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

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.

Study Overview

• Status: Recruiting
• Conditions: Asymptomatic Condition
• Intervention / Treatment: Other: Mulligan bent leg raise; Other: Mulligan bent leg raise with Bowen therapy

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.

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ali Raza, Masters; Phone Number: 03326099065; Email: araza.frahs@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan
      • Recruiting
      • Physiogic Physiotherapy Clinic
      • Contact: Dr. M Hashim; Phone Number: 03234071564; Email: info@physiogic.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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.	Other: Mulligan bent leg raise; Mulligan bent leg raise
Experimental: 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.	Other: Mulligan bent leg raise with Bowen therapy; Mulligan bent leg raise with Bowen therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Active Knee Extension Test	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)	1 week
Sit and Reach Test	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)	1 week
Straight Leg Raise Test	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	1 week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Ali Raza, Masters, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): August 3, 2023
• Primary Completion (Estimated): January 10, 2024
• Study Completion (Estimated): February 10, 2024

Study Registration Dates

• First Submitted: December 26, 2023
• First Submitted That Met QC Criteria: January 8, 2024
• First Posted (Actual): January 9, 2024

Study Record Updates

• Last Update Posted (Actual): January 9, 2024
• Last Update Submitted That Met QC Criteria: January 8, 2024
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Asymptomatic Diseases
• Other Study ID Numbers: REC/RCR&AHS/23/0152

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No