The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

Effect of SNAGS Technique on the Lower Back Pain Korean Oswestry Disability Index(KODI) and Pain in Lower Back Pain of University Students

대학생의 허리통증에 대한 SNAGS(Sustained Natural Apophyseal Glides)기법이 허리통증과 오스웨스트리 장애지수(KODI)에 미치는 영향

  • Eom, Yo-han (Dept. of Physical Therapy, Kunjang University College) ;
  • Kim, Yoon-hwan (Dept. of Physical Therapy, Kunjang University College) ;
  • Hong, Seong-bum (Dept. of Physical Therapy Samsung Mi Plus Clinic)
  • Received : 2021.07.01
  • Accepted : 2021.07.26
  • Published : 2021.08.31
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Abstract

Background: This study investigated the effects of sustained natural apophyseal glides (SNAGS) technique on lower back pain and pain disability among university students with lower back pain. Methods: A total thirty 20~30 year old university students with lower back pain were divided into two groups. A lumbar flexibility exercise was applied to the control group (n=15). The SNAGS technique group (n=15) received L1~L4 segment mobilization using SNAGS technique. Intervention was implemented for 20 minutes, 3 times a week for 3 weeks. The SNAGS were performed using belt with flexion and extension, whereas lumbar flexibility exercise included lumbar flexion and extension. Lower back disability was measured using the Korean Oswestry disability index (KODI), and pain sensitivity was measured by pain pressure threshold (PPT). The groups were assessed for lower back pain disability and pain, before and after the intervention. Results: There were significant improvements in both the KODI and PPT of the SNAGS technique group (p<.05), while the lumbar flexibility exercise group showed no significant change (p>.05). In addition, the SNAGS technique group had a statistically significant difference in KODI and PPT compared to the lumbar flexibility exercise group (p<.05). Conclusion: SNAGS technique is more effective than lumbar spine joint flexibility exercise in the improvement of lower back pain disability and pain among university students with lower back pain.

Keywords

References

  1. Doo YT, Eom WS. Effect of short term static dynamic lumbar stability exercise on the trunk muscles strength and endurance of chronic low back pain female college students in their 20's. A. J. Kinesiol. 2016;18(2):63-69. https://doi.org/10.15758/jkak.2016.18.2.63.
  2. Hwang JK. The Effect of Low Back Stretching Exercise on Lumbar Lordosis Angle, Sit-up and Modified Visual Analogue, Scale in Low Back Pain Patients. Dankook University. Master thesis. 2005.
  3. Hyung IH, Ha MS. Effect of immediate dynamic balance ability of chronic low back pain on Maitland's manual therapy. The Journal of the Korea Contents Association. 2009;9(6):207-215. https://doi.org/10.5392/JKCA.2009.9.6.207
  4. Jeon CH, Kim DJ, Kim SK, et al. Cross-Cultural adaptation of the Korean version of the Oswestry Disability Index (KODI). J Korean Medical Science. 2005;21(6):1092-1097. https://doi.org/10.4184/jkss.2005.12.2.146.
  5. Jeon JG, Kim MJ. Effects of myofacial release and Mulligan technique on pain and disability for cervicogenic headache patients. Kor Acad Ortho Man Phys Ther. 2012;18(2):87-93.
  6. Jung SC. The Effect of Lumbar Stabilization Exercise Order on Pain of Chronic LBP Patients and Muscle Activation of Erector Spinae. Graduate School of Rehabilitation Science, Daegu University, Master Thesis. 2016.
  7. Kang TW, Kim YJ. The effects of lumbar stabilization exercise in male worker with low back pain. 2015;54(4):31-44. https://doi.org/10.15870/jsers.2015.12.54.4.31.
  8. Kim JG. The role of exercise for the heath of vertebral column. Journal of KOEN. 2015;9(1):191-199.
  9. Kim JH, Hur JG, Yang YA. The effect of exercise program on work-related back pain in physical therapists. J Korean Acad Ther. 2009;1(1):15-23.
  10. Kim JT, Kim SY, Oh DW. The relationship between fear-avoidance beliefs and functional status in patients with low back pain: A cross-sectional study. PTK. 2009;16(1):52-60.
  11. Kim KT, Lee SH, Suk KS, et al. Loss of sagittal balance and clinical outcomes following corrective osteotomy for lumbar degenerative kyphosis. J Korean Orthop Assoc. 2009;44(1):83-92. https://doi.org/10.4055/jkoa.2009.44.1.83.
  12. Kim TS, Kim SS, Oh BS. The influence of combined exercise and functional electrical stimulation after core exercise on transversus abdominis thickness, lumbar extension strength, and visual analog scale of pain for college students with chronic low back pain. J Sport and Leisure Studies. 2015;(61):549-560. https://doi.org/10.51979/KSSLS.2015.08.61.549.
  13. Kim YH, Seo TH. Effects of lower limb exercise program on the backrest chair in college students with low back pain. Journal of KOEN. 2020;14(7):469-476. https://doi.org/10.21184/jkeia.2020.10.14.7.469.
  14. Kim YS, Kim YH, Yang H. The effectiveness of self-exercise program for low back pain, abdominal-back muscle strength, and waist flexibility in hospital nurses. J Muscle Joint Health. 2007;14(2):109-117.
  15. Korean Academy of Orthopedic Manual Physical Therapy. Mulligan Concept of Manual Therapy. Panmun Education. Seoul. 2020;245-253.
  16. Kosek E, Ordeberg G. Abnomalities of somatosensory perception in patients with painful osteoarthritis normalize following successful treatment. EJP. 2000;4(3):229-238. https://doi.org/10.1053/eujp.2000.0175.
  17. Kotoulas M. The use and misuse of the terms manipulation and mobilization in the literature establishing their efficacy in the treatment of lumbar spine disorders. Physiotherapy Canada. 2001;4:53-61.
  18. Lee ES. The effect of SNAGs and biofeedback training on the integrative propriocepcion and function of the patients with cervical disorder. KAIS. 2020;21(1):284-290. https://doi.org/10.5762/KAIS.2020.21.1.284.
  19. Lee SB, Jeong SG, Lee HJ. The effects of joint mobilization and TENS on pain threshold and hormonal changes in patients with chronic low back pain. J Kor Acad Ortho Man Phys Ther. 2020;26(1):65-72.
  20. Lee SC, Lee DT. Effects of exercise therapy on lower back pain patients. A. J. Kinesiol. 2007;9(2):69-78.
  21. Mulligan BR. Manual Therapy: NAGs, SNAGs, MWMs ect. 6th ed. Orthopedic Physical Therapy Products, Elsevier. Wellington, NZ. 2010.
  22. Ombregt L. A System of Orthopedic Medicine. 2nd ed, Churchill Living Stone, London. 2005;55-68.
  23. Sim JW. The Effects of 8 weeks Swissball Lumbar Stabilization Training on Chronic Back Pain of Female Worker Fitness, Functional Movement and Waist Disability Index. Pusan National University, Master Thesis. 2017.
  24. Wang XD, Wang HJ. Establishment of individual exercise therapy model for low back pain. 2009 Second International Symposium on Knowledge Acquisition and Modeling, 2009;1:122-125. https://doi.org/10.1109/KAM.2009.131.
  25. Yi TI, Lee JH, Lee YJ, et al. Comparisons of spinal stabilization exercise and lumbar extensor strengthening exercise in chronic low back pain. KARM. 2008;32(5):570-575.