Abstract
Introduction: Pain in lower back region is a problem everyone deals with at least once in their life. Chronic back pain in lower back region is the pain which is present for more than 3 months. We can divide lower back pain as specific back pain or non-specific back pain. Non-specific pain in lower back region is because of unknown origin. Treating low back pain is a main challenge physiotherapist faces. Mulligan mobilization is a techniques used to facilitate range of motion and reducing pain whereas integrated neuromuscular inhibition is a technique used to treat any abnormality in muscle.
 Methodology: 80 participants with non-specific low back pain will be included. Integrated neuromuscular inhibition technique will be given to Group A and group B will get mulligan mobilization. Group A will have 40 participants and Group B will have 40 participants. Treatment will be given for 6 weeks and pain and functional disability will be documented and statistical analysis will be done.
 Discussion: In this study integrated neuromuscular inhibition and mulligan mobilization’s efficacy will be seen in subjects with chronic non- specific lower back pain on pain and functional disability using modified oswestry scale for functional disability and numeric pain rating scale for pain.
 Conclusion: Conclusion will be drawn post study as which technique of mulligan mobilization and integrated neuromuscular inhibition is better to reduce disability and pain in patients with non-specific lower back pain. This study will give a better approach to the physiotherapist in managing the low back pain
Highlights
Pain in lower back region is a problem everyone deals with at least once in their life
This study will give a better approach to the physiotherapist in managing the low back pain
Low Back Pain (LBP) causes a significant level of discomfort to perform the activities of daily living and it produces a marked level of disability
Summary
Chronic low back pain (CLBP) is defined as the pain that remains for more than 12 weeks.Low‐ back pain (LBP) is a common symptom from adolescence into old age. Low Back Pain (LBP) causes a significant level of discomfort to perform the activities of daily living and it produces a marked level of disability. Various manoeuvres are performed in order to reduce pain as well as disability: Integrated neuromuscular inhibition and Mulligan concept lumbar mobilisation is used for the same. The INIT, based on the phenomenon of reciprocal inhibition and post-isometric relaxation, can resolve muscle spasm in painful areas where as mulligan mobilisation is movement with mobilisation [5-7]. Mulligan mobilization with movement (MWM) is widely used during physical therapy and orthopaedic manual therapy and can be applied to the peripheral and spinal joints. SNAGs is a mobilization technique that improves joint mobility through the application of passive gliding to the lumbar spine while the subject simultaneously performs active movement
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