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

Lumbar Radiculopathy Clinical Trial

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05258214
• Other study ID #: REC-FSD-00272
• Status: Completed
• Phase: N/A
• Start date: March 1, 2021
• Est. completion date: March 28, 2022

Study information

• Verified date: May 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: March 28, 2022
• Est. primary completion date: March 25, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

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.

Related Conditions & MeSH terms

• Lumbar Radiculopathy
• Radiculopathy

Intervention

Other:
• Mulligan Bent Leg Raise
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.
• Mulligan Traction Straight Leg Raise
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.
• Neural Mobilization
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.

Locations

Country	Name	City	State
Pakistan	Ripah International University	Faisalabad	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	12th Week
Primary	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	12th Week
Primary	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.	12th Week