EFFECT OF MULLIGAN SPINAL MOBILIZATION WITH LEG MOVEMENT (SMWLM) ALONG WITH KINESIOLOGY TAPING IN SUBJECTS WITH SCIATICA
Main Article Content
Keywords
includes Sciatica, Mulligan spinal mobilization with leg movement, Kinesiology taping.
Abstract
Background: Mulligan spinal mobilization with leg movement (SMWLM) along with kinesiology taping performed at the patients to treat sciatica. The objective of this study to check the effects of Mulligan Spinal mobilization with leg movement (SMWLM) with and without kinesiology taping on radicular pain, Lumbar range of motion (Flexion/Extension), functional disability, and gait parameters in patients with sciatica.
Material and methodology: This Randomized clinical trial is conducted in the Department of Physiotherapy, National Hospital Faisalabad, Pakistan. Using a list of inclusion and exclusion requirements, 44 participants were selected through Non-probability purposive sampling technique. These participants were arbitrarily allotted into 2 groups. Group A: Hot-pack + Mulligan mobilization + Kinesiology taping technique Group B: Hot-pack + Mulligan mobilization. An electric heat pack was applied to the back area to both groups as the starting treatment for 20 minutes.
Results: The HOT-PACK and Mulligan mobilization technique (Group B) showed statistically significant effects on a number of measures pertaining to upper limb position, stance phase, swing phase, RVGA, pain, disability, and range of motion.
The HOT-PACK and Mulligan mobilization technique (Group B) showed statistically significant effects on a number of measures pertaining to upper limb position, stance phase, swing phase, RVGA, pain, disability, and range of motion.
Conclusion: In conclusion, the findings show that the Mulligan mobilization technique and HOTPACK (Group B) had favorable impacts on a number of factors relating to movement quality, discomfort, disability, and range of motion. However, it is important to note that other variables did not exhibit meaningful gains, indicating potential restrictions or unpredictability in the technique's efficacy for those particular elements.
References
2. Stynes S, Grøvle L, Haugen AJ, Konstantinou K, Grotle M. New insight to the characteristics and clinical course of clusters of patients with imaging confirmed disc‐related sciatica. European Journal of Pain. 2020;24(1):171-81.
3. Kim Y, Lee E, Lee JW, Kang Y, Ahn JM, Kang HS. Clinical and imaging characteristics of patients with extreme low back pain or sciatica referred for spinal injection. Neuroradiology. 2019;61:881-9.
4. Perreault T, Fernández-de-Las-Peñas C, Cummings M, Gendron BC. Needling interventions for sciatica: Choosing methods based on neuropathic pain mechanisms—A scoping review. Journal of clinical medicine. 2021;10(10):2189.
5. Singh RK. An unusual cause of sciatica in an immunocompromised patient. bmj. 2021;372.
6. Afzal M, Memon S. Treatment of Sciatica by Neural Flossing Technique (NFT) in Adults. Pakistan Journal of Rehabilitation. 2022;11(1):8-16.
7. Cashin A. Evidence-Based Management for Low Back Pain: Quality, Mechanisms and Reporting: UNSW Sydney; 2021.
8. Biz C, de Iudicibus G, Belluzzi E, Dalmau-Pastor M, Bragazzi NL, Funes M, et al. Prevalence of chronic pain syndrome in patients who have undergone hallux valgus percutaneous surgery: a comparison of sciatic-femoral and ankle regional ultrasound-guided nerve blocks. BMC Musculoskeletal Disorders. 2021;22(1):1-15.
9. Nisargandha MA, Parwe SD. Does Obesity Lead to Sciatic Pain: A Comparative Study. International Journal of Current Research and Review. 2020;12:120-25.
10. Naber WJ, Netzloff CL, Bakshi RR. Atypical Cause for Back Pain and Sciatica in a 35-year-old Female with Fibromyalgia. American Journal of Physical Medicine & Rehabilitation. 2023:10.1097.
11. Koes BW, Van Tulder M, Peul WC. Diagnosis and treatment of sciatica. Bmj. 2007;334(7607):1313-7.
12. Abdel-Wanis M. A NEW ALGORITHM TO HELP IN DIAGNOSIS ON THE CAUSE OF SCIATICA. Egyptian Journal of Orthopedic Research. 2021;2(2):53-4.
13. Furlong B, Etchegary H, Aubrey-Bassler K, Swab M, Pike A, Hall A. Patient education materials for non-specific low back pain and sciatica: A systematic review and meta-analysis. Plos one. 2022;17(10):e0274527.
14. De Silva U, Bapat V, Vedpathak S. A Literary Review on Viddha Karma and Its Role for Pain Management in Sciatic Neuritis. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2022;11(3):9-16p.
15. Rizzo RR, Ferraro MC, Wewege MA, Cashin AG, Leake HB, O’Hagan ET, et al. Targeting neurotrophic factors for low back pain and sciatica: a systematic review and meta-analysis. Rheumatology. 2022;61(6):2243-54.
16. Landsbergis P, Johanning E, Stillo M, Jain R, Davis M. Occupational risk factors for musculoskeletal disorders among railroad maintenance‐of‐way workers. American Journal of Industrial Medicine. 2020;63(5):402-16.
17. Park JW, Lee Y-K, Lee YJ, Shin S, Kang Y, Koo K-H. Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain. The bone & joint journal. 2020;102(5):556-67.
18. van Dijk W, Meinders MJ, Tanke MA, Verkerk EW, Westert GP, Jeurissen PP. Medicalization of sciatica and its treatment. Social Theory & Health. 2022:1-18.
19. Srichandraphan N, Poopitaya S, Chitragran R. The Accuracy of Slump Test for Diagnosis Spinal Stenosis with Sciatica Pain. Ann Short Rep Clin Image. 2021;3(1):1021.