search
Back to results

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

Primary Purpose

Lumbar Radiculopathy

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Mulligan Bent Leg Raise
Mulligan Traction Straight Leg Raise
Neural Mobilization
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lumbar Radiculopathy focused on measuring Mulligan Technique, Mulligan Traction, Neural Mobilization, Bent Leg Raise, Randomized Control Trial, Straight Leg Raise, Radiculopathy

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 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).

Exclusion Criteria:

  • 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.

Sites / Locations

  • Ripah International University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Mulligan Bent Leg Raise With Conventional Therapy

Mulligan Traction Straight Leg Raise With Conventional Therapy

Neural Mobilization With Conventional Therapy

Arm Description

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.

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.

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.

Outcomes

Primary Outcome Measures

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.
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
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.

Secondary Outcome Measures

Full Information

First Posted
February 20, 2022
Last Updated
May 18, 2022
Sponsor
Riphah International University
search

1. Study Identification

Unique Protocol Identification Number
NCT05258214
Brief Title
Mulligan BLR Versus Mulligan TSLR Versus Neural Mobilization n Patient With Lumber Radiculopathy
Official Title
Mulligan Bent Leg Raise Versus Mulligan Traction Straight Leg Raise Versus Neural Mobilization With Conventional Therapy On Pain & Functional Disability In Patient With Lumber Radiculopathy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
March 25, 2022 (Actual)
Study Completion Date
March 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

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.
Detailed Description
After the synopsis is approved, Randomized Control Trial study will be performed at Riphah International University Faisalabad. The patients will be enrolled using a targeted sampling method. Patients would be chosen based on pre-established inclusion and exclusion requirements. For this analysis, a sample size estimate shows that 30 randomly selected male or females (18 yrs - 65 yrs) who match the selection criteria will be needed. A basic random sample of 30 lumbar radiculopathy patients was used in an experimental trial. They were divided into three groups of ten people: Group A received neural mobilization with conventional therapy, Group B received mulligan's bent leg rise with conventional therapy, and Group C received mulligan's traction Straight Leg Raise with conventional therapy for six months. Numeric Pain Rating Scale, passive Straight Leg Raise, Goniometer, and modified Oswestry low back pain Questionnaire will be used as outcome tests. After the sixth week, the pre-treatment and post-treatment results will be compared. Each patient will be asked to give their informed consent. Statistical Package of Social Sciences Version 20 can be used for data entry and analysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lumbar Radiculopathy
Keywords
Mulligan Technique, Mulligan Traction, Neural Mobilization, Bent Leg Raise, Randomized Control Trial, Straight Leg Raise, Radiculopathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Masking Description
Single Blinding will be performed in this study
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mulligan Bent Leg Raise With Conventional Therapy
Arm Type
Experimental
Arm Description
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.
Arm Title
Mulligan Traction Straight Leg Raise With Conventional Therapy
Arm Type
Experimental
Arm Description
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.
Arm Title
Neural Mobilization With Conventional Therapy
Arm Type
Experimental
Arm Description
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.
Intervention Type
Other
Intervention Name(s)
Mulligan Bent Leg Raise
Intervention Description
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.
Intervention Type
Other
Intervention Name(s)
Mulligan Traction Straight Leg Raise
Intervention Description
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.
Intervention Type
Other
Intervention Name(s)
Neural Mobilization
Intervention Description
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.
Primary Outcome Measure Information:
Title
Numeric pain rating scale
Description
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.
Time Frame
12th Week
Title
Modified Oswestry low back pain questionnaire
Description
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
Time Frame
12th Week
Title
Goniometer
Description
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.
Time Frame
12th Week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 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). Exclusion Criteria: 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Kashif
Organizational Affiliation
Riphah International University
Official's Role
Study Chair
Facility Information:
Facility Name
Ripah International University
City
Faisalabad
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

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

We'll reach out to this number within 24 hrs