Mulligan Traction Straight Leg Raise Versus Post Isometric Relaxation on Hamstring Tightness in Asymptomatic Patients

NCT04689607 | Completed

• 1 other identifier: Rec/00676 maryam khalid abbasi
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.Comparison between Mulligan traction straight leg raise (TSLR) and Post Isometric Relaxation (PIR) on hamstring, on range of motion (ROM) of knee extension and flexibility of hamstring muscle.
2. 2.Secondary objective of the study is to compare the effectiveness of Mulligan Traction Straight Leg Raise (TSLR) and Post Isometric Relaxation (PIR) in lumber spine mobility in healthy individuals.
3. 3.This study will also help to reduce the financial burden of society by identifying the commonly neglected hamstring tightness as one of the causes of developing low back pain and eventually affecting their health.
4. 4.This study will provide evidence regarding prevention of low back pain as hamstring tightness is one of the risk factor for developing low back pain.

Conditions

Hamstring Tightness

Keywords

hamstring tightness; post isometric relaxation; SLR

Outcome Measures

Primary Outcomes (2)

• Active Knee Extension test (Popliteal angle):

  Position the extremity which is being tested in hip 90 degrees of flexion,0 degrees of abduction, adduction, and rotation.The knee that is being tested is relaxed in flexion.The opposite limb will rest on the examining table with the knee positioned in full extension and the hip in 0 degrees of extension, flexion, adduction abduction, and rotation. Stabilize the femur to maintain the hip in 90 degrees of flexion and to avoid unnecessary movement at hip joint. Extend the knee to the end point when resistance is felt from development of tension in the posterior thigh muscles and upon further knee extension causes the hip extension. Measurement of knee ROM the landmarks are greater trochanter, lateral condyle of femur and the lateral malleolus. On lateral condyle of femur the fulcrum of the goniometer will be placed, the proximal arm fixed along the femur using greater trochanter as reference.The distal arm will be aligned with the lower leg using the lateral malleolus as reference.

  for two weeks

• Modified Modified Schober's Technique for lumber flexion:

  The investigator knelt behind standing patient and marked the Posterior superior iliac spine by labeling with her thumbs the inferior margins of the Posterior superior iliac spine of the subject. Along the midline of the lumbar spines horizontal to the Posterior superior iliac spine ,an ink mark was drawn.15 cm above the original mark, another ink mark was made. Between the skin markings, the tape measure was then lined up. The therapist instructed the subject to bend forward with the tape measure firmly pressed against the skin of the subject, and while holding the tape measure with his or her fingertips. The new distance between the superior and inferior skin markings was measured when the subject bent forward into complete lumbar flexion. After trunk flexion, the distance between these marks was measured and the change in the gap between the marks was used to demonstrate the amount of lumbar flexion. All skin marks were cleaned using rubbing alcohol after each measurement.

  for two weeks

Study Arms (2)

Mulligan Traction Straight Leg Raise (TSLR)

EXPERIMENTAL

This technique involves sustained traction applied to the limb. Patient actively does the SLR and both the therapist and the patient note the range. Therapist now grasp patient lower leg proximal to the ankle joint and raise it off the bed to a position just short of the painful range. Therapist flexes his knees and holds the clasped leg to his (therapist's) chest. When the therapist extends his knees this will effectively apply a longitudinal traction to the leg provided the bed is low enough and the therapist is tall enough. Sustain this traction and undertake a straight leg raise as far as it will go provided there is no pain.When pain free SLR with traction is given for three times.

Other: Mulligan Traction Straight Leg Raise (TSLR)

Post Isometric Relaxation technique (PIR):

ACTIVE COMPARATOR

The patient is placed in the supine position with the non-affected leg lying flat on the table. The knee of the affected leg is gently placed in extension, and the affected hip is then flexed. The calf of the patient is then placed on the shoulder of the practitioner The practitioner stands on the side of the affected leg. The hands of the practitioner are then placed over the upper leg, just proximal to the knee. The hip of the affected leg is then passively flexed until resistance is felt. The patient is instructed to gently attempt to push down on the practitioner's shoulder with the leg against the practitioner's resistance. The practitioner resists hip extension to create an isometric contraction and then, after appropriate time and breathing instructions. The patient is instructed to relax and the practitioner gently flexes the hip until the next barrier is reached. After a period of relaxation, the technique will be repeated three to four times.

Other: Post Isometric Relaxation technique (PIR):

Interventions

Mulligan Traction Straight Leg Raise (TSLR) OTHER

The patient was in a supine position on a low bed and the therapist faced the limb of the patient that was to be treated. The therapist grasped the lower leg of the patient just near the ankle and raises the leg off the bed to a position just above the painful range. The therapist flexes the knees. Traction was retained as far as possible with a straight leg lift if there was no pain. The pain-free traction straight leg raise range was administered for 10 second and the procedure was repeated three times.

Mulligan Traction Straight Leg Raise (TSLR)

Post Isometric Relaxation technique (PIR): OTHER

The knee of the affected leg was extended, and the affected hip was flexed. Then the calf of the patient was placed on the shoulder of therapist. The therapist was standing on the side of the affected leg. The flexion of the hip was performed on the affected leg until resistance was felt. The patient was asked to gently push down on the therapist's shoulder with the leg. The therapist resisted hip extension to create an isometric contraction. The duration of the contraction was 10 seconds. Then the patient was instructed to relax and the therapist gently flexed the hip until the next barrier was felt. The technique was repeated three times.

Post Isometric Relaxation technique (PIR):

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Asymptomatic
• degrees active knee extension loss with hip in 90 degrees flexion in dominant limb.

You may not qualify if:

• Volunteers involved in recreational or flexibility sport activities.
• History of previous lower limb injury from past one year.
• History of fracture or surgery of back, pelvis, hip or knee.
• Spinal deformity.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Helping Hand Institute of Rehabilitation Sciences

Mānsehra, KPK, 21300, Pakistan

Location

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Study Officials

• Maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 25, 2020
• First Posted: December 30, 2020
• Study Start: March 1, 2020
• Primary Completion: December 20, 2020
• Study Completion: December 20, 2020
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)