Comparison of Mulligan Bent Leg Raise vs Active Release Technique in Patients With Hamstring Tightness

NCT05655585 | Completed DMC

• 1 other identifier: REC -01393 Roheena Mustansar
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The sedentary lifestyle of today's world, prolonged time period of sitting during office hours and educational setups do have an effect on the flexibility of bi-articular muscles. Hamstring flexibility is a significant variable as decreased extensibility has been suggested as a prejudicing feature for injuries, poor posture and non-specific low back pain.Active Release Technique (ART) is a soft tissue method that focuses on relieving tissue tension via the removal of fibrosis/adhesions which can develop in tissues as a result of overload due to repetitive use. These disorders may lead to muscular weakness, numbness, aching, tingling and burning sensations. ART has been reported to be both a diagnostic and a treatment technique.Mulligan's bent leg raise (BLR) is a stretching technique which is a modern progression in the treatment of hamstring tightness. It is indicated in hamstring tightness patients with backache having restricted or painful straight leg raise (SLR), leg pain above knee and it is very beneficial in the patients having gross bilateral limitations of straight leg raise. It stretches the lower extremity muscles in combination of hamstring, adductors and rotators

Conditions

Hamstring Injury

Keywords

pain; active release technique; mulligan bent leg raise; hamstring tightness

Outcome Measures

Primary Outcomes (4)

• Active Knee Extension Test

  The Active Knee Extension test is used to measure the length of hamstring, with normal values of knee motion to within 20֯degree of full extension being quoted. The patient lies in supine position on a plinth and flexes his knee and hip to 90֯. The therapist monitors the position of the femur with his hand. The patient was asked to extend his involved leg as far as possible; keeping his foot relaxed, and holds the position for 5sec. The angle of knee extension was measured using a standard goniometer

  four weeks

• Lower extremity functional scale

  The Lower extremity functional scale is a questionnaire consisting of 20 questions, used to assess a person's ability to perform everyday tasks. The maximum possible score is 80 points, indicating very high function. The minimum possible score is 0 points, indicating very low function.

  four weeks

• Visual Analogue Scale (VAS).

  This tool is used to measure the intensity of pain. The patient marks the intensity of pain on scale ranging 0 to 10. Where 0 is no pain and 10 describes worst ever type of pain

  four weeks

• Modified sit and reach test

  This test is used to assess the flexibility of hamstring and lower back. For the Modified Sit and Reach, the participants will be seated on the floor with head, back and hip against a wall (90◦ angle at hip joint), with both legs fully extended and the feet placed against the box. In this position, the participant will be required to place hand over hand and reach out level with the measurement scale, keeping the head, back, and hips in contact with the wall, with only scapular abduction performed. Then the finger to-box distance will be measured as the distance between the fingertips and the point at which the feet rested against the box (point 35 of the scale).

  four weeks

Study Arms (2)

Active Release Technique

EXPERIMENTAL

Participant will be in prone position on a couch with the therapist standing next to the patient. The patient is asked to flex the knee to 90 degree of the involved side. The therapist then applies gentle tension longitudinally to the hamstring muscle along the entire length while the patient actively moves his knee from flexion to extension

Other: Active Release Technique; Other: Mulligan Bent Leg Raise

Mulligan Bent Leg Raise

EXPERIMENTAL

Participant was in supine lying on a high couch with the therapist in standing position lateral to the leg, which is to be stretched. Hip and Knee of the side to be stretched was bent at 90- 90 degree. Investigator places participant's flexed knee over his shoulder such that the popliteal fossa of the knee rest on his shoulder. A distraction (longitudinal traction force along the long axis of femur) was applied at the lower end of femur

Other: Active Release Technique; Other: Mulligan Bent Leg Raise

Interventions

Active Release Technique OTHER

Participant will be in prone position on a couch with the therapist standing next to the patient. The patient is asked to flex the knee to 90 degree of the involved side. The therapist then applies gentle tension longitudinally to the hamstring muscle along the entire length while the patient actively moves his knee from flexion to extension

Active Release Technique; Mulligan Bent Leg Raise

Mulligan Bent Leg Raise OTHER

Participant was in supine lying on a high couch with the therapist in standing position lateral to the leg, which is to be stretched. Hip and Knee of the side to be stretched was bent at 90- 90 degree. Investigator places participant's flexed knee over his shoulder such that the popliteal fossa of the knee rest on his shoulder. A distraction (longitudinal traction force along the long axis of femur) was applied at the lower end of femur

Active Release Technique; Mulligan Bent Leg Raise

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients having Low Back Pain due to hamstring tightness.
• Patients having Sacro Iliac Joint pain due to hamstring tightness.
• degree active knee extension loss with hip in 90-degree flexion

You may not qualify if:

• Fractures of hip and knee.
• Patients with hamstring injury in past 2 years.
• Hypermobility of lower limb joint.
• Neurological abnormalities.
• Tumors
• Infection
• Medical history of injury to back
• Inflammatory conditions (rheumatoid arthritis, ankylosing spondylitis)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Aziz Bhatti Shaheed Hospital

Dhok Gujra, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 9, 2022
• First Posted: December 19, 2022
• Study Start: December 3, 2022
• Primary Completion: March 1, 2023
• Study Completion: March 1, 2023
• Last Updated: June 28, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)