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IRCT20200611047734N4 IRCT 2021-10-13 university of Lahore, Lahore The comparative effects of Butler’s neural tissue mobilization and Mulligan’s bent leg raise in patients with chronic lumbar radiculopathy. The comparative effects of Butler’s neural tissue mobilization and Mulligan’s bent leg raise in patients with chronic lumbar radiculopathy. 2020-06-28 anticipated 62 Complete https://irct.ir/trial/58678 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Parallel groups, single blinded, single setting, Randomization description: The lottery method was used for allocating the patient in groups A or B by even and odd numbers. Participants with an even number were placed in group A and with an odd number were placed in group B, Blinding description: It was a single-blinded study in which participant/ patients were kept blind for treatment technique. 2 different technique were provided to patients. and they were blind about that which technique was given to which patients. patients were blind regarding the technique. baseline treatment was the same, but they were not aware of the technique. which techniques they were receiving. N/A Lumber Radiculopathy. Intervention 1: Intervention group: Application of conventional therapy and Butler neural tissue mobilization. Butler neural tissue mobilization procedure: Patient was in supine position. Therapist’s position was standing and facing towards the patient position and positioned one hand beneath the ankle to prevent pressure on peripheral nerves and the second hand above the patella. The knee was in extended position, and hip was flexed position in one plane and the leg was take to the point where symptoms was reproduced. Dosage: Slow oscillations or sustained stretch was given by the therapist for 10 s depending on the grade of mobilization after which the leg was returned to a non-painful position. This procedure was repeated three times. Intervention 2: Intervention group: Application of conventional therapy and Mulligan bent leg raise. Mulligan bent leg raise Technique. The therapist was stand at limited SLR side of the patient. Patients was flex knee was kept over therapist’s shoulder. Therapist instructed patient to push her away with patient’s leg and then relax. At this point therapist extended the patient’s bent knee up as far as possible in the direction of patient’s ipsilateral shoulder provided there was no pain. If it was painful the direction was altered by taking the leg more medially or laterally. Dosage: Sustained stretch for several seconds was given and leg lowered down to the bed. This technique was repeated 3 times. Yes - There is a plan to make this available What will be shared: The comparative effects of Butler’s neural tissue mobilization and Mulligan’s bent leg raise in patients with chronic lumbar radiculopathy. When: The study is completed and become available after its publication To whom: Person in academic institute. Patient data will not be shown Conditions: Under the usage with terms in which journal is accessed /processed for publication, it could be used in the request. Where to obtain: +923367595206 from the University office and Responsible supervisor and from a journal we will process in future How to obtain: Can be on call or mail It will be only used in a confidential way for improving research and benefit of humanity Comments: Data can be provided on request
public Sonia Yasmeen
Raiwind road lahore
Lahore Pakistan 55150 +92 42 32591427 soniayasmeen16@gmail.com university of Lahore, Lahore scientific Fareeha Amjad
Raiwind road lahore
LAHORE Pakistan 55150 +92 42 32591427 fari_fairy22@yahoo.com university of Lahore, Lahore Pakistan Patients diagnosed with lumber radiculopathy with unilateral radiating pain by an orthopedics Age 25-50 years Both Male and Female Positive neurodynamic test i.e. SLR test and Slump test 25 years 50 years Both Patients having Somatic referred pain Specific diseases of spine like ankylosing spondylitis, paget’s disease, vertebral collapse, rheumatoid arthritis, and spondylolisthesis Tb spine, intermittent claudication, diabetic neuropathy Recent infection Mental retardation hemiparesis previous spinal Surgery Pelvis Fracture Pregnancy Red Flags such as trauma, cancer, constitutional symptoms (fever, malaise, weight loss) M47.26 Other spondylosis with radiculopathy, lumbar region Treatment - Devices Treatment - Devices Intervention group: Application of conventional therapy and Butler neural tissue mobilization. Butler neural tissue mobilization procedure: Patient was in supine position. Therapist’s position was standing and facing towards the patient position and positioned one hand beneath the ankle to prevent pressure on peripheral nerves and the second hand above the patella. The knee was in extended position, and hip was flexed position in one plane and the leg was take to the point where symptoms was reproduced. Dosage: Slow oscillations or sustained stretch was given by the therapist for 10 s depending on the grade of mobilization after which the leg was returned to a non-painful position. This procedure was repeated three times. Intervention group: Application of conventional therapy and Mulligan bent leg raise. Mulligan bent leg raise Technique. The therapist was stand at limited SLR side of the patient. Patients was flex knee was kept over therapist’s shoulder. Therapist instructed patient to push her away with patient’s leg and then relax. At this point therapist extended the patient’s bent knee up as far as possible in the direction of patient’s ipsilateral shoulder provided there was no pain. If it was painful the direction was altered by taking the leg more medially or laterally. Dosage: Sustained stretch for several seconds was given and leg lowered down to the bed. This technique was repeated 3 times. Pain. Timepoint: pre and post treatment. Method of measurement: Numeric pain rating scale. ROM (lumber flexion, extension, SLR). Timepoint: Pre and post treatment. Method of measurement: Goniometer , Modified Modified Schober’s Test. Functional Disability. Timepoint: pre and post treatment. Method of measurement: Oswestry Disability Index. university of Lahore, Lahore Approved 2020-06-28 Institutional Review Board Raiwind road Lahore Punjab Pakistan