The comparison of İmmediate Effects of Mulligan’s Bent Leg Raise Technique and Kinesiotape on Hamstring Tightness

Abstract

The aim of this study is to investigate the immediate and 24- hours effects of Mulligan’s bent leg raise (BLR) technique and kinesio tape (KT) on hamstring tightness. 54 subjects with hamstring tightness participated in the study and and the subjects were randomly divided into two groups (group 1= BLR, group 2= KT group). To assess hamstring tightness, sit and reach test was performed and the active knee extension grade was measured with a halo goniometer. Measurements were taken pre- intervention, 30 minutes after intervention and 24 hours after intervention. After the analyses of the measurements, statistically significant increase were found in both groups on active knee extension and sit and reach test (p=0,000). In comparison of the groups; after 30 min. measurements BLR results showed statistically significant improvement than KT (p=0,01), however after 24 hours measurements; statistically significant improvement was detected in KT than BLR (p=0,032) on sit and reach test. On active knee extension test BLR showed greater improvement than KT at measurements taken after 30 minutes (p=0,00).  There were no statistically significant differences on the other test parameters. Both KT application and BLR technique are effective on increasing hamstring muscle’s flexibility. It has been determined that the BLR technique is more effective in the need of immediate effect on hamstring shortness and the KT application is more effective when the longer effect is required. 

Keywords

• Flexibility,hamstring muscle,mulligan’s bent leg raise technique,kinesiotape,active knee extension test

Mulligan bent leg raise tekniği ve kinesiotape’nin hamstring kası kısalığına anlık etkilerinin karşılaştırılması

Öz

Çalışmamızın amacı hamstring kası kısalığına mulligan bent leg raise (BLR)  tekniği ve kinezyoteyp (KT) uygulamasının anlık ve 24 saatlik etkisini ve belirlemektir. Çalışmaya hamstring kısalığı olan 54 kişi katılmış ve randomize olarak iki gruba ayrılmıştır. (grup 1= BLR grubu, grup 2= KT grubu). Hamstring kısalığını değerlendirmek amacıyla otur-uzan testi yapılmış ve aktif diz ekstensiyon derecesi halo gonyometre ile ölçülmüştür.  Değerlendirmeler uygulamadan önce, 30 dakika sonra ve 24 saat sonra yapılmıştır. Değerlendirmelerin analizi sonucunda her iki grupta da otur- uzan testi ve aktif diz ekstensiyon derecesinde anlamlı artış gözlenmiştir (p=0,000). Gruplar kendi aralarında karşılaştırıldığında, otur- uzan testinde 30 dakika sonra yapılan ölçümlerde BLR tekniğinin (p=0,010); 24 saat sonra yapılan ölçümlerde ise KT uygulamasının (0.032) etkinliğinin istatistiksel olarak daha anlamlı olduğu bulunmuştur. Aktif diz ekstensiyon derecesinde ise 30 dakika sonra yapılan ölçümlerde BLR tekniğinin (0,00) etkinliği istatistiksel olarak daha anlamlı bulunmuştur. Diğer test parametrelerinde istatistiksel olarak anlamlı bir farklılık bulunmamıştır. Hem KT uygulaması hem de BLR tekniği hamstring kası esnekliğinin artırılmasında etkilidir. Hamstring kısalığına yönelik anlık etki istendiğinde BLR tekniğinin, daha uzun süreli etki istendiğinde ise KT uygulamasının daha etkili olduğu belirlenmiştir.

Anahtar Kelimeler

• Esneklik,hamstring kası,mulligan bent leg raise tekniği,kinesiotape,aktif diz ekstensiton testi

Kaynakça

1. Referans1. Patni O, M Saravanan, Shaikh A, Juneja A, Shaikh N, Patel R. Effect of single bout of passive stretching and Mulligan's Bent Leg Raise (BLR) on Hamstring flexibility in young adults with asymptomatic bilateral Hamstring tightness. IOSR Journal of Dental and Medical Sciences. 2013; 9: 3.
2. Referans2. Hopper D, Deacon S, Das S, Jain A, Riddell D, Hall T, Briffa K. Dynamic soft tissue mobilisation increases hamstring flexibility in healthy male subjects. Br J Sports Med 2005; 39: 594–598.
3. Referans3. Khuman P R, Surbala L, Patel P, Chavda D. Immediate Effects of Single Session Post Isometric Relaxation Muscle Energy Technique Versus Mulligan’s Bent Leg Raise. International Journal of Scientific Research. 2014; 3; 9.
4. Referans4. Singh B K, Pattnaik M, Mohanty P. A Comparative Study of Mulligan Traction Straight Leg Raising and Dynamic Soft Tissue Mobilization to Increase Hamstrings’ s Flexibility. 2016; 5; 4.
5. Referans5. Ozmen T, Gunes GY, Dogan H, Ucar I, Willems M. The effect of kinesio taping versus stretching techniques on muscle soreness, and flexibility during recovery from nordic hamstring exercise. Journal of Bodywork & Movement Therapies. 2017; 21: 41- 47
6. Referans6. Hall T, Hardt S, Schafer A, Wallin l. Mulligan bent leg raise technique—a preliminary randomized trial of immediate effects after a single intervention. Manual Therapy. 2006; 11: 130–135.
7. Referans7. Medeni ÖÇ, Baltacı G, Vayvay GD. Acute effect of kinesiotape muscle technique on hamstring flexibility and pain during stretching. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2015; 26(2): 73-77
8. Referans8. Phansopkar P A, Kage V. Efficacy of mulligan’s two leg rotation and bent leg raise techniques in hamstring flexibility in subjects with acute non-specific low back pain: randomized clinical trial. International Journal of Physiotherapy and Research. 2014; 2(5): 733-41.

9. Referans9. Kage V, Ratnam R. Immediate effect of active release technique versus mulligan bent leg raise in subjects with hamstring tightness: A randomized clinical trial. International Journal of Physiotherapy and Research. 2014; 2(1): 301-04.
10. Referans10. Patel, G. To compare the effectiveness of mulligan bent leg raising and slump stretching in patient with low back pain. Indian J. Physiother. Occup. Ther. An Int. 2014. J. 8: 24–28.
11. Referans11. Ayala F, Baranda P.S, Santonja F. Comparison of active stretching technique in males with normal and limited hamstring flexibility. Physical Therapy in Sport. 2013; 14(2): 98-104
12. Referans12. Dixon JK, Keating JL. Variability in straight leg raise measurements: review. Physiotherapy. 2000; 86(7): 361–70.13. Farquharson C, Greig M. Temporal efficacy of kinesiology tape vs. traditional stretching methods on hamstring extensibility. The International Journal of Sports Physical Therapy. 2015; 10: 1.
13. Referans14. Marban MR, Rodrıguez FE, Fernandez IL, Vega DM. The acute effect of kinesio taping on hamstring extensibility in university students. Journal of Physical Education and Sport. 2011; 11(2): 23-27
14. Referans15. Lumbroso D, Ziv E, Vered E, Kalichman L. The effect of kinesio tape application on hamstring and gastrocnemius muscles in healthy young adults. Journal of Bodywork & Movement Therapies. 2014; 18: 130-138
15. Referans16. Chen CH, Tsun-Shun Huang TS, Chai HM, Jan MH, Lin JJ. Two Stretching Treatments for the Hamstrings: Proprioceptive Neuromuscular Facilitation Versus Kinesio Taping. Journal of Sport Rehabilitation. 2013; 22: 59-66
16. Referans17. Halseth T, McChesney JW, DeBeliso M, Vaughn R, Lien J. The effects of kinesiotape on proprioception at the ankle. J Sports Sci Med. 2004; 3: 1-7.18. Tsai HJ, Hung HC, Yang JL, Huang CS, Tsauo JY. Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 2009; 17(11): 1353-60.
17. Referans19. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. Tokyo. Ken Ikai Co. Ltd. 2003.
18. Referans20. Hamid MS, Mohamed Ali MR, Yusof A. Interrater and Intrarater Reliability of the Active Knee Extension (AKE) Test among Healthy Adults. J. Phys. Ther. Sci. 2013; 25: 957–961
19. Referans21. Baltaci G, Un N, Tunay V, Besler A, Gerçeker S. Comparison of three different sit and reach tests for measurement of hamstring flexibility in female university students. Br J Sports Med. 2003; 37: 59–61