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Two-leg Rotation and Sciatica
Sponsor: University of Hail
Summary
this study including the application of a specific technique of Mulligan mobilization calles 2 leg rotation on patients having lumbar discogenic lesion with sciatica. this technique is designed to address sciatic pain and proposed to reduce sciatica by opening the intervertebral foramnia. However, there is no systematic evedince supporting its clinical effect
Official title: Effect of Adding Two Leg-rotation to Standard Physical Therapy in the Treatment of Sciatica Secondary to Lumbar Discogenic Lesions.
Key Details
Gender
All
Age Range
18 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
70
Start Date
2026-03-15
Completion Date
2026-05-30
Last Updated
2026-03-02
Healthy Volunteers
No
Interventions
standard physical therapy
Modalities (TENS, US, and superficial heat) All participants received conventional TENS (Chattanooga, Intellect Advanced, USA) with the following parameters: frequency, 100 Hz; pulse duration, 60 ms; amplitude-modulated frequency, 10%; and intensity adjusted to a comfortable tingling sensation. Two electrodes (single channel) were used: the first was placed over the ipsilateral lumbar region, and the second over the popliteal fossa. The duration of the TENS was 20 minutes (Ozen et al., 2023). A ten-minute continuous Ultrasound (US) model (Chattanooga, Intellect Advanced, USA) was applied over the nerve roots. The 5 cm² US head was used, with a frequency of 1 MHz and an intensity of 1.5 W/cm² (Ozen et al., 2023). Exercises in the form of pelvic rocking From the supine position, the participant was asked to bend their hips and knees partially, then arch their lumbar spine, and finally press the bed with their low back. This exercise was performed 10 times per session.
2 leg rotation
The patient lies in a crook lying. Both hips are flexed to beyond 90° with knees bent. The therapist supports the pelvis/legs. The knees are brought to the side, limiting the SLR, while rotating the pelvis and trunk as far as possible without pain. The therapist was allowed to change the hip / lumbar position (flexion/extension) if pain is provoked. Sustain for 20 seconds and return to the start position painlessly. Reassess SLR in supine (Wayne Hing et al., 2020).
Locations (1)
University of Hail
Hail, Ha'il Region, Saudi Arabia