Effects of Mulligan Bent Leg Raise With and Without Bowen Therapy on Hamstring Tightness in Asymptomatic Adults

NCT06197945 — Not applicable, Unknown, 50 participants, Riphah International University

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Registry	NCT06197945
Status	Unknown
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	50 (Estimated)
Sponsor	Riphah International University (Other)
Conditions	Asymptomatic Condition
Interventions	Mulligan bent leg raise, Mulligan bent leg raise with Bowen therapy (Other)
Dates	start 2023-08-03, primary completion 2024-01-10 (estimated), completion 2024-02-10 (estimated), first posted 2024-01-09, last updated 2024-01-09
Locations	1 site in Pakistan

-Summary

Hamstring tightness is a common problem caused by a sedentary lifestyle and can have negative effects on posture and musculoskeletal function. It can lead to postural misalignment, increasing loading on the lumbar spine, increased pressure on inter-vertebral disc and potentially resulting in low back problems. Bowen technique and Mulligan Bent leg raise is used to treat conditions including hamstring tightness.

The goal of this clinical trial is to compare the effects of mulligan bent leg raise with and without Bowen therapy on hamstring tightness in asymptomatic adults.

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+Detailed description

A randomized control trial will be conducted at Riphah Rehabilitation Center and Physiogic Physiotherapy clinic on 50 asymptomatic adults who meet the inclusion criteria will be recruited using non probability purposive sampling and randomly allocated using Random Allocation Software 2.0. Informed consent will be obtained from all participants. They will be divided into two groups which will contain 25 participants in each group. Group A will receive three alternate sessions of Mulligan Bent Leg Raise with Bowen therapy and Group B will receive three alternate sessions of Mulligan Bent leg Raise. The Mulligan Bent Leg Raise technique will be performed with 3 repetition, 3-4 times with 20 sec hold and one minute rest between each repetition.

+Arms and interventions

Arm	Type	Interventions	Description
Mulligan bent leg raise	Experimental	Other: Mulligan bent leg raise	The Mulligan Bent Leg Raise technique will be performed with 3 repetition, 3-4 times with 20 sec hold and one minute rest between each repetition.
Mulligan bent leg raise with Bowen therapy	Experimental	Other: Mulligan bent leg raise with Bowen therapy	The Mulligan Bent Leg Raise technique will be performed with 3 repetition, 3-4 times with 20 sec hold and one minute rest between each repetition. After that Bowen therapy will be applied on hamstring bilateral.

Mulligan bent leg raise (Other): Mulligan bent leg raise
Mulligan bent leg raise with Bowen therapy (Other): Mulligan bent leg raise with Bowen therapy

+Outcome measures

Primary outcomes

Active Knee Extension Test [1 week]: The Active Knee Extension Test is used to assess hamstring muscle length and the range of active knee extension in the position of hip flexion. A knee flexion angle of 20 ° or less is considered normal ROM on the AKE. The AKE has been found to have high reliability for intra-rater agreement (ICC = .86-.99) and moderate inter-rater reliability (ICC = .76-.89)
Sit and Reach Test [1 week]: The Sit and reach test is one of the linear flexibility tests which helps to measure the extensibility of the hamstrings and lower back. Previous studies indicated that reliability estimate for Sit and reach test are consistently higher (.96 < R < .99)
Straight Leg Raise Test [1 week]: also called the Lasegue test, Normal ROM for the PSLR has been reported as 80 ° of hip flexion. The PSLR has been reported to have high intra-rater (r = .91) and inter-rater (r = .93) reliability

+Eligibility

Sex: All, ages: 18 Years to 40 Years, accepts healthy volunteers

Inclusion Criteria:

* Male/Female
* Age group between 18-40 years
* Unilateral limitation of SLR less than 75 degrees
* Asymptomatic, active knee extension less than 160 degrees

Exclusion Criteria:

* Fracture of Lower limb
* Individuals with soft tissue injury
* Chronic back pain
* Prolapsed Intervertebral disc
* Any surgery was done for back, pelvis hip or knee.
* Spinal deformity

+Locations (1)

Facility	City	Country	Status
Physiogic Physiotherapy Clinic	Lahore, Punjab Province	Pakistan	Recruiting

+Investigators

Ali Raza, Masters, Principal investigator, Riphah International University

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