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Journal : Babali Nursing Research

Effectiveness of Mulligan Natural Apophyseal Glides as an Adjunct to Conventional Physiotherapy in Recreational Surfers with Non-Specific Low Back Pain: A Randomized Study Putra, I Putu Yudi Pramana; M. Widnyana; Utama, A.A Eka Septian; Winaya, I Made Niko; Sutyawan, I Wayan Eka
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72554

Abstract

Background: Non-specific low back pain (NSLBP) commonly affects recreational surfers and leads to functional limitations; however, conventional physiotherapy often focuses on symptom relief, leaving a gap in addressing underlying biomechanical dysfunctions. Evidence on the added value of Mulligan’s Natural Apophyseal Glides (NAGs) in this population remains limited. Methods: This experimental study used a randomized pretest–posttest two-group design conducted at a physiotherapy clinic in Bali (2024). A total of 32 male surfers aged 30–40 years with NSLBP were selected using purposive sampling and allocated into two groups (n=16 each). The independent variables were conventional physiotherapy and conventional physiotherapy combined with Mulligan’s NAGs and ultrasound therapy, while the dependent variable was functional ability measured using the Modified Oswestry Disability Index (MODI). Interventions were administered three times per week for three months. Data were analysed using paired sample t-tests (within-group) and independent t-tests (between-group). Results: Both groups demonstrated improvement; however, the group receiving additional Mulligan’s NAGs showed greater reduction in MODI scores (31.13% ± 3.341) compared to the conventional group (29.09% ± 2.731), with a statistically significant difference (p = 0.002). Conclusion: The addition of Mulligan’s NAGs is more effective in improving functional outcomes in NSLBP. Clinically, nurses and rehabilitation providers should consider integrating biomechanical-based interventions alongside conventional therapy to optimize patient recovery.
Co-Authors A A I Ayesa Febrinia Adyasputri Adhitya, I Putu Gde Surya Anak Agung Gede Angga Puspa Negara Anak Agung Gede Eka Anak Agung Gede Eka Anak Agung Gede Eka Septian Utama Anak Agung Gede Eka Septian Utama Antari, Ni Komang Ayu Juni Ari Wibawa Bagus Komang Satriyasa Dedi Silakarma Dellania Grandifolia Mustafa Dellania Grandifolia Mustafa Desak Made Dewi Mahayuni Desak Risa Pertiwi Dessyta Luxsmadewi Aryadhe Dewa Ayu Ketut Indriani Putri Dewi, Anak Ayu Nyoman Trisna Narta Doni Galih Bagaswara Dwitia Putri, Thania Gede Parta Kinandana Gede Parta Kinandana Govinda Vittala I Dewa Gd Alit Kamayoga I Dewa Gede Alit Kamayoga I Dewa Made Ary Suandika I Dewa Made Ary Suandika I Gusti Agung Shinta Paramitha Devi I Gusti Ayu Artini I Gusti Ayu Artini I Kadek Adi Satya Nugraha I Made Dhita Prianthara I MADE MULIARTA . I Made Niko Winaya I Made Winarsa Ruma I Made Yoga Prabawa I Nyoman Adi Putra I P G. Adiatmika I Putu Gde Surya Adhitya I Putu Yudi Pramana I Putu Yudi Pramana Putra I Putu Yudi Pramana Putra I Wayan Gede Sutadarma I Wayan Sugiritama I Wayan Sugiritama Ida Ayu Dewi Wiryanthini Ida Bagus Gde Putra Keniten Ida Bagus Komang Ari Krisnayana Indira Vidiari Juhanna Kadek S Prima Dewi S Kamayoga, I Dewa Gede Alit Kenny Andrian Ketut Juliati Komang Ari Selin Komang Trisna Bayu Suta Komang Trisna Bayu Suta Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Sintya Paramasti Made Donna Safira Pitaloka Barani Made Hendra Satria Nugraha Made Vasundhari Putri Gayatri Made Vasundhari Putri Gayatri Nacha Najabilubaba Ni Dyah Putu Purnamasari Ni Kadek Mira Wirayani Ni Kadek Yuni Fridayani Ni Kadek Yuni Fridayani Ni Komang Ayu Juni Antari Ni Luh Gede Puji Andini Ni Luh Nopi Andayani Ni Luh Putu Gita Karunia Saraswati Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Wispayani Ni Putu Alvina Dharma Yunita Ni Wayan Nirmala Putri Miasa Ni Wayan Tianing Ni Wayan Tianing Nila Wahyuni Paramita, Dewa Ayu Made Dhyana Pradnyan Pramana, I Putu Yudi Putra, I Putu Yudi Pramana Putu Ayu Sita Saraswati Putu Intan Noviyanti Putu Leli Juniari Putu Sri Putri Laksmi Putu Sutha Nurmawan Ramantika, Ni Nengah Esti Rolyta Triasari Purba Saputri, Desi Mevlana Sayu Aryantari Putri Thanaya Septian, Anak Agung Gede Eka Sugijanto - Sutyawan, I Wayan Eka Utama, A.A Eka Septian Utama, A.A. Gd Eka Septian Vittala, Govinda Wahyuddin, Wahyuddin Yudi Pramana Putra