Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain

Adnan, Muhammad; Arsh, Aatik; Ali, Babar; Ahmad, Shakeel

doi:10.12669/pjms.38.1.4010

Cited by 5 publications

(14 citation statements)

References 21 publications

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“…Three studies reported effects of NM on disability through the use of ODI [ 28 , 30 , 31 ]. The test of heterogeneity revealed the following results: χ 2 = 0.46, I 2 = 0%, P = 0.79, using a fixed effects model.…”

Section: Resultsmentioning

confidence: 99%

“…This study found that NM could effectively reduce ODI scores [ 28 , 30 , 31 ], but it doesn’t necessarily improve quality of life. In a study conducted by Plaza Manzano et al [ 32 ] on NM for lumbar spine disease, it was found that the addition of NM therapy to motor control did not result in a statistically significant change in patients’ function, as measured by the Rowland-Morris Disability Questionnaire (PMDQ), after a period of 2 months.…”

Section: Discussionmentioning

confidence: 98%

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Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis

Chen,

Wang,

Chen

et al. 2024

PLoS ONE

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Background Low back pain (LBP) is a leading cause of disability. Neuromobilization (NM) as a physical therapy technique, offers some degree of symptom improvement. However, some studies have shown that NM can significantly reduce the symptoms of LBP, while others have failed to find similar positive effects. Objective This study aims to investigate the effectiveness of NM for LBP. Data sources A literature search was conducted across five databases (MEDLINE, Embase, Cochrane Library, PubMed, and Web of Science) from their inception to December 2023. Study main measures assessed pain, disability, and straight leg raise angle to determine the degree of improvement in patients. Results Seven randomized controlled trials were included in the analysis. The findings indicated that NM interventions in patients with LBP were more effective than control groups in improving Visual Analog Scale scores (mean difference = 0.62, 95% CI (0.03, 1.21)) and Oswestry Disability Index scores (mean difference = 7.54, 95% CI (4.98, 10.10)). There was no significant difference in straight leg raise results (mean difference = 0.18, 95% CI (-0.08, 0.44)). Conclusions NM demonstrated effectiveness in improving Visual Analog Scale and Oswestry Disability Index outcomes in patients with LBP, but straight leg raise outcomes are still uncertain and until more high-quality studies are included, the effectiveness of NM for SLR remains unknown.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis

Chen,

Wang,

Chen

et al. 2024

PLoS ONE

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“…58,60,[63][64][65][66][67][68][69]71,73,74 In two studies, no details on the neural mobilisation were given. 62,70 For pain intensity, 10 randomised controlled trials 59,60,62,63,66,70,71,74,81,82 eight at high risk of bias 59,62,63,66,70,71,81,82 and two at low risk of bias 60,74 and two quasi-randomised trials at critical risk of bias 67,68 were included in the meta-analysis (n = 476). The results showed a large and significant effect favouring the neural mobilisation group (effect size = −1.10, 95% confidence interval: −1.96; −0.24; very low certainty of evidence).…”

Section: Low Back Painmentioning

confidence: 99%

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

Baptista,

Nery,

Cruz

et al. 2023

Clin Rehabil

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Objective To investigate up-to-date evidence of the effectiveness of neural mobilisation techniques compared with any type of comparator in improving pain, function, and physical performance in people with musculoskeletal pain. Data sources The following sources were consulted: PubMed, Web of Science, CENTRAL, CINAHL, Scopus, and PEDro databases; scientific repositories; and clinical trial registers. The last search was performed on 01/06/2023. Methods Two reviewers independently assessed the studies for inclusion. We included randomised, quasi-randomised, and crossover trials on musculoskeletal pain in which at least one group received neural mobilisation (alone or as part of multimodal interventions). Meta-analyses were performed where possible. The RoB 2 and the Grading of Recommendations Assessment, Development and Evaluation tools were used to assess risk of bias and to rate the certainty of evidence, respectively. Results Thirty-nine trials were identified. There was a significant effect favouring neural mobilisation for pain and function in people with low back pain, but not for flexibility. For neck pain, there was a significant effect favouring neural mobilisation as part of multimodal interventions for pain, but not for function and range of motion. Regarding other musculoskeletal conditions, it was not possible to conclude whether neural mobilisation is effective in improving pain and function. There was very low confidence for all effect estimates. Conclusions Neural mobilisation as part of multimodal interventions appears to have a positive effect on pain for patients with low back pain and neck pain and on function in people with low back pain. For the other musculoskeletal conditions, results are inconclusive.

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“…Three repetitions of the MBLR approach were performed. After holding this stretch for 7-10 seconds, it was released [ 12 ]. Five treatment sessions each week were part of the two-week strategy.…”

Section: Case Presentationmentioning

confidence: 99%

“…The leg was stretched out for a considerable period (between 7 and 10 seconds), after which it was returned to the couch. For two weeks, this method was practiced five days a week, three times every session, every day [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“Mulligan Bent Leg Raise” Technique in Avascular Necrosis

Karanjkar,

Dhage

2023

Cureus

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This case report examines the effectiveness of the “Mulligan bent leg raise” (MBLR) method for treating femoral head avascular necrosis (AVN). A professional physiotherapist directed a six-week rehabilitation program for a 37-year-old male patient with AVN that included this innovative physiotherapeutic method. According to radiographic results and standardized evaluations, the patient showed significant improvements in hip range of motion, functional ability, and pain levels. As a viable supplement to conventional rehabilitation techniques, the MBLR method has shown promise in improving joint function and reducing symptoms in individuals with acute compartment syndrome. The present study provides significant contributions to the discipline. It highlights the necessity for more investigation to examine the wider relevance and enduring effectiveness of this methodology in various population affected.

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Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain

Cited by 5 publications

References 21 publications

Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis

Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

“Mulligan Bent Leg Raise” Technique in Avascular Necrosis

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