Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial

Background and purpose Tight hamstring muscles are a common musculoskeletal condition that can negatively impact function and increase injury risk. Physiotherapists use various techniques like the ‘muscle energy technique (MET) and Mulligan straight leg raise (SLR)’ to improve flexibility. Evidence...

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Main Authors: Doaa Amin, Amr Abdel-Aziem, Reham Diab, Sameh Ahmed, Amira Abd-Elmonem, Amira El-Gendy, Marwa Eid, Efrem Kentiba, Mohamed ElMeligie
Format: Article
Language:English
Published: H.S. Skovoroda Kharkiv National Pedagogical University 2024-10-01
Series:Здоров’я, спорт, реабілітація
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Online Access:https://hsr-journal.com/index.php/journal/article/view/1129
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author Doaa Amin
Amr Abdel-Aziem
Reham Diab
Sameh Ahmed
Amira Abd-Elmonem
Amira El-Gendy
Marwa Eid
Efrem Kentiba
Mohamed ElMeligie
author_facet Doaa Amin
Amr Abdel-Aziem
Reham Diab
Sameh Ahmed
Amira Abd-Elmonem
Amira El-Gendy
Marwa Eid
Efrem Kentiba
Mohamed ElMeligie
author_sort Doaa Amin
collection DOAJ
description Background and purpose Tight hamstring muscles are a common musculoskeletal condition that can negatively impact function and increase injury risk. Physiotherapists use various techniques like the ‘muscle energy technique (MET) and Mulligan straight leg raise (SLR)’ to improve flexibility. Evidence comparing these methods is limited. The objective was to compare the effectiveness of ;muscle energy technique and Mulligan straight leg raise’ for improving hamstrings flexibility. Materials and Methods A parallel group randomized controlled trial was conducted at the outpatient physiotherapy clinic of a university hospital. Forty-six healthy subjects aged 18-25 years, with an active knee extension loss of 20-50 degrees with the hip and knee at a 90-degree popliteal angle were randomly allocated into three groups: Muscle energy technique, Mulligan straight leg raise, and control. Subjects received their respective interventions thrice weekly for four weeks. The “active knee extension test (AKET)”, “passive compliance and passive peak torque were assessed pre- and post-intervention. Results Both the Muscle energy technique and Mulligan straight leg raise groups showed significant improvements in ‘active knee extension test, passive compliance, and passive peak torque’ (p<0.005). However, ‘muscle energy technique’ demonstrated greater improvements compared to Mulligan SLR and control groups. Conclusion ‘Muscle energy technique’ appears to be more effective than Mulligan straight leg raise in improving hamstring flexibility, suggesting its potential as a preferred method in physiotherapy for treating hamstring tightness. Further research is needed to explore the long-term effects of Muscle energy technique and the potential benefits of a maintenance program.
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spelling doaj-art-aaba4e2a3d1947e4b5a2feff7b84eb642025-08-20T02:16:02ZengH.S. Skovoroda Kharkiv National Pedagogical UniversityЗдоров’я, спорт, реабілітація2520-26772520-26852024-10-011289Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled TrialDoaa Amin0https://orcid.org/0009-0005-6073-414XAmr Abdel-Aziem1https://orcid.org/0000-0001-8448-9218Reham Diab2https://orcid.org/0000-0003-1742-4718Sameh Ahmed3https://orcid.org/0000-0003-2845-2749Amira Abd-Elmonem4https://orcid.org/0000-0002-5877-8339Amira El-Gendy5https://orcid.org/0000-0001-6491-4926Marwa Eid6https://orcid.org/0000-0002-2703-6033Efrem Kentiba7https://orcid.org/0000-0001-7013-2605Mohamed ElMeligie8https://orcid.org/0000-0002-3090-5252Department Physical Therapy for Basic Sciences, Faculty of Physical Therapy Cairo University, Cairo, EgyptDepartment of Biomechanics, Faculty of Physical Therapy Cairo University, Cairo, EgyptDepartment of Physical Therapy, College of medical rehabilitation science, Taibah University, Saudi Arabia, MedinaDepartment Physical Therapy for Basic Sciences, Faculty of Physical Therapy Cairo University, Cairo, EgyptDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy Cairo University, Cairo, EgyptDepartment of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, EgyptDepartment of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif , Saudi ArabiaArba Minch University, College of Natural and Computational Sciences, Department of Sports Science, Arba Minch Ethiopia.Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy Ahram Canadian University, 6th of October city, Egypt     Background and purpose Tight hamstring muscles are a common musculoskeletal condition that can negatively impact function and increase injury risk. Physiotherapists use various techniques like the ‘muscle energy technique (MET) and Mulligan straight leg raise (SLR)’ to improve flexibility. Evidence comparing these methods is limited. The objective was to compare the effectiveness of ;muscle energy technique and Mulligan straight leg raise’ for improving hamstrings flexibility. Materials and Methods A parallel group randomized controlled trial was conducted at the outpatient physiotherapy clinic of a university hospital. Forty-six healthy subjects aged 18-25 years, with an active knee extension loss of 20-50 degrees with the hip and knee at a 90-degree popliteal angle were randomly allocated into three groups: Muscle energy technique, Mulligan straight leg raise, and control. Subjects received their respective interventions thrice weekly for four weeks. The “active knee extension test (AKET)”, “passive compliance and passive peak torque were assessed pre- and post-intervention. Results Both the Muscle energy technique and Mulligan straight leg raise groups showed significant improvements in ‘active knee extension test, passive compliance, and passive peak torque’ (p<0.005). However, ‘muscle energy technique’ demonstrated greater improvements compared to Mulligan SLR and control groups. Conclusion ‘Muscle energy technique’ appears to be more effective than Mulligan straight leg raise in improving hamstring flexibility, suggesting its potential as a preferred method in physiotherapy for treating hamstring tightness. Further research is needed to explore the long-term effects of Muscle energy technique and the potential benefits of a maintenance program.https://hsr-journal.com/index.php/journal/article/view/1129hamstring flexibilitymuscle energy techniquemulligan straight leg raiseactive knee extension testrandomized controlled trialphysiotherapy
spellingShingle Doaa Amin
Amr Abdel-Aziem
Reham Diab
Sameh Ahmed
Amira Abd-Elmonem
Amira El-Gendy
Marwa Eid
Efrem Kentiba
Mohamed ElMeligie
Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
Здоров’я, спорт, реабілітація
hamstring flexibility
muscle energy technique
mulligan straight leg raise
active knee extension test
randomized controlled trial
physiotherapy
title Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
title_full Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
title_fullStr Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
title_full_unstemmed Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
title_short Comparing the Effects of Mulligan Straight Leg Raising Exercise and Post-Facilitation Stretching Exercises on Hamstring Flexibility in Physiotherapy Students: A Randomized Controlled Trial
title_sort comparing the effects of mulligan straight leg raising exercise and post facilitation stretching exercises on hamstring flexibility in physiotherapy students a randomized controlled trial
topic hamstring flexibility
muscle energy technique
mulligan straight leg raise
active knee extension test
randomized controlled trial
physiotherapy
url https://hsr-journal.com/index.php/journal/article/view/1129
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