Effect of Mulligan Bent Leg Raise Technique on Low Back Pain Subjects with Radiculopathy

Abstract

Brain Mulligan pioneered the use of manual therapy techniques. In clinical practise, these approaches are often utilised. Among many techniques, bent leg raise is an innovative technique that is said to improve the range of straight leg raise, reduce pain, and reduce the degree of impairment in low back pain with radiculopathy. Clinical trial has not sufficiently demonstrated the efficacy of this approach. As a result, research on the effectiveness of the bent leg raise approach in low back pain with radiculopathy on pain and range of motion is required. 30 male subjects with straight leg raise limitations ranging from 300 to 700 were divided into two groups of 15 each (A and B). Mulligan bent leg raise technique, interferential therapy, intermittent pelvic traction, and spinal extension exercise were administered to Group A. Interferential therapy, intermittent pelvic traction, and spinal extension exercise were administered to Group B for 5 days. The pain and range of straight leg raise were assessed before and after treatment using the Numerical pain rating scale and a universal goniometer, respectively. In Group A, there was statistically significant reduction in NPRS score and improvement in SLR range and the calculated (t=29.078, P value=0.001), (t=22.149, P=0.001). In Group B, there was statistically significant reduction in NPRS score and improvement in SLR range and the calculated (t=20.917, P value=0.001), (t=9.287, P=0.001). When comparing Group, A and B, there was statistically significant reduction in NPRS score and improvement in SLR range was observed in group A. The study concludes that Mulligan bent leg raise is effective in reducing pain and improvement in range of straight leg raise in low back pain subjects with radiculopathy.

The effects of hamstring stretching exercises on pain intensity and function in low back pain patients: A systematic review with meta-analysis of randomized controlled trials

“…Twelve trials 24 – 35 with a total of 432 participants evaluated the impact of hamstring stretching on pain intensity using a VAS and NPRS. Hamstring stretching resulted in lower pain scores compared to regular treatment in different categories of LBP (SMD = −0.72, 95% CI: −1.35 to −0.09; I 2 = 89%, p = 0.03).…”

“…Six trials 24 , 32 – 34 , 36 , 37 involving a total of 225 participants evaluated the impact of hamstring stretching on hamstring muscle flexibility. Subgroup analysis showed that hamstring stretching resulted in a greater range of motion for hamstring muscle flexibility compared to regular treatment specifically for cases of back pain with radiating pain (SMD = 2.39, 95% CI: 1.76–3.02; I 2 = 0%, p < 0.001).…”

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

“…These techniques are administered while patients engage in either active or passive movements or during resisted muscle contractions. Mulligan's approach is conducted within the pain-free range of motion, potentially enhancing its safety compared to other manual therapy methods [ 13 ].…”

“…These techniques are administered while patients engage in either active or passive movements or during resisted muscle contractions. Mulligan's approach is conducted within the pain-free range of motion, potentially enhancing its safety compared to other manual therapy methods [13]. suggested that the prompt pain-relieving effects of Mulligan's techniques could be attributed to the activation of non-opioid endogenous pain inhibition pathways.…”

Effectiveness of Active Releasing Technique Vs Mulligan Bent Leg Raise for Footballers with Hamstring Tightness

“…It is fairly simple to observe how each component contributes to or keeps the cycle of harm going as we go around it. (27) (28) Maintaining hamstring muscle flexibility is important for the general and athletic population, as well as for health care professionals. To achieve this goal, one must first learn the most effective and efficient technique for gaining hamstring flexibility.…”