The Comparative Effects of Butler’s Neural Tissue Mobilization and Mulligan’s Bent Leg Raise in Patients with Chronic Lumbar Radiculopathy

Abstract

INTERVENTION: 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. CONDITION: Lumber Radiculopathy. ; Other spondylosis with radiculopathy, lumbar region M47.26 PRIMARY OUTCOME: Functional Disability. Timepoint: pre and post treatment. Method of measurement: Oswestry Disability Index. 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. INCLUSION CRITERIA: 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