Comparative Study on SNAG From Different Positions Low Back Pain Treatment

Objectives: To compare the effects of lumbar sustained natural apophyseal glides (SNAGs) applied in loaded versus unloaded positions on pain, disability, and function in individuals with chronic nonspecific LBP. Methods: A sample of 59 participants was assigned to receive six sessions of standard intervention, with lumbar SNAGs applied in either a loaded (sitting) or an unloaded (quadruped) position. This study was conducted between November 2025 and May 2026. Outcomes measured pre- and post-intervention included pain intensity (VAS), lumbar flexion range of motion (BROM device), and functional disability (Oswestry Disability Index).

Inclusion Criteria: * Chronic non specific low back pain for 6 weeks or more * Who scored between three and six on a visual analogue scale (VAS) * Restriction of the movement was only in flexion ROM Exclusion Criteria: * Pregnancy, * Obese, * Infectious conditions of the spine, * Autoimmune disorders, * Malignancy * Any contraindication to physiotherapy and manual therapy * Any patient received physical therapy sessions last 6 months