Efficacy of Self Myofascial Release Technique Versus Mulligans Two Leg Rotation Technique on Hamstring Flexibility in Participants with Mechanical Low Back Pain

Abstract

Background: Low back pain is one of the most prevalent ailments that people suffer from in our culture. A hamstring tends to shorten even under normal situations and hamstring tightness is considered to be causative factor of low back pain. Tensegrity principle has shown the existence of continuity between fascia or muscle that may be anatomically distant from one another. It is argued that any stress placed on a particular segment of a quotanatomy trainquot may have detrimental newlineeffects resulting decreased flexibility. Study has proved significant efficacy of self myofascial release (SMR) technique on hamstring flexibility. Mulligan s Two Leg Rotation Technique (TLR) which is developed by Dr. Brain R Mulligan and colleagues, is also effective to treat patients with hamstring tightness and low back pain. There are no studies done by comparing the effect of SMR and Mulligan s TLR technique on hamstring flexibility in mechanical low back newlinepain participants and hence there exists a need for this study. Methods: An experimental study was conducted at Physiotherapy department, Civil Hospital Ahmedabad. 105 Participants of both genders with age group of 18-35, LBP with no specific pathology, Active Knee Extension (AKE) measurement more than 15 degree and LBP less than 6 weeks were included in the study. Participants were divided into 2 groups i. e, Group A (n=52) newlinewhich received SMR technique and Group B (n=53) which received Mulligan s TLR technique. Pre treatment and post treatment outcome measures VAS for Pain, Gujarati version of ODI for functional disability, AKE measurement for hamstrings flexibility. Recorded data was statistically analyzed. newlineResults: Both techniques showed significant improvement (plt0.05) in all outcome measures.