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Mulligan's Bent Leg Raise Technique in Healthy Females

Primary Purpose

Hamstring Contractures

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Mulligan Bent Leg Raise Technique
Static Stretching
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hamstring Contractures

Eligibility Criteria

18 Years - 24 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Only healthy females will be included.
  • Age 18-24 years.
  • BMI normal
  • Hamstring muscle tightness -90-90 hip active knee extension test positive (AKET).

Exclusion Criteria:

  • Any traumatic and infectious condition involving lower limb.
  • Pathologies and deformities related to knee and hip joint.
  • Any neurological symptoms affecting the lower limbs.
  • Subjects performing regular exercises or stretching.

Sites / Locations

  • king's Rehab center at king's college of Health sciences

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Mulligan's bent leg raise Technique

Static stretching

Arm Description

Mulligan's bent leg raise Technique and Static Stretching

Static Stretching

Outcomes

Primary Outcome Measures

Active Knee Extension Test (AKET)
The subject lies supine on a firm table with their head back and arms folded across the chest. The hip is passively flexed until the thigh is vertical - use the spirit level to measure the position of the thigh. The opposite leg is placed in a fully extended position on the table.
Modified Schobber's Test
The validity of the modified-modified Schober test is moderate (r=0.67) with an excellent interclass (r=0.91) and intraclass (r=95) reliability

Secondary Outcome Measures

Full Information

First Posted
January 19, 2021
Last Updated
August 23, 2021
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT04716205
Brief Title
Mulligan's Bent Leg Raise Technique in Healthy Females
Official Title
Effects of Mulligan's Bent Leg Raise Technique on Hamstring Flexibility and Lumber Spine Mobility in Healthy Females
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
January 25, 2021 (Actual)
Primary Completion Date
July 25, 2021 (Actual)
Study Completion Date
July 30, 2021 (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
No

5. Study Description

Brief Summary
To determine the effects of mulligan's bent leg raise technique on hamstring flexibility and lumber spine mobility in healthy females
Detailed Description
Flexibility is a pivotal constituent of the physical fitness and held as an integral aspect that capacitate the person to move smoothly and safely. Although the flexibility of all the muscles of the body is essential for normal human function, the flexibility of hamstring muscle is much emphasized. Investigations suggest adequate flexibility of the Hamstring muscles is compulsory for a healthy lower back. Lack of hamstring muscles extensibility conditions a decrease of pelvic mobility. This invariably leads to biomechanical changes in the pressure distribution of the spine and consequent spinal disorders. This study will be a randomized control trial and will be conducted in health sciences collage in Bahawalpur. The study will be completed within the time duration of six months. Convenient sampling technique will be used to collect the data. The sample size of 48 patients will be taken in this study to find the Effects of Mulligan's bent leg raise technique on hamstring flexibility and lumber spine mobility in healthy females. Patient will be divided into two groups. Static Stretching will be given to both group as a baseline treatment. (Group A will be treated with Mulligan's bent leg raise techniques and static stretching Group B will be treated with static stretching only. Participants will be assessed for hamstring tightness with Active Knee Extension Test (AKET) and readings will be noted and lumbar mobility will be assess using Modified Schober Test (MMST). Assessments will be done at baseline and post intervention on 5th and 10th day. Intervention will be given 5 days per week for two weeks. Data will be analyzed on SPSS 25.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hamstring Contractures

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mulligan's bent leg raise Technique
Arm Type
Experimental
Arm Description
Mulligan's bent leg raise Technique and Static Stretching
Arm Title
Static stretching
Arm Type
Active Comparator
Arm Description
Static Stretching
Intervention Type
Other
Intervention Name(s)
Mulligan Bent Leg Raise Technique
Intervention Description
Participant will be in supine lying on a high couch with the resting on the shoulder. A distraction (longitudinal traction force along the long axis of femur) will be investigator in walk stand position lateral to the leg, which to be stretch. Hip and Knee of the side to be stretch will bent at 90˚- 90 ˚. Participant's flexed knee will be placed over the shoulder, the popliteal fossa of the knee applied at the lower end of femur and the participant will ask to push the shoulder with his or her leg followed by voluntary relaxation.The traction will maintained throughout the technique.
Intervention Type
Other
Intervention Name(s)
Static Stretching
Intervention Description
It will be given in supine position by performing passive SLR and end range will hold in 30sec.
Primary Outcome Measure Information:
Title
Active Knee Extension Test (AKET)
Description
The subject lies supine on a firm table with their head back and arms folded across the chest. The hip is passively flexed until the thigh is vertical - use the spirit level to measure the position of the thigh. The opposite leg is placed in a fully extended position on the table.
Time Frame
10 days
Title
Modified Schobber's Test
Description
The validity of the modified-modified Schober test is moderate (r=0.67) with an excellent interclass (r=0.91) and intraclass (r=95) reliability
Time Frame
10 days

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Only healthy females will be included. Age 18-24 years. BMI normal
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
24 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Only healthy females will be included. Age 18-24 years. BMI normal Hamstring muscle tightness -90-90 hip active knee extension test positive (AKET). Exclusion Criteria: Any traumatic and infectious condition involving lower limb. Pathologies and deformities related to knee and hip joint. Any neurological symptoms affecting the lower limbs. Subjects performing regular exercises or stretching.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Saima Zahid, PhD*
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
king's Rehab center at king's college of Health sciences
City
Bahawalpur
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
Citation
Kapadia PD, Meshram VKJI. A comparative study on immediate effects of traction straight leg and bent leg raise on hamstring muscle flexibility in normal individuals. 2019;5(4):274-8.
Results Reference
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Citation
Singh S, Grover V, Singh SJIJoHS, Research. Effect of Neural Mobilization and PNF Stretching on Hamstring Flexibility in working women. 2015;5(8):361-8.
Results Reference
background
Citation
Chintamani R, Metgud S, Heggannavar A. Short Term Effects of Instrument Assisted Soft Tissue Mobilisation Technique Versus Mulligan's Bent Leg Raise Technique in Asymptomatic Subjects with Hamstring Tightness-A Randomised Clinical Trial.9(10):50-64.
Results Reference
background
Citation
Phadnis T, Bhave SJPR. Comparative Study of Mulligan Bent Leg Raise vs. Hold Relax Proprioceptive Neuromuscular Facilitation on Hamstring Tightness in High School Student. 2018;3(156):2573-0312.1000156
Results Reference
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Citation
Shinde SV, Kanase SBJIJoD, Sciences M. Effect of mulligan bent leg raise versus neural mobilization on hamstring tightness in college students. 2017;16(3):59-63.
Results Reference
background
Citation
Dr. Sejal Sathe1 DGMA. To compare the effectiveness of mulligan's bent leg raise and traction straight leg raise on hamstring flexibility in young individuals International Journal of Yoga, Physiotherapy and Physical Education May 2018;Volume 3(Issue 3):Page No. 30-3
Results Reference
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Citation
Khatri S, Yeole U, Kurle S. Effects of various mulligan technique on hamstring muscle imbalance and lumbar spine mobility in marathon runners: A randomized control trial. 2018;5(6):3-6.
Results Reference
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PubMed Identifier
26929476
Citation
Yildirim MS, Ozyurek S, Tosun O, Uzer S, Gelecek N. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016 Mar;33(1):89-94. doi: 10.5604/20831862.1194126. Epub 2016 Feb 8.
Results Reference
background
PubMed Identifier
29843520
Citation
Pourahmadi MR, Mohsenifar H, Dariush M, Aftabi A, Amiri A. Effectiveness of mobilization with movement (Mulligan concept techniques) on low back pain: a systematic review. Clin Rehabil. 2018 Oct;32(10):1289-1298. doi: 10.1177/0269215518778321. Epub 2018 May 30.
Results Reference
background
PubMed Identifier
27210844
Citation
Tambekar N, Sabnis S, Phadke A, Bedekar N. Effect of Butler's neural tissue mobilization and Mulligan's bent leg raise on pain and straight leg raise in patients of low back ache. J Bodyw Mov Ther. 2016 Apr;20(2):280-5. doi: 10.1016/j.jbmt.2015.08.003. Epub 2015 Aug 14.
Results Reference
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Citation
13. Choi Y-j, Sim H-p, Lee J-yJTJoKAoOMPT. The Comparison of Effects Mulligan's Technique Applied to Shortened Hamstring. 2018;24(1):7-14.
Results Reference
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Mulligan's Bent Leg Raise Technique in Healthy Females

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