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BETWEEN MULLIGAN
BEND LEG RAISE TECHNIQUE AND
BUTLER NEURAL MOBILIZATION ON PAIN
AND STRAIGHT LEG RAISE IN LOW BACK
PAIN SUBJECTS.
PRESENT BY :
MR. Debanjan
Mondal
musculoskeletal
conditions,
afflicting
everyone at some time in their life.
In India incidence of low back pain has been
reported to be 23.09% and has a lifetime
prevalence of 60-85%.
Low back pain is believed to involve 60% to
90% of the adult population at some point in
their life time. It has been reported that 37%
of health care costs associated with low back
pain are a direct result of physical therapy
services.
Hypothesis
Null hypothesis (H0 ):
Conclusion
Toby Hall
2005
Toby Hall
2006
L. Exelby
2002
Authors Name
Year
Conclusion
David Butler
2005
neurodynamic mobilization
techniques can be effective in
addressing musculoskeletal
presentations of peripheral
neuropathic pain.
John D .Childs
2006
Methodology
Study design:
Study sample:
Participants:
Inclusion criteria:
Unilateral limitation of SLR more than 450.
Age group between 35 -60 years.
Refferd pain distal to buttocks.
No change of pain in lumber flexion and
extension
Exclusion Criteria:
Patient with Red flags for a serious spinal
Materials:
Materials used for this study consisted of the
following:
Consent Form A signed consent form from
the subjects to allow the subject to be
included in the study.
Record or data collection sheet.
Variables:
Independent variable:
Mulligans bent leg raise technique
Butlers neural mobilization
Dependent variable:
Pain (Visual analog scale)
Range of motion(SLR)
Instrumentation :
Bubble Goniometer- Used to measure Lumbar
movements.
MAIN OUTCOME
MEASURES
Pain intensity:
procedure
All the subjects will be informed in detail about the
GROUP A
Will receive Mulligans Mobilization.
GROUP B
Will receive Butlers Neural Mobilization.
patient to push the knee away with his leg and then
relax, at this point therapist push patients bend knee
up to as far as can in the direction of his shoulder,
on the same side provided there is no pain.
If it is painful alter the direction by taking his leg
more medially or laterally. Sustain this stretch for
5sec and repit it thrice in a session.
With the bend knee over the therapist's shoulder
include a traction with this technique.
Butlers neural
mobilization
1. Patient was instructed to sit erect with knees in
Thank
you