Mulligan BLR Versus Mulligan TSLR Versus Neural Mobilization n Patient With Lumber Radiculopathy

NCT05258214 | Completed DMC

• 1 other identifier: REC-FSD-00272
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to compare the effectiveness of mulligan traction Straight Leg Raise and mulligan's bent leg rise and neural mobilization to conventional therapies in order to assess which treatment is more successful in treating lumbar radiculopathy-related dysfunction.

Conditions

Lumbar Radiculopathy

Keywords

Mulligan Technique; Mulligan Traction; Neural Mobilization; Bent Leg Raise; Randomized Control Trial; Straight Leg Raise; Radiculopathy

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale

  The Numerical Pain Rating Scale is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0; no pain at all to 10; worst imaginable pain.

  12th Week

• Modified Oswestry low back pain questionnaire

  Modified Oswestry low back pain questionnaire is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools

  12th Week

• Goniometer

  Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure each joint movement.

  12th Week

Study Arms (3)

Mulligan Bent Leg Raise With Conventional Therapy

EXPERIMENTAL

This group will receive mulligan's bent leg raise with conventional therapy. In a mulligan bent leg lift, the practitioner stands on the side of the supine subject on the couch with minimal hamstring stability. The subject's flexed knee is placed over the therapist's shoulder, and the subject is instructed to force the therapist with his leg before relaxing. At this moment, the therapist pushes subject's bent knee as high as possible on the same side as his (therapist's) shoulder. Mulligan's Bent Leg is performed three times. The raises took 7 seconds to keep and 5 seconds to relax. And conventional therapy includes ultrasound, lumber strengthening, stretching exercises, stabilizing exercises for 30 minutes.

Other: Mulligan Bent Leg Raise

Mulligan Traction Straight Leg Raise With Conventional Therapy

EXPERIMENTAL

This group will receive mulligan's traction Straight Leg Raise with conventional therapy. Patients were placed in a supine position on a low couch or the floor and provided the Mulligan traction leg raise with knees bent.. Mulligan's Traction is repeated three times. Straight Leg Raise was kept for 7 seconds and then relaxed for 5 seconds. Three repetitions of the pain-free Straight Leg Raise traction is performed. And conventional therapy include ultrasound, lumber strengthening, stretching exercises, stabilizing exercises for 30 minutes.

Other: Mulligan Traction Straight Leg Raise

Neural Mobilization With Conventional Therapy

EXPERIMENTAL

This group will receive neural mobilization with conventional therapy. Straight leg raise movements will be used to trigger sciatic nerve pain during neural mobilization exercises. Based on the participant's responses and tolerance, several repetitions may be done. The range of motion will be expanded as the symptom increases before the full Straight Leg Raise range is reached. The position will be kept for a total of 5 minutes and 30 seconds. Repetition will be carried out. And conventional therapy include ultrasound, lumber strengthening, stretching exercises, stabilizing exercises for 30 minutes.

Other: Neural Mobilization

Interventions

Mulligan Bent Leg Raise OTHER

Mulligan's bent leg raise, as well as the extreme Straight Leg Raise, can be used to relieve Low Back Pain. It can be used to treat leg discomfort that is above the knee. Bent Leg Raise methods are used where there is a restricted range of motion in the hip flexion joint, as well as low back pressure with or without referred leg pain.

Mulligan Bent Leg Raise With Conventional Therapy

Mulligan Traction Straight Leg Raise OTHER

Mulligan traction leg raise exercises are a non-invasive treatment that has been shown to help people with low back pain and reduced hip flexion range. Conservative sciatica therapy focuses on pain relief, but increasing Straight Leg Raise range will help restore normal mobility and reduce the severity of low back disability.

Mulligan Traction Straight Leg Raise With Conventional Therapy

Neural Mobilization OTHER

These techniques are designed to mobilize a nerve with as little pressure down, resulting in a larger longitudinal excursion than techniques that actually lengthen the nerve bed, such as tensioning procedures.

Neural Mobilization With Conventional Therapy

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Between the ages of 18 and 65, all genders
• positive slump measure of lumbar specific nerve bias,
• mild to moderate irritation on a Numeric Pain Level Scale of less than seven,
• unilateral radiculopathy in the distribution of a single nerve with a favourable SLR,
• prone knee bent test; positve test,
• hypoaesthesia in a specific dermatome of the unilateral lower limb, accompanied by reduced mobility
• the result of the deep tendon (knee jerk, ankle jerk).

You may not qualify if:

• individuals with gradually occurring neurological problems
• Trauma, cancer, and constitutional symptoms are indeed red flags (Fever, Malaise, Weight Loss).
• Hip and knee fractures are common.
• Lower-extremity dislocations.
• Hamstring strains.
• Joint hypermobility of the lower limb.
• Muscle imbalance in lower limb
• Nerve lesions in the lower extremity.
• Subjects who have had low back pain in the previous two months.
• Hip flexion ROM was greater than 100 degrees for the straight knee.
• Neurological defects.
• Metal bolts, plates, or screws in the femur.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ripah International University

Faisalabad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Muhammad Kashif

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Single Blinding will be performed in this study
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2022
• First Posted: February 28, 2022
• Study Start: March 1, 2021
• Primary Completion: March 25, 2022
• Study Completion: March 28, 2022
• Last Updated: May 19, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)