Immediate effects of Mulligan Bent Leg Raise Technique and Conventional Physical Therapy on Pain and Hamstring Flexibility in patients with Non-specific Low Back Pain: A Randomized Control Trial
Investigating the immediate effects of Mulligan Bent Leg Raise in improving pain and hamstring flexibility in patients with Non-specific low back pain
Design
Two parallel group undergoing randomised trial with a blinded assessor and pre and post outcome assessment
Settings and conduct
For this study Hayatabad Medical Complex, Peshawar was selected as the setting with the trial undertaken in the physiotherapy dept. Only assessor was blind
In Mulligan Bent Leg Raise, the patient lies supine and is on the plinth edge with hip and knee of the affected lower extremity in 90° flexion while the physiotherapist stands with a walk stance with the affected extremity. The physiotherapist’s shoulder (near the affected side) will be under the participant’s popliteal fossa and the physiotherapist will clasp (using both hands) the participant’s thigh lower end. For the procedure, initially a length-wise traction is enforced and then hip flexion is added until physiotherapist feels resistance. If, during the process, participants feel pain then the therapist abducts or laterally rotates the hip by either adding more traction or no traction at all. Therapist holds the position for 20 seconds. Three times the process is repeated and then reassessed.
Main outcome variables
Numerical Pain Rating Score
Goniometer
General information
Reason for update
Acronym
MBLR
IRCT registration information
IRCT registration number:IRCT20210211050327N1
Registration date:2021-09-01, 1400/06/10
Registration timing:registered_while_recruiting
Last update:2021-09-01, 1400/06/10
Update count:0
Registration date
2021-09-01, 1400/06/10
Registrant information
Name
Bakht Khan Sardar
Name of organization / entity
Khyber Medical University
Country
Pakistan
Phone
+92 91 5615140
Email address
sardarbakhtkhan.pt@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-09-01, 1400/06/10
Expected recruitment end date
2021-10-01, 1400/07/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Immediate effects of Mulligan Bent Leg Raise Technique and Conventional Physical Therapy on Pain and Hamstring Flexibility in patients with Non-specific Low Back Pain: A Randomized Control Trial
Public title
Effects of Mulligan Bent Leg Raise on pain in the lower back and hamstring length
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Male and Female
Age (in years) 18-50
Chronic NSLBP with/without unilateral radiation between back and leg
LBP score of 0-7 on NPRS
SLR limited between 40°-70°
Tight Hamstrings
Exclusion criteria:
Bilateral SLR positive
Acute pain; LBP severe and irritable; LBP score from 8-10 on NPRS
Acute disc prolapse
Neurologically compromised
Dislocation, fracture, any bone and/or joint pathologies of the spine and lower limb
Any trauma to back, hip and knee which makes us unable to perform the intervention
Past 6 months surgical history of the back, hip and knee
Any clinical condition that might cause hindrance for the subject(s) to participate
Any infection or malignancy
Mental disorders
Taking analgesics/pain killer
Not fulfilling the inclusion criteria
Age
From 18 years old to 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
66
Randomization (investigator's opinion)
Randomized
Randomization description
Participants randomly allocated to control group and experimental group using lottery method in which they were asked to select a piece of paper from a box. Piece of paper marked with initial of the groups (such as A or B) and participants then allocated to the group initial that was on paper.
Blinding (investigator's opinion)
Single blinded
Blinding description
Assessor was another physical therapist who just measured pre - trial and post - trial recordings of pain and ranges.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Advance Studies & Research Board
Street address
F1 Phase-6 Rd, Phase 5 Hayatabad
City
Peshawar
Postal code
25100
Approval date
2021-07-05, 1400/04/14
Ethics committee reference number
DIR/KMU-AS&RB/IE/001398
Health conditions studied
1
Description of health condition studied
Non - specific Low Back Pain
ICD-10 code
M54.16
ICD-10 code description
Radiculopathy, lumbar region
Primary outcomes
1
Description
Pain
Timepoint
Before intervention and immediately after intervention
Method of measurement
Numerical Pain Rating Score
2
Description
Range of Straight Leg Raise
Timepoint
Before intervention and immediately after intervention
Method of measurement
Goniometry
3
Description
Range of Active Knee Extension
Timepoint
Before intervention and immediately after intervention
Method of measurement
Goniometry
Secondary outcomes
1
Description
Pain Radiation
Timepoint
Before intervention and immediately after intervention
Method of measurement
Patient reported
Intervention groups
1
Description
Intervention group: Consisted of Conventional Physical Therapy and Mulligan Bent Leg Raise (intervention)
Category
Treatment - Other
2
Description
Control group: Consisted of Conventional Physical Therapy only
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Physiotherapy Department, Hayatabad Medical Complex (HMC-MTI)
Full name of responsible person
Dr. Zara Batool
Street address
Phase IV, Hayatabad,
City
Peshawar
Postal code
25000
Phone
+92 91 9217140
Email
sardarbakhtkhan.pt@gmail.com
Web page address
http://hmckp.gov.pk/
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Institute of Physical Medicine & Rehabilitation, Khyber Medical University
Full name of responsible person
Dr. Irfanullah PT
Street address
F1 Phase-6 Rd, Phase 5 Hayatabad
City
Peshawar
Postal code
25000
Phone
+92 91 9217703
Email
irfandpt@yahoo.com
Web page address
https://www.kmu.edu.pk/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Institute of Physical Medicine & Rehabilitation, Khyber Medical University
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Institute of Physical Medicine & Rehabilitation, Khyber Medical University
Full name of responsible person
Sardar Bakht Khan
Position
MSPT (MSK) Scholar
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
F1 Phase-6 Rd, Phase 5 Hayatabad
City
Peshawar
Province
Khyber Pakhtunkhwa
Postal code
25100
Phone
+92 302 9587859
Email
sardarbakhtkhan.pt@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Institute of Physical Medicine & Rehabilitation, Khyber Medical University
Full name of responsible person
Dr. Aatik Arsh PT
Position
Assistant Professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
F1 Phase-6 Rd, Phase 5 Hayatabad
City
Peshawar
Province
Khyber Pakhtunkhwa
Postal code
25000
Phone
+92 344 6997046
Email
aatikarshkmu@yahoo.com
Person responsible for updating data
Contact
Name of organization / entity
Institute of Physical Medicine and Rehabilitation, Khyber Medical University
Full name of responsible person
Sardar Bakht Khan
Position
MSPT (MSK) Scholar
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
F1 Phase-6 Rd, Phase 5 Hayatabad
City
Peshawar
Province
Khyber Pakhtunkhwa
Postal code
25100
Phone
+92 302 9587859
Email
sardarbakhtkhan.pt@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available