Mulligan's Bent Leg Raise Technique in Healthy Females

Study Overview
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Brief Summary
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To determine the effects of mulligan's bent leg raise technique on hamstring flexibility and lumber spine mobility in healthy females

Detailed Description
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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.

Official Title
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Effects of Mulligan's Bent Leg Raise Technique on Hamstring Flexibility and Lumber Spine Mobility in Healthy Females

Conditions
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Hamstring Contractures

Intervention / Treatment
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* Other: Mulligan Bent Leg Raise Technique
* Other: Static Stretching


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mulligan's bent leg raise Technique<br>Mulligan's bent leg raise Technique and Static Stretching | Other: Mulligan Bent Leg Raise Technique<br>* 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.<br>Other: Static Stretching<br>* It will be given in supine position by performing passive SLR and end range will hold in 30sec.<br>|
| Active Comparator: Static stretching<br>Static Stretching | Other: Static Stretching<br>* It will be given in supine position by performing passive SLR and end range will hold in 30sec.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 10 days | 
| 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 | 10 days |