Effect of Mulligan Concept Lumbar (SNAG) on Neuro Radiculopathy In the Patients With Lumbar Disc Herniation (LDH)

This study is to shed light on lumbar disc herniation (LDH) with radiculopathy that is considered one of the most common diagnoses encountered in orthopedic clinical practice and it is believed to be a major contributor to the estimated 60-80% lifetime incidence of low back pain. The effectiveness of Sustained Natural Apophyseal Glides (SNAG) technique of Mulligan on Neuroradiculopathy in the patients with lumbar disc herniation (LDH). The researchers were used the experimental method due to its suitability to the nature of the research with the one experimental group system. Tribal, interlayer, and dimensional measurements were made for the variables. The measurement of the variables under study was applied from the tribal, interlayer, and dimensional measurements of the anthropometric and physiological variables. the muscle strength, the range of motion, the degree of pain perception. The study sample was subjected to the (SNAG) technique for Mulligan for a period of (2) months, at a rate of (24) sessions in order to achieve the objectives of the study. Ten patients were participated in this study with lumbar disc herniation (LDH)L4-L5-S1. The research sample included (n=10men,) patients with slipped lumbar cartilage men are between (25-45) years old. Lumbar Disc Herniation (LDH) were randomly one experimental group system. The study group (aged 25- 45, 10 men ) received a conventional physical therapy program consisted of stretching and strengthening exercises plus (SNAG) (based on the Mulligan concept) on the affected lumbar levels, (SNAG) (3) times per week for (2) month. Outcome measures were repositioning error (the primary outcome), pain, and function measured by an kinetic dynamometer, visual analog scale(VAS), and the Oswestry Disability Index(ODI). Measurements were recorded before and after the end of the treatment period. The result showed that the qualification program and the use of (SNAG) technology for Mulligan had a clear effect. Which led to improvement in all research variables in the measurements (VAS) and (ODI) of people with a lumber herniated disc, through the application of the motor rehabilitation program and the use of (SNAG) technique of Mulligan in the sample to which the program was applied. The study concluded that preliminary study indicated improvement in group Adding (SNAG) to conventional programs in the treatment of chronic nonspecific (LDH) may result in greater improvement of repositioning error, pain reduction, and improved function