathy: A randomized controlled trial

PLOS ONE

Objective The objective of the study was to compare the effectiveness of neural mobilization tech... more Objective The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, cervical range of motion, and disability. Methods It was a randomized clinical trial; data was collected from Mayo Hospital, Lahore. Eighty-eight patients fulfilling the sample selection criteria were randomly assigned into group 1 (neural mobilization) and group 2 (conventional treatment). Pain intensity was measured on a numeric pain rating scale, range of motion with an inclinometer, and functional status with neck disability index (NDI). Data were analyzed using SPSS, repeated measure ANOVA for cervical ranges and the Friedman test for NPRS and NDI were used for within-group analysis. Independent samples t-test for cervical ranges and Mann-Whitney U test for NPRS and NDI were used for between-group comparisons. Results There was a significant improvement in pain, disability, and cervical range of motion after the treatment in both ...

Research paper thumbnail of Comparison of muscle energy technique and mobilization with movement to reduce pain and improve functional status in subjects with anterior innominate ilio-sacral dysfunction

Journal of Bodywork and Movement Therapies

Research paper thumbnail of Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

BioMed Research International

Purpose. Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number ... more Purpose. Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number of population. Previously many studies are conducted to design suitable protocol for management of this disorder, but they lack in quality. The purpose of this study was to compare the effects of neural mobilization and cervical isometrics on health-related quality of life and deep flexors endurance in cervical radiculopathy. Methods. A double-blinded randomized clinical trial was conducted at Mayo Hospital, Lahore, Pakistan. Eighty-eight patients within the age range of 35-50 years were included in the study after taking their consent. In the experimental group ( n = 44 ), median nerve mobilization was applied along with cervical isometric exercises. The control group ( n = 44 ) performed cervical isometric exercises alone. Muscle endurance was measured by craniocervical flexion test and quality of life on 36 items short form health survey SF-36 scale. Measurements were taken at baselin...

Research paper thumbnail of Comparison of Anterior and Posterior Kaltenborn Grade III Glide on Glenohumeral Joint for Improving External Rotation in Adhesive Capsulitis (Frozen Shoulder)

Annals of King Edward Medical University

Background: Adhesive capsulitis is a common disabling and painful condition that causes limitatio... more Background: Adhesive capsulitis is a common disabling and painful condition that causes limitation of both passive and active ranges of shoulder joint. Division of frozen shoulder can be into primary and secondary categories. Different techniques have been devised in physiotherapy to regain limited range of motion in adhesive capsulitis. Objectives: To compare the effects of anterior and posterior grade III Kaltenborn glides on glenohumeral joint for improving external rotation and functional ability in patients with adhesive capsulitis. Material and methods: This randomized controlled trial was conducted in University of Health Sciences, Lahore and 40 patients were recruited from Mayo Hospital, Lahore from 08-10-2019 to 10-02-2020 and divided randomly into two groups. Group A was given anterior glide and Group B was given posterior glide. Treatment was given for 4 weeks, 3 sessions in each week. Outcomes were measured in terms of external rotation and functional status of shoulder ...

Research paper thumbnail of Effectiveness of Static and Dynamic Weight Shift Balance Strategies to Improve Balance Performance in patients With Stroke

Pakistan Journal of Medical and Health Sciences

Aim: To enhance the balance in post stroke patients by the implementation of static and dynamic w... more Aim: To enhance the balance in post stroke patients by the implementation of static and dynamic weight shift balance strategies. Methods: Data from 32 patients who complete selection criteria were included to this study. Study design was Randomized controlled trial (RCT). Written informed consent were taken from every individual participating in this study before performing any physical examination. Patients were allocated into two equal groups. On 1st day balance was assessed by Brunel Balance Assessment (BBA), re-accessed by the end of 3rd week and at 6th week. There were two groups, one is Experimental (Group A) receiving static and dynamic weight shift balance training strategies along with conventional physiotherapy treatment while control group (Group B) receiving only conventional rehabilitation program. Results: The results of the BBA (Brunel Balance Assessment) scale showed statistically significant variations in the pre-post analysis for the experimental group with the p-v...

Research paper thumbnail of Association of jaw dysfunction with Upper cross syndrome in subjects with Temporomandibular Joint Disorder

Rawal Medical Journal, 2021

Research paper thumbnail of Effectiveness of Neural Mobilization on Pain, Range of motion, and Disability in Cervical Radiculopathy: a Randomized Controlled Trial

Background: Cervical Radiculopathy (CR) is a disorder of the spinal nerve roots that is largely c... more Background: Cervical Radiculopathy (CR) is a disorder of the spinal nerve roots that is largely caused by space occupying lesion which can lead to nerve root inflammation and patient usually presents with radiating pain in his/her upper extremity known as cervical radiculopathy. The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, range of motion and disability.Methods: It was a double blinded randomized clinical trial; data was collected from Mayo Hospital, Lahore through convenience sampling technique. After taking consent from the patients, the patients fulfilling the inclusion and exclusion criteria were selected and randomized blindly and assigned through computer generated random number into two groups i.e. group 1 (neural mobilization), group 2 (conventional treatment). Pain intensity was measured on Numeric pain rating scale, range of motion measured with inclinometer and functional status...

Research paper thumbnail of Effect of modified lumbar-sustained natural apophyseal glides (Snags) in nonspecific low back pain

Saudi Journal of Sports Medicine, 2019

Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source ... more Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source of causing disability globally. Spinal mobilization is commonly used in the clinical practice. According to some studies, it is evident that mobilization to the spine can be helpful in lessening pain. Aims: The purpose of the current study was to check the comparative effectiveness of Maitland Grade 1 and 2 mobilizations with mulligan snags mobilization in the treatment of nonspecific LBP. Subjects and Methods: A sample of 40 patients (mean age 35.25 years) who met with the inclusion conditions were recruited in the current study. Twenty patients each were divided into both treatment groups. Written informed consent took from each individual participating and divided randomly into two groups. In “Group A” Maitland technique, Grade 1 and Grade 2 were applied, whereas in “Group B” mulligan snags mobilization technique was applied along with infrared therapy as baseline treatment for 2 weeks. Oswestry disability questionnaire and the Numeric Pain Rating Scale (NPRS) were used for assessment pre- and post-treatment. Statistical Analysis: SPSS version 21 was used. The Independent t-test was used between-group comparison and paired sample t-test was used for within-group comparison. Results: Mean difference between pre- and post-treatment values for NPRS and Oswestry Disability Index in Group A was 4.40 ± 1.31 and 24.95 ± 7.702, respectively, whereas in Group B was 3.20 ± 1.105 and 22.60 ± 9.202, respectively, with significant value of P= 0.003. Conclusions: It was concluded that mulligan mobilization is more effective than Maitland mobilization for LBP treatment. Mulligan mobilization not only decreased pain but also improved the functioning of the spine.

Research paper thumbnail of Effect of modified lumbar-sustained natural apophyseal glides (Snags) in nonspecific low back pain

Saudi Journal of Sports Medicine, 2019

Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source ... more Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source of causing disability globally. Spinal mobilization is commonly used in the clinical practice. According to some studies, it is evident that mobilization to the spine can be helpful in lessening pain. Aims: The purpose of the current study was to check the comparative effectiveness of Maitland Grade 1 and 2 mobilizations with mulligan snags mobilization in the treatment of nonspecific LBP. Subjects and Methods: A sample of 40 patients (mean age 35.25 years) who met with the inclusion conditions were recruited in the current study. Twenty patients each were divided into both treatment groups. Written informed consent took from each individual participating and divided randomly into two groups. In “Group A” Maitland technique, Grade 1 and Grade 2 were applied, whereas in “Group B” mulligan snags mobilization technique was applied along with infrared therapy as baseline treatment for 2 weeks. Oswestry disability questionnaire and the Numeric Pain Rating Scale (NPRS) were used for assessment pre- and post-treatment. Statistical Analysis: SPSS version 21 was used. The Independent t-test was used between-group comparison and paired sample t-test was used for within-group comparison. Results: Mean difference between pre- and post-treatment values for NPRS and Oswestry Disability Index in Group A was 4.40 ± 1.31 and 24.95 ± 7.702, respectively, whereas in Group B was 3.20 ± 1.105 and 22.60 ± 9.202, respectively, with significant value of P= 0.003. Conclusions: It was concluded that mulligan mobilization is more effective than Maitland mobilization for LBP treatment. Mulligan mobilization not only decreased pain but also improved the functioning of the spine.

Research paper thumbnail of Association of jaw dysfunction with Upper cross syndrome in subjects with Temporomandibular Joint Disorder

Rawal Medical Journal, 2021

Research paper thumbnail of Effect of Trunk Stabilization Exercises on Static and Dynamic Sitting Balance among Children with Cerebral Palsy: A Randomized Control Trial

Pakistan Journal of Medical and Health Sciences

Aim: To evaluate the effectiveness of trunk stabilization exercises on Static and Dynamic Sitting... more Aim: To evaluate the effectiveness of trunk stabilization exercises on Static and Dynamic Sitting Balance among Children with Cerebral Palsy Method: This randomized controlled trail was conducted at physiotherapy department, Mayo hospital, Lahore. 38 children were with cerebral palsy were enrolled in this study via non-probability purposive sampling technique which later on randomized and allocated to two equal groups. Group A received specific core stability training while group B received conventional physical therapy treatment. Written informed consent was procured from every participant or their guardian through signed consent forms. Questionnaire used for data collection was Gross Motor Function Measure (GMFM-88) also used for assessment of sitting balance. Results: Descriptive statistics showed participants were having mean age of6.00 ±2.00 for group A and 5.52±.1.80 for Group B. Participants who received trunk stabilization exercises showed marked improvement as compared to g...

Research paper thumbnail of Comparison of High-grade Maitland Mobilization and Post Isometric Relaxation (PIR) Muscle Energy Technique on pain, range of motion, and functional status in patients with Adhesive Capsulitis

Pakistan Journal of Medical and Health Sciences

Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-gr... more Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-grade Maitland mobilization technique on pain, glenohumeral joint abduction and external rotation, and functional activities in the subject of frozen shoulder. Study design: Randomized control trial Methods: A total of 60 patients were initially assessed for eligibility and 52 were included in the study after taking written consent. Patients were divided into two groups; Group A was treated with post isometric relaxation (PIR) technique and group B with Maitland grade (IV) mobilization for 4 weeks. Pain with a Numeric Pain rating scale, Glenohumeral joint abduction and external range of motion with a goniometer and shoulder function with shoulder pain and disability index were evaluated. Results: Both groups were similar at baseline (p> 0.05) and within-group comparison has shown that there was a significant improvement in all variables in both groups as p<0.05, but between-group com...

Research paper thumbnail of Effects of Combined Aerobic-Strength Training vs Fitness Education Program in COPD Patients

International journal of sports medicine, Jan 5, 2017

We compared the effects of a new physical activity education program approach (EDU), based on a p... more We compared the effects of a new physical activity education program approach (EDU), based on a periodically supervised protocol of different exercise modalities vs traditionally supervised combined strength-endurance training (CT) on health-related factors in patients with stable chronic obstructive pulmonary disease (COPD). Twenty-eight COPD patients without comorbidities were randomly assigned to receive either EDU or CT. CT was continuously supervised to combine strength-endurance training; EDU was taught to progressively increase the rate of autonomous physical activity, through different training modalities such as Nordic walking, group classes and circuit training. Body composition, walking capacity, muscle strength, flexibility and balance, total daily energy expenditure and quality of life were evaluated at baseline, after 28 weeks training period (3d/week) and after a 14-week follow-up. No adverse events occurred during the interventions. After training, CT and EDU similar...

Research paper thumbnail of Comparison of Team-Based and Flipped Classroom Learning on Academic Achievements of Physical Therapy Students

Pakistan Journal of Medical and Health Sciences

Aim: In this study, the post-implementation effects of two active learning strategies i.e., team-... more Aim: In this study, the post-implementation effects of two active learning strategies i.e., team-based learning (TBL) and flipped classroom learning (FCL) on academic achievements in terms of test scores were compared in undergraduate physical therapy students. Methods: This was a quasi-experimental study. Fifty undergraduate physical therapy students were included in this study. Students were equally divided into two groups i.e., team-based learning (TBL) and flipped classroom learning (FCL). The perception of students about this mode of learning was assessed by using the Likert scale. To assess post-implementation performance multiple choice question (MCQ) based test was used. Results: The average age of students in TBL group was 19.12±0.60 years whereas, in the FCL group average age was 19.04±0.45 years. 52% of students of the TBL group and 56% of students of the FCL group preferred the implemented active learning strategies as a better learning mode as compared to the convention...

Research paper thumbnail of Comparison of neural mobilization and conservative treatment on pain, range of motion, and disability in cervical radiculopathy: A randomized controlled trial

PLOS ONE

Objective The objective of the study was to compare the effectiveness of neural mobilization tech... more Objective The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, cervical range of motion, and disability. Methods It was a randomized clinical trial; data was collected from Mayo Hospital, Lahore. Eighty-eight patients fulfilling the sample selection criteria were randomly assigned into group 1 (neural mobilization) and group 2 (conventional treatment). Pain intensity was measured on a numeric pain rating scale, range of motion with an inclinometer, and functional status with neck disability index (NDI). Data were analyzed using SPSS, repeated measure ANOVA for cervical ranges and the Friedman test for NPRS and NDI were used for within-group analysis. Independent samples t-test for cervical ranges and Mann-Whitney U test for NPRS and NDI were used for between-group comparisons. Results There was a significant improvement in pain, disability, and cervical range of motion after the treatment in both ...

Research paper thumbnail of Comparison of muscle energy technique and mobilization with movement to reduce pain and improve functional status in subjects with anterior innominate ilio-sacral dysfunction

Journal of Bodywork and Movement Therapies

Research paper thumbnail of Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

BioMed Research International

Purpose. Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number ... more Purpose. Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number of population. Previously many studies are conducted to design suitable protocol for management of this disorder, but they lack in quality. The purpose of this study was to compare the effects of neural mobilization and cervical isometrics on health-related quality of life and deep flexors endurance in cervical radiculopathy. Methods. A double-blinded randomized clinical trial was conducted at Mayo Hospital, Lahore, Pakistan. Eighty-eight patients within the age range of 35-50 years were included in the study after taking their consent. In the experimental group ( n = 44 ), median nerve mobilization was applied along with cervical isometric exercises. The control group ( n = 44 ) performed cervical isometric exercises alone. Muscle endurance was measured by craniocervical flexion test and quality of life on 36 items short form health survey SF-36 scale. Measurements were taken at baselin...

Research paper thumbnail of Comparison of Anterior and Posterior Kaltenborn Grade III Glide on Glenohumeral Joint for Improving External Rotation in Adhesive Capsulitis (Frozen Shoulder)

Annals of King Edward Medical University

Background: Adhesive capsulitis is a common disabling and painful condition that causes limitatio... more Background: Adhesive capsulitis is a common disabling and painful condition that causes limitation of both passive and active ranges of shoulder joint. Division of frozen shoulder can be into primary and secondary categories. Different techniques have been devised in physiotherapy to regain limited range of motion in adhesive capsulitis. Objectives: To compare the effects of anterior and posterior grade III Kaltenborn glides on glenohumeral joint for improving external rotation and functional ability in patients with adhesive capsulitis. Material and methods: This randomized controlled trial was conducted in University of Health Sciences, Lahore and 40 patients were recruited from Mayo Hospital, Lahore from 08-10-2019 to 10-02-2020 and divided randomly into two groups. Group A was given anterior glide and Group B was given posterior glide. Treatment was given for 4 weeks, 3 sessions in each week. Outcomes were measured in terms of external rotation and functional status of shoulder ...

Research paper thumbnail of Effectiveness of Static and Dynamic Weight Shift Balance Strategies to Improve Balance Performance in patients With Stroke

Pakistan Journal of Medical and Health Sciences

Aim: To enhance the balance in post stroke patients by the implementation of static and dynamic w... more Aim: To enhance the balance in post stroke patients by the implementation of static and dynamic weight shift balance strategies. Methods: Data from 32 patients who complete selection criteria were included to this study. Study design was Randomized controlled trial (RCT). Written informed consent were taken from every individual participating in this study before performing any physical examination. Patients were allocated into two equal groups. On 1st day balance was assessed by Brunel Balance Assessment (BBA), re-accessed by the end of 3rd week and at 6th week. There were two groups, one is Experimental (Group A) receiving static and dynamic weight shift balance training strategies along with conventional physiotherapy treatment while control group (Group B) receiving only conventional rehabilitation program. Results: The results of the BBA (Brunel Balance Assessment) scale showed statistically significant variations in the pre-post analysis for the experimental group with the p-v...

Research paper thumbnail of Association of jaw dysfunction with Upper cross syndrome in subjects with Temporomandibular Joint Disorder

Rawal Medical Journal, 2021

Research paper thumbnail of Effectiveness of Neural Mobilization on Pain, Range of motion, and Disability in Cervical Radiculopathy: a Randomized Controlled Trial

Background: Cervical Radiculopathy (CR) is a disorder of the spinal nerve roots that is largely c... more Background: Cervical Radiculopathy (CR) is a disorder of the spinal nerve roots that is largely caused by space occupying lesion which can lead to nerve root inflammation and patient usually presents with radiating pain in his/her upper extremity known as cervical radiculopathy. The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, range of motion and disability.Methods: It was a double blinded randomized clinical trial; data was collected from Mayo Hospital, Lahore through convenience sampling technique. After taking consent from the patients, the patients fulfilling the inclusion and exclusion criteria were selected and randomized blindly and assigned through computer generated random number into two groups i.e. group 1 (neural mobilization), group 2 (conventional treatment). Pain intensity was measured on Numeric pain rating scale, range of motion measured with inclinometer and functional status...

Research paper thumbnail of Effect of modified lumbar-sustained natural apophyseal glides (Snags) in nonspecific low back pain

Saudi Journal of Sports Medicine, 2019

Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source ... more Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source of causing disability globally. Spinal mobilization is commonly used in the clinical practice. According to some studies, it is evident that mobilization to the spine can be helpful in lessening pain. Aims: The purpose of the current study was to check the comparative effectiveness of Maitland Grade 1 and 2 mobilizations with mulligan snags mobilization in the treatment of nonspecific LBP. Subjects and Methods: A sample of 40 patients (mean age 35.25 years) who met with the inclusion conditions were recruited in the current study. Twenty patients each were divided into both treatment groups. Written informed consent took from each individual participating and divided randomly into two groups. In “Group A” Maitland technique, Grade 1 and Grade 2 were applied, whereas in “Group B” mulligan snags mobilization technique was applied along with infrared therapy as baseline treatment for 2 weeks. Oswestry disability questionnaire and the Numeric Pain Rating Scale (NPRS) were used for assessment pre- and post-treatment. Statistical Analysis: SPSS version 21 was used. The Independent t-test was used between-group comparison and paired sample t-test was used for within-group comparison. Results: Mean difference between pre- and post-treatment values for NPRS and Oswestry Disability Index in Group A was 4.40 ± 1.31 and 24.95 ± 7.702, respectively, whereas in Group B was 3.20 ± 1.105 and 22.60 ± 9.202, respectively, with significant value of P= 0.003. Conclusions: It was concluded that mulligan mobilization is more effective than Maitland mobilization for LBP treatment. Mulligan mobilization not only decreased pain but also improved the functioning of the spine.

Research paper thumbnail of Effect of modified lumbar-sustained natural apophyseal glides (Snags) in nonspecific low back pain

Saudi Journal of Sports Medicine, 2019

Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source ... more Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source of causing disability globally. Spinal mobilization is commonly used in the clinical practice. According to some studies, it is evident that mobilization to the spine can be helpful in lessening pain. Aims: The purpose of the current study was to check the comparative effectiveness of Maitland Grade 1 and 2 mobilizations with mulligan snags mobilization in the treatment of nonspecific LBP. Subjects and Methods: A sample of 40 patients (mean age 35.25 years) who met with the inclusion conditions were recruited in the current study. Twenty patients each were divided into both treatment groups. Written informed consent took from each individual participating and divided randomly into two groups. In “Group A” Maitland technique, Grade 1 and Grade 2 were applied, whereas in “Group B” mulligan snags mobilization technique was applied along with infrared therapy as baseline treatment for 2 weeks. Oswestry disability questionnaire and the Numeric Pain Rating Scale (NPRS) were used for assessment pre- and post-treatment. Statistical Analysis: SPSS version 21 was used. The Independent t-test was used between-group comparison and paired sample t-test was used for within-group comparison. Results: Mean difference between pre- and post-treatment values for NPRS and Oswestry Disability Index in Group A was 4.40 ± 1.31 and 24.95 ± 7.702, respectively, whereas in Group B was 3.20 ± 1.105 and 22.60 ± 9.202, respectively, with significant value of P= 0.003. Conclusions: It was concluded that mulligan mobilization is more effective than Maitland mobilization for LBP treatment. Mulligan mobilization not only decreased pain but also improved the functioning of the spine.