Original Research Article
Year: 2019 | Month: September | Volume: 9 | Issue: 9 | Pages: 46-52
Effectiveness of Sliders Vs Tensioners on Pain and Disability in Nonspecific Low Back Pain with Associated Lower Limb Symptoms: A Pretest Posttest Experimental Study
Jeswani Moksha1, Deo Medha2, Meshram Swati3
1Assistant Professor, Terna Physiotherapy College Navi Mumbai, India.
2Principal, Terna Physiotherapy College, Navi Mumbai, India
3Professor, Terna Physiotherapy College Navi Mumbai, India
Corresponding Author: Jeswani Moksha
ABSTRACT
Non-specific low back pain (LBP) affects people of all ages and is a leading contributor to disease burden worldwide. Associated pain in lower limb is commonest symptom with nonspecific LBP. Various studies have studied the efficacy of neural tissue mobilization on radiating pain however there is paucity of literature, whether the slider or tensioner nerve technique produces reduction in symptoms and improves functional status of patients. Sixty subjects with non-specific low back pain and associated lower limb symptoms were universally recruited from a tertiary care centre and randomly allocated to two groups in this experimental study (n=30 in slider, n=30 in tensioner group). Assessment of pain and disability were done using numeric pain rating scale (NPRS), Oswestry disability index (ODI) respectively. Straight leg raise (SLR) ranges of P1 (onset of pain) and P2 (maximum pain threshold) were recorded. The subjects were administered the slider and tensioner nerve technique respectively along with home exercise program for a period of 5 days. A significant reduction in pain and disability scores were obtained within the slider and the tensioner group (p<0.001) .On comparison mean NPRS and disability score in slider group were lower (1, 20.75) as compared to tensioners (1, 24.75). A significant difference was obtained in between the groups (p<0.05) Comparison of P1 values in between the slider and tensioner group did not show a significant change on day1 whereas P2 value showed a significant difference(p<0.001).Sliders had better results in all outcome measures as compared to tensioners.
Key words: sliders, tensioners, non-specific low back pain