The Effect of Mckenzie Approach and Mulligan's Mobilisation (SNAGS) in Lumbar Disc Prolapse with Unilateral Radiculopathy

Introduction: Disc related disorders of spine are estimated to compromise high percentage of low back pain Indian population with incidence of 23.09 % with lifetime prevalence of 60-85 %. The significant cost in management often require surgical intervention so study was carried out to find out cost effective physical therapy interventions along with manual therapy. Objective: To study& compare the effect of McKenzie approach and Mulligans mobilisation (SNAGS) in lumbar disc prolapse with unilateral radiculopathy. Method: 30 participants between 25 to 45 years classified according to Qubec Task Force (QTF) classification& divided into group A& B. Baseline treatment of shortwave diathermy, intermittent lumbar traction& interferential therapy for both groups along with McKenzie approach for Group A& Mulligans (SNAGS) for Group B. Outcome measures visual analogue scale (VAS), Modified Oswestry Disability Index (MOLBPDI)& lumbar range of motion (ROM) were assessed pre& post treatment. Result: Result showed improvement in VAS, MOLBPDI& ROM except rotation ROM in both groups. But there was better improvement in Group B. Conclusion: McKenzie approach and Mulligans mobilisation (SNAGS) are effective in improving pain, functional ability& ROM in prolapse intervertebral disc with unilateral radiculopathy, later is more effective.