A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

Abstract

Low back pain is a leading cause of functional disability. Low back pain is a problem that every one of all age groups faces and there are various methods used to correct low back pain. Manual therapy is a specialized area in physiotherapy which manages neuromuscular pain. Manual therapy techniques include the Maitland mobilization technique, Kaltenborn mobilization technique, Mulligan technique, Active release technique, and many more. Manual therapy mainly works on arthrokinematics and osteokinematics of the joint. It is one of the main strategies used to manage low back pain. Low back pain can be because by spinal dysfunction, Sacroiliac dysfunction, muscle pathology, or any ligamentous strain. The cause of the low back pain should be identified and treated accordingly. Articles using keywords -chronic low back pain, Mulligan, and non-specific low back pain were searched on the database of Pubmed and Scopus a total of 30 articles from the timeframe of 2011 to 2021 were included in the study. From this review, we can conclude that Mulligan mobilization with movement is an effective way to reduce low back pain. Further studies need to be conducted to check the effectiveness of manual therapy techniques in chronic low back pain.

“Mulligan Bent Leg Raise” Technique in Avascular Necrosis

“…In comparison to other manual therapy methods, Mulligan mobilization is a more effective course of treatment for persistent LBP. When concluding, factors including pain, stiffness, and impairment were taken into account [ 16 ].…”

Development and Validation of the Cognitive Behavior Questionnaire in Nonspecific Chronic Low Back Pain (CBQ-NSCLBP)

“…One hundred and seventy-four patients of NSCLBP were selected based on the inclusion criteria of persistent pain for at least three months that was aggravated by changes in posture, movement, or physical activity. All the participants between the age of 18-60 years were included [ 16 , 17 ]. Participants were excluded if they received a medical procedure for pain relief (such as a facet or sacroiliac joint injection, myofascial trigger point injection, or denervation procedure) within the last three months, had prior spinal surgeries, had indications of neurological damage (i.e.…”

“…Previous research suggests a strong association between psychological distress, catastrophizing, fearavoidance belief, and NSCLBP [4,14]. Analysis and interpretation of these associated factors are very important when we are treating NSCLBP [15][16][17][18][19][20]. While many assessments concentrate on evaluating symptoms or overall functioning, a deeper understanding of the underlying cognitive causes causing discomfort or dysfunction is required.…”

Management of Low Back Pain With Concurrent Hamstring Tightness: A Case Report Highlighting the Efficacy of Proprioceptive Neuromuscular Facilitation, Mulligan’s Two-Leg Rotation Technique, and Exercise Regimen

“…Chronic primary LBP is defined by the World Health Organization as persistent or recurrent pain lasting more than three months without a clear underlying disease process, structural lesion, or deformity. Chronic low back pain (CLBP) predominates, affecting approximately one in six adults globally but can often be effectively managed without surgery in primary and community care settings [ 2 ]. Pain stemming from the lumbar, lumbosacral, or sacroiliac regions varies depending on the affected area.…”