comparison between mulligan bend leg raise technique and butler neural mobilization on pain and...

8/9/2019 COMPARISON BETWEEN MULLIGAN BEND LEG RAISE TECHNIQUE AND BUTLER NEURAL MOBILIZATION ON PAIN AND STRAIGHT LEG RAISE IN LOW BACK PAIN SUBJECTS.pptx

http://slidepdf.com/reader/full/comparison-between-mulligan-bend-leg-raise-technique-and-butler-neural-mobilization 1/23

PRESENT BY :MR. Debanjan

Mondal

“COMPARISON BETWEEN MULLIGAN

BEND LEG RAISE TECHNIQUE ANDBUTLER NEURAL MOBILIZATION ON PAINAND STRAIGHT LEG RAISE IN LOW BACK

PAIN SUBJECTS.”



Introduction Low back pa! " #$% &o"# p'%(a)%!# o* a))

&+"c+)o"k%)%#a) co!,#o!"- a.c#!/%(%'0o!% a# "o&% #&% ! #$%' )*%1

I! I!,a !c,%!c% o* )ow back pa! $a" b%%!'%po'#%, #o b% 231456 a!, $a" a )*%#&%p'%(a)%!c% o* 7489:61

Low back pa! " b%)%(%, #o !(o)(% 746 #o

546 o* #$% a,+)# pop+)a#o! a# "o&% po!# !#$%' )*% #&%1 I# $a" b%%! '%po'#%, #$a# 3;6o* $%a)#$ ca'% co"#" a""oca#%, w#$ )ow backpa! a'% a ,'%c# '%"+)# o* p$0"ca) #$%'ap0

"%'(c%"1



B'a! M+))/a! po!%%'%, #$% #%c$!<+%" o* #$"co!c%p# ! N%w Z%a)a!, ! #$% =5;4"1 T$% co!c%p# $a" #" *o+!,a#o! b+)# o! Ka)#%!bo'!>"

?=595@ p'!cp)%" o* '%"#o'!/ #$% acc%""o'0co&po!%!# o* p$0"o)o/ca) o!# &o(%&%!#1U!<+% #o #$" co!c%p# " #$% &ob)a#o! o* #$%"p!% w$)"# #$% "p!% " ! a w%/$# b%a'!/ po"#o!a!, ,'%c#!/ #$% &ob)"a#o! pa'a))%) #o #$% "p!a)*ac%# p)a!%" ?M+))/a! =555@1 Pa""(% o"c))a#o'0 &ob)"a#o!" ca))%, NAG">?!a#+'a) apop$0"%a) /),%"@ a!, "+"#a!%,&ob)"a#o!" w#$ ac#(% &o(%&%!# SNAG">

?"+"#a!%, !a#+'a) apop$0"%a) /),%"@ a'% #$%&a!"#a0 o* #$" co!c%p#>" "p!a) #'%a#&%!# ?M+))/a!=555@1 T$% M+))/a! co!c%p# o* acc%""o'0 /),!/ w#$

ac#(% &o(%&%!# ca! b% *+'#$%' %pa!,%, ! o+'c)!ca) p'ac#c% #o +"#*0 #" p)ac% ! #$% a""%""&%!#



Neural mobilization is a method of conservative

treatment of disorders of neural tissue1 Appropriate use of neural mobilization procedures

depends on excellent knowledge of normal and pathologicalanatomy, differences between individual etiological factors,

development of disease and symptom variability

Neurodynamics is an innovative management tools involve

conservative decompression of nerves, various neural

mobilizing techniques and patient education techniques

Neurodynamics offers a fresh understanding and

management strategies for common syndromes such as

plantar fasciitis, tennis elbow, nerve root disorders, carpal

tunnel syndromes and spinal pain.

.



To "#+,0 #$% %%c# o* M+))/a! &ob)a#o!?b%!, )%/ 'a"% #%c$!<+%@ ! pa#%!# w#$ )owback pa!1

To "#+,0 #$% %%c# o* B+#)%' N%+'a)Mob)a#o! ! pa#%!# w#$ )ow back pa!1

T$% p+'po"% o* #$" "#+,0 " #o co&pa'% #$%

o+#co&%" b%#w%%! &+))/a! b%!# )%/ 'a"%?BLR@ a!, b+#)%' !%+'a) &ob)a#o! ?NM@ !"#'a/$# )%/ 'a"% ?SLR@po"#(% a!, )ow backpa! ?LBP@ "+b%c#" 1

Aim and objectie o! t"e #tud$



&$'ot"e#i#

Null "$'ot"e#i# (&) *:

T$%'% w)) b% !o "/!Fca!# %%c# o! pa! a!, Ro& !

"+b%c#" #'%a#%, w#$ &+))/a! b%!, )%/ 'a"% #%c$!<+%a!, b+#)%' !%+'a) &ob)a#o! w#$ "#'a/$# )%/ 'a"% !)ow back pa! "+b%c#"1

E+'erimental "$'ot"e#i# (&A *: T$%'% w)) b% "/!Fca!# %%c# o! pa! a!, Ro& !

"+b%c#" #'%a#%, w#$ &+))/a! b%!, )%/ 'a"% #%c$!<+%a!, b+#)%' !%+'a) &ob)a#o! w#$ "#'a/$# )%/ 'a"% !)ow back pa! "+b%c#"1



R,- (reie o! literature*

Aut"or/# Name Year 0onclu#ion

Tob0 Ha)) 244: T$%'% wa" a "/!Fca!# !c'%a"%

! #$% 'a!/% b0 ; ,%/'%% ! BLR/'o+p1

Tob0 Ha)) 2447 T$%"% '%"+)#" p'o(,%p'%)&!a'0 *o' #$% +"% o*

M+))/a!>" TSLR #%c$!<+% !#$% &a!a/%&%!# o* LBP

L1 E%)b0 2442 I# ca! a)"o b% !co'po'a#%, w#$*+!c#o!a) ac#(#%" #o a"""# !co''%c#!/ o!# po"#o!a) *a+)#"w#$! &p'o(%, <+a)#0

&o(%&%!# pa##%'!"1



R,- (reie o! literature*

Aut"or/# Name Year 0onclu#ion

Da(, B+#)%' 244: !%+'o,0!a&c &ob)a#o!#%c$!<+%" ca! b% %%c#(% !a,,'%""!/ &+"c+)o"k%)%#a)p'%"%!#a#o!" o* p%'p$%'a)!%+'opa#$c pa!1

Jo$! D 1C$)," 2447 S)+&p "#'%#c$!/ " b%!%Fca) *o'&p'o(!/ "$o'#8#%'& ,"ab)#0-,%c'%a"!/ pa!- a!,c%!#'a)a#o! o* "0&p#o&"1



Met"odolo1$

Stud$ de#i1n:

T$% "#+,0 ,%"/! +"%, ! #$" '%"%a'c$ w)) b%'a!,o&%, co!#'o) #'a)1

Source o! data:

Da#a w)) b% #ak%! *'o& #$% #$% p$0"o#$%'ap0,%pa'#&%!# o* Doo! P1G Pa'a&%,ca) co))%/%-

,%$'a,+!1Sam'le #i2e:

T$% "% o* #$% "a&p)% w)) b% *o'#0?4@1



Stud$ #am'le:

Bo#$ &a)% a!, *%&a)% "+b%c#" w#$ )ow back

pa!1Sam'lin1 de#i1n:

S+b%c#" w)) b% 'a!,o&)0 a))oca#%, !#o #wo/'o+p" 1%1 /'o+p A a!, /'o+p B

G'o+p A &+))/a!>" b%!# )%/ 'a"% ?!24@1G'o+p B b+#)%'>" !%+'a) &ob)a#o! ?!24@1



Partici'ant#:

Pa'#cpa!#" w#$ )ow back ac$% w$o w)) b%

'%*%''%, #o p$0"o#$%'ap0 ,%pa'#&%!# a!,w))!/ #o #ak% #'%a#&%!# *o' "%""o!" w)) b%'%c'+# *o' "#+,01

Met"od o! data collection:

T$% &%#$o, o* ,a#a co))%c#o! %&p)o0%, *o'#$% p'%"%!# "#+,0 w)) b% p'&a'0 &%#$o,1



Inclu#ion criteria:

U!)a#%'a) )&#a#o! o* SLR &o'% #$a! :41

A/% /'o+p b%#w%%! 3: 874 0%a'"1

R%%', pa! ,"#a) #o b+##ock"1No c$a!/% o* pa! ! )+&b%' %o! a!,

%#%!"o!



E+clu#ion 0riteria:

Pa#%!# w#$ R%, a/" *o' a "%'o+" "p!a)co!,#o!" "+c$ a" !*%c#o!- #+&o'"-o"#%opo'o""- "p!a) *'ac#+'%-

P'%/!a!c0

H"#o'0 o* "p!a) "+'/%'0

D&!"$%, +pp%' a!, )ow%' %#'%&#0 '%%%"

S+//%"#(% !%'(% 'oo# !(o)(%&%!#P'%"%!c% o* )ow%' <+a'#%' !%+'o)o/ca)

co&p'o&"%



Material#:

Ma#%'a)" +"%, *o' #$" "#+,0 co!""#%, o* #$%*o))ow!/

Co!"%!# o'& A "/!%, co!"%!# *o'& *'o&#$% "+b%c#" #o a))ow #$% "+b%c# #o b%!c)+,%, ! #$% "#+,01

R%co', o' ,a#a co))%c#o! "$%%#1



3ariable#:

Inde'endent ariable:

M+))/a!>" b%!# )%/ 'a"% #%c$!<+%

B+#)%'>" !%+'a) &ob)a#o!De'endent ariable:

Pa! ?"+a) a!a)o/ "ca)%@

Ra!/% o* &o#o!?SLR@



MAIN ,4T0,ME

MEAS4RESPain inten#it$:

B0 "+a) a!a)o/+% "ca)% A "ca)% o* =4 c& #o%(a)+a#% !#%!"#0 o* pa! w$%'% 4 '%p'%"%!#"!o pa! a!, =4 '%p'%"%!# +!b%a'ab)% pa!1

Ran1e o! motion:

Ra!/% o* &o#o! w)) b% &%a"+'%, b0 B+bb)%

Go!o&%#%' #o &%a"+'% L+&ba' 'a!/% o*&o#o!"1



p'oc%,+'%A)) #$% "+b%c#" w)) b% !*o'&%, ! ,%#a) abo+# #$%

#0p% a!, !a#+'% o* #$% "#+,0 a!, w)) b% &a,% #o "/!#$% !*o'&%, co!"%!#1 A""%""&%!# o* ,%&o/'ap$c,a#a a)o!/ w#$ !#a) a""%""&%!# o* ("+a) a!a)o/+%"ca)% ?AS@- 'a!/% o* &o#o! ?ROM@ w)) b% &%a"+'%,

p'%8#'%a#&%!# a!, po"#8#'%a#&%!# o* #$% F'"# "%""o!a!, )a"# "%""o!"1

GROUP A W)) '%c%(% M+))/a!>" Mob)a#o!1

GROUP B W)) '%c%(% B+#)%'>" N%+'a) Mob)a#o!1



M+))/a!>" b%!# )%/ 'a"% #%c$!<+%S#a!, a# #$% )&#%, SLR ",% o* #$% "+p!% pa#%!#1

P)ac% $" %%, k!%% o(%' "$o+),%' a!, a"k #$%pa#%!# #o p+"$ #$% k!%% awa0 w#$ $" )%/ a!, #$%!

'%)a- a# #$" po!# #$%'ap"# p+"$ pa#%!#" b%!, k!%%+p #o a" *a' a" ca! ! #$% ,'%c#o! o* $" "$o+),%'-o! #$% "a&% ",% p'o(,%, #$%'% " !o pa!1

I* # " pa!*+) a)#%' #$% ,'%c#o! b0 #ak!/ $" )%/

&o'% &%,a))0 o' )a#%'a))01 S+"#a! #$" "#'%#c$ *o':"%c a!, '%p# # #$'c% ! a "%""o!1

W#$ #$% b%!, k!%% o(%' #$% #$%'ap"#" "$o+),%'!c)+,% a #'ac#o! w#$ #$" #%c$!<+%1



B+#)%'>" !%+'a)

&ob)a#o!=1 Pa#%!# wa" !"#'+c#%, #o "# %'%c# w#$ k!%%" !544 o* %o!1 T$% p'%"%!c% o' ab"%!c% o* "0&p#o&"wa" '%co',%,1

21 Pa#%!#" w%'% !"#'+c#%, #o ")+&p>> "$o+),%'" a!,)ow%' back w$)% &a!#a!!/ #$% c%'(ca) "p!% !!%+#'a)1 T$% p'%"%!c% o' ab"%!c% o* "0&p#o&" wa"'%co',%,1

31 W$)% &a!#a!!/ #$% po"#o! ,%"c'b%, ! "#%p 2#$% pa#%!#" wa" !"#'+c#%, #o #o+c$ #$%' c$! #o #$%c$%"# a!, #$% c)!ca! app)%, o(%'p'%""+'% !#oc%'(ca) %o!1 T$% p'%"%!c% o' ab"%!c% o*"0&p#o&" wa" '%co',%,1



1 W$)% &a!#a!!/ o(%'p'%""+'% !#o c%'(ca) %o! #$%pa#%!# wa" !"#'+c#%, #o %#%!, #$% k!%%1 T$% p'%"%!c% o'ab"%!c% o* "0&p#o&" wa" '%co',%,1

:1 Po"#o! wa" &a!#a!%, w$)% #$% pa#%!# wa"!"#'+c#%, #o ac#(%)0 ,o'"% #$% a!k)%1 T$% p'%"%!c% o'ab"%!c% o* "0&p#o&" wa" '%co',%,1 T$" po"#o! wa" $%),*o' 34 "%c-a #o#a) o* : '%p%##o!1

71 O(%'p'%""+'% o* #$% c%'(ca) "p!% wa" '%)%a"%, a!, #$%

pa#%!#" w%'% !"#'+c#%, #o '%#+'! #$% !%ck #o a !%+#'a)po"#o!1 T$% p'%"%!c% o' ab"%!c% o* "0&p#o&" wa"'%co',%,1

Bo#$ #%c$!<+% w)) b% co!#!+% #wc% w%%k)0 *o' 3w%%k"#o#a) o* 7 ("#1



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