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Efficacy of Mulligan�s two leg rotation and bent leg raise techniques in hamstring flexibility in subjects with acute non-specific low back pain (NS-LBP): Randomized clinical trial
International Conference and Expo on Novel Physiotherapies
Background & Objectives: Adequate flexibility of the hamstring muscles and core muscle strength is necessary for a healthy lower
back. Mulligan�s techniques are fascinating physiotherapy approaches in treatment of hamstrings tightness in NS-LBP such as
Mulligan�s Bent Leg Raise (BLR) technique. Limited literature is available on the efficacies of Mulligan�s Two Leg Rotation (TLR)
technique in hamstrings flexibility. The objective of the present study was to determine the effectiveness of Mulligan�s TLR and BLR
in treatment of acute NS-LBP.
Methods: The present randomized clinical trial was conducted among 40 subjects which included both male and female symptomatic
subjects between the age of 18 to 35 years with acute NS-LBP and they were randomly allocated into 2 groups namely Group A [SWD,
HMP, Mulligan�s TLR, MCE], Group B [SWD, HMP, Mulligan�s BLR, MCE]. Pre-interventional and 7th day post-interventional
outcome measurements were taken in the form of Visual Analogue Scale (VAS), Modified Oswestry Disability Questionnaire
(MODQ), Active Knee Extension (AKE) Measurement, Lumbar ROM and Core Muscle Strength.
Results: Intra-group comparison for all the outcome parameters in both the groups showed statistical significance (p<0.001). Intergroup
comparison for all the outcome parameters had differences but showed no statistical significance.
Conclusion: Mulligan�s Two Leg Rotation and Bent Leg Raise techniques are effective in increasing the hamstrings flexibility in
subjects with acute non-specific low back pain in terms of pain, range of motion and functional disability.