Efeitos do deslizamento apofisário natural sustentado do conceito mulligan em pedreiros com lombalgia

Abstract

Introduction: Low back pain is defined as pain, stiffness, and muscle tension in the lumbar region, and can be treated with joint mobilization techniques from the Mulligan Concept to correct positional faults and provide other therapeutic effects. Objective: To describe the effects of the lumbar Sustained Natural Apophyseal Glide (SNAGs) technique from the Mulligan Concept on pain, mobility, functional disability, and dynamic balance of the lower limbs (LL) in construction workers with low back pain. Methodology: A quasi-experimental and quantitative study was conducted with 25 participants. The Visual Analogue Scale was used to quantify pain; the Oswestry Disability Index for lumbar functional assessment; the Y-Balance Test for dynamic balance of the LL; and the Schöber Test for range of motion. The intervention consisted of one session of lumbar SNAGs. Results: Among the parameters evaluated, pain intensity decreased from 6cm to 1.5cm; Mobility increased from 10.25 cm to 15.10 cm; the functional reach test showed significant improvement in the lower limbs at all evaluated times; and functional disability decreased from 23.40% to 11.70%. Conclusion: The SNAG technique of the Mulligan Concept proves to be an effective therapeutic resource for the treatment of low back pain, as it promotes a rapid and significant decrease in pain, improves mobility and dynamic balance of the lower limbs, allowing the maintenance or restoration of lumbar functionality.