EFFECTS OF LUMBAR SEGMENTAL MOBILIZATION IN PREPOSITION VERSUS PRONE LYING IN CHRONIC LOW BACK PAIN

Abstract

BACKGROUND AND AIM low back pain decrease range of motion at lumber region. Manual therapy had significant effect on range of motion. Mobilization is performed in specific position of joint. The aim of this study was to compare lumber segmental mobilizations in prepositions versus prone lying in chronic low backache. METHODOLOGY A 6 month randomized controlled trial was conducted. We excluded 22 patients because of exclusion (neurological sign, pregnancy, spinal surgery and systemic disease) criteria we conveniently selected a sample of 40 patients between age of 25-45and having low back pain past 6 months and placed into two groups by lottery method. In group A segmental mobilization was done in preposition and in group B segmental mobilization was done in prone lying. The data collection tools were visual analog scale, Pressure Pain Threshold, Oswestry disability index and Goniometer. Data was analyzed by SPSS and statistical test were applied at 95% level of significance determine the effects of both the treatments regimes and compared with each other. RESULTS By comparing both groups the pre visual analog scale mean in group A and group B was7.75±0.72, 8.10±0.64 respectively (p 0.112) and post visual analog scale mean in group A and group B was 3.50±0.52, 4.90±0.72 respectively (p 0.00). The pre pressure pain threshold mean in group A and group B was 4.00±0.92,4.15±0.81 respectively (p0.59) and the post pressure pain threshold mean in group A and group B was 2.20±0.41, 2.75±0.64 respectively (p 0.00). The Pre Oswestry Low Back Pain Disability mean in group A and group B was 39.80±2.63, 39.85±2.21 respectively (p 0.95) and the Post Oswestry Low Back Pain Disability mean in group A and group B was 22.30±1.42, 29.45±1.64 respectively (p 0.00). CONCLUSION Segmental mobilization in pre-position has significantly better than that of in prone position in improving low backache in terms of pain, disability, pressure threshold and spinal ranges. KEY WORDS Lumbar Manipulation, back pain, Visual Analog Pain Scale, Range of Motion, Articular, Mechanical Low Back Pain