Effects of Active Release Technique Versus Mulligan Bent Leg Raise on Hamstring Tightness in Healthy Individuals; A Quasi-Experimental Study

Active Release Technique & Mulligan Bent Leg Raise

Authors

  • Zain ul Abideen Government College University, Faisalabad, Pakistan
  • Alishfa Zahoor Government College University, Faisalabad, Pakistan
  • Sameen Amjad Government College University, Faisalabad, Pakistan
  • Rabia Akram Government College University, Faisalabad, Pakistan
  • Asima Liaqat Madinah Teaching Hospital, University of Faisalabad, Faisalabad, Pakistan
  • Azka Ijaz Government College University, Faisalabad, Pakistan
  • Abdur Rauf Government College University Faisalabad, Pakistan

DOI:

https://doi.org/10.55735/hjprs.v4i2.239

Keywords:

active release technique, Mulligan bent leg raise, straight leg raise

Abstract

Background:  Active Release Technique is a soft tissue method that focuses on relieving tissue tension via the removal of fibrosis and adhesions, which can develop in tissue as a result of overload due to its repetitive use. The Mulligan bent leg raise technique is used to improve the range of straight leg raises in subjects with low back pain or referred thigh pain and to improve the flexibility of the hamstring in individuals with hamstring tightness. Objective: To compare the effects of active release technique versus Mulligan bent leg raise in healthy individuals with hamstring tightness. Methods: This study was a quasi-experimental study with a sample size of 40 normal, healthy individuals aged between 18 to 25 years and normal healthy subjects free from any signs and symptoms of regional pathology, vascular insufficiency, low backache or radiculopathy. While exclusion criterion was any history of injury in the lower extremity in the past three months (upper and lower motor neuron lesions), participants must not be involved in gymnastics, sports activities, strength training, or yoga, and participants must not be taking any treatment of a musculoskeletal nature. Group A received a single session of the active release technique, and the other group B received that of the Mulligan bent leg raise. All the subjects were evaluated through the straight leg raise test and the popliteal angle through the active knee extension test as pre- and post-intervention measuring tools for hamstring tightness. Results: There was a significant difference between pre-values and post-values of popliteal angle (p<0.001) and passive straight leg raise test (p<0.001) between the active release technique group and the Mulligan bent leg raise group. The results also showed significant differences in popliteal angle and passive straight leg raise test post-interventional scores (p<0.001) within the groups. Conclusion: Both the active release technique and the Mulligan bent leg raise technique proved to be significant in improving hamstring tightness in healthy asymptomatic subjects in a single session, but active release technique proved to be more significant than the Mulligan bent leg raise in improving hamstring tightness immediately after the application of these comparative interventions.

References

Hansberger BL, Loutsch R, Hancock C, Bonser R, Zeigel A, Baker RT. Evaluating the relationship between clinical assessments of apparent hamstring tightness: a correlational analysis. International journal of sports physical therapy 2019; 14(2): 253.

Holt LE, Pelham TE, Holt J. Flexibility: A concise guide: to conditioning, performance enhancement, injury prevention, and rehabilitation: Springer Science & Business Media; 2009.

Myoclinic. hamstring injury. sep 28, 2018. https://www.mayoclinic.org/diseases-conditions/hamstring-injury/symptoms-causes/syc-20372985.

Koli BK, Anap DB. Prevalence and severity of hamstring tightness among college student: A cross sectional study. International Journal of Clinical and Biomedical Research 2018: 65-8.

hamstring. hamsring. 2020. https://en.wikipedia.org/w/index.php?title=Hamstring&action=history.

Spina AA. External coxa saltans (snapping hip) treated with active release techniques®: a case report. The Journal of the Canadian Chiropractic Association 2007; 51(1): 23.

Howitt S, Wong J, Zabukovec S. The conservative treatment of trigger thumb using graston techniques and active release Techniques®. The Journal of the Canadian Chiropractic Association 2006; 50(4): 249.

George JW, Tunstall AC, Tepe RE, Skaggs CD. The effects of active release technique on hamstring flexibility: a pilot study. Journal of manipulative and physiological therapeutics 2006; 29(3): 224-7.

physiopedia. mulligan bent leg 2020.

Kage V, Ratnam R. Immediate effect of active release technique versus mulligan bent leg raise in subjects with hamstring tightness: a randomized clinical trial. Int J Physiother Res 2014; 2(1): 301-04.

Thakur D, Rose S. A study to find out the correlation between the right and left hamstring length in both genders to determine the prevalence of hamstring tightness among college students. Journal of Health and Allied Sciences NU 2016; 6(04): 46-52.

Shoukat H, Arshad HS, Sharif F, Fatima A, Shoukat F. Effects of different stretching times on range of motion in patients with hamstring tightness: A randomised control trial. Annals of King Edward Medical University 2017; 23(4): 554-9.

Fatima G, Qamar MM, Hassan JU, Basharat A. Extended sitting can cause hamstring tightness. Saudi Journal of Sports Medicine 2017; 17(2): 110.

Geist K, Bradley C, Hofman A, et al. Clinical effects of dry needling among asymptomatic individuals with hamstring tightness: a randomized controlled trial. Journal of sport rehabilitation 2017; 26(6): 507-17.

Mistry GS, Vyas NJ, Sheth MS. Comparison of the effect of Active Release Technique versus proprioceptive neuromuscular facilitation stretching (modified hold-relax) on hamstring flexibility in patients having chronic low back pain. Natl J Integr Res Med 2015; 6(5): 66-70.

Tambekar N, Sabnis S, Phadke A, Bedekar N. Effect of Butler's neural tissue mobilization and Mulligan's bent leg raise on pain and straight leg raise in patients of low back ache. Journal of Bodywork and Movement Therapies 2016; 20(2): 280-5.

Miyamoto N, Hirata K, Kimura N, Miyamoto-Mikami E. Contributions of hamstring stiffness to straight-leg-raise and sit-and-reach test scores. International journal of sports medicine 2018; 39(02): 110-4.

Ravichandran H, Janakiraman B, Sundaram S, Fisseha B, Yitayeh A. Active Release Technique in hamstrings Strain: Rehabilitation and return to play–a case study. Archives of Medicine and Health Sciences 2017; 5(1): 71.

Hall T, Hardt S, Schäfer A, Wallin L. Mulligan bent leg raise technique—a preliminary randomized trial of immediate effects after a single intervention. Manual therapy 2006; 11(2): 130-5.

Tai MZ, Bandawde M, Palekar T, Gondkar D. To compare effectiveness of mulligan bent leg raise versus myofacial release in physiotherapy students with hamstring tightness. Indian Journal of Pharmaceutical and Biological Research 2017; 5(01): 42-7.

Younger Ohti. Immediate effect of suboccipital muscle inhibition technique versus mulligan bent leg raise technique on hamstring tightness in younger individuals: a comparative study.

Dhingani M, Mody V. Short Term Effects of Remote Myofascial Release versus Mulligan’s Bent Leg Raise on Hamstring and Lumbar Spine Flexibility in College Going Students: An Experimental Study. Indian Journal of Physiotherapy & Occupational Therapy. 2022; 16(2): 106-13.

Mistry GS, Vyas NJ, Sheth MS. Comparison Of The Effect Of Active Release Technique Versus Proprioceptive Neuromuscular Facilitation Stretching (Modified Hold-Relax) On Hamstring Flexibility In Patients Having Chronic Low Back Pain. National Journal of Integrated Research in Medicine 2015; 6(5).

Neto T, Jacobsohn L, Carita AI, Oliveira R. Reliability of the active-knee-extension and straight-leg-raise tests in subjects with flexibility deficits. Journal of sport rehabilitation 2015; 24(4).

Davis DS, Quinn RO, Whiteman CT, Williams JD, Young CR. Concurrent validity of four clinical tests used to measure hamstring flexibility. The Journal of Strength & Conditioning Research 2008; 22(2): 583-8.

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Published

2024-02-29

How to Cite

Abideen, Z. ul ., Zahoor, A. ., Amjad, S. ., Akram, R. ., Liaqat, A. ., Azka Ijaz, & Abdur Rauf. (2024). Effects of Active Release Technique Versus Mulligan Bent Leg Raise on Hamstring Tightness in Healthy Individuals; A Quasi-Experimental Study: Active Release Technique & Mulligan Bent Leg Raise . The Healer Journal of Physiotherapy and Rehabilitation Sciences, 4(2), 948–957. https://doi.org/10.55735/hjprs.v4i2.239

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