Mulligan BLR Versus Mulligan TSLR Versus Neural Mobilization n Patient With Lumber Radiculopathy

Mulligan Bent Leg Raise Versus Mulligan Traction Straight Leg Raise Versus Neural Mobilization With Conventional Therapy On Pain & Functional Disability In Patient With Lumber Radiculopathy

The goal of this study is to compare the effectiveness of mulligan traction Straight Leg Raise and mulligan's bent leg rise and neural mobilization to conventional therapies in order to assess which treatment is more successful in treating lumbar radiculopathy-related dysfunction.

After the synopsis is approved, Randomized Control Trial study will be performed at Riphah International University Faisalabad. The patients will be enrolled using a targeted sampling method. Patients would be chosen based on pre-established inclusion and exclusion requirements. For this analysis, a sample size estimate shows that 30 randomly selected male or females (18 yrs - 65 yrs) who match the selection criteria will be needed. A basic random sample of 30 lumbar radiculopathy patients was used in an experimental trial. They were divided into three groups of ten people: Group A received neural mobilization with conventional therapy, Group B received mulligan's bent leg rise with conventional therapy, and Group C received mulligan's traction Straight Leg Raise with conventional therapy for six months. Numeric Pain Rating Scale, passive Straight Leg Raise, Goniometer, and modified Oswestry low back pain Questionnaire will be used as outcome tests. After the sixth week, the pre-treatment and post-treatment results will be compared. Each patient will be asked to give their informed consent. Statistical Package of Social Sciences Version 20 can be used for data entry and analysis.

Inclusion Criteria:

• Between the ages of 18 and 65, all genders
• positive slump measure of lumbar specific nerve bias,
• mild to moderate irritation on a Numeric Pain Level Scale of less than seven,
• unilateral radiculopathy in the distribution of a single nerve with a favourable SLR,
• prone knee bent test; positve test,
• hypoaesthesia in a specific dermatome of the unilateral lower limb, accompanied by reduced mobility
• the result of the deep tendon (knee jerk, ankle jerk).

Exclusion Criteria:

• individuals with gradually occurring neurological problems
• Trauma, cancer, and constitutional symptoms are indeed red flags (Fever, Malaise, Weight Loss).
• Hip and knee fractures are common.
• Lower-extremity dislocations.
• Hamstring strains.
• Joint hypermobility of the lower limb.
• Muscle imbalance in lower limb
• Nerve lesions in the lower extremity.
• Subjects who have had low back pain in the previous two months.
• Hip flexion ROM was greater than 100 degrees for the straight knee.
• Neurological defects.
• Metal bolts, plates, or screws in the femur.