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Research Article Open access CC BY 4.0

Tight Hamstring Syndrome Related Lumbar Disc Herniation and Its Rehabilitation Program to Two Case Reports

Emine Eda Kurt, Öznur Büyükturan, Figen Tuncay, Hatice Rana Erdem

Journal of Advances in Medicine and Medical Research · pp. 1–9 · Published 21 Sep 2016

10.9734/BJMMR/2016/28749

Abstract

Tight hamstring syndrome (THS) is a symptom complex which has a varied pathogenesis. The syndrome usually occurs in childhood and adolescent period. It is characterized by tightness of lumbar, ischial and crural muscles. Case Report 1: 17 year old male was complaining of low back and right leg pain which spread to the back right leg for last two month. He walking with limited forward flexion and right knee flexion. Stright leg raising test (SLRT) was leading to elevation of whole body like a board with painful and patient was suffering from pain when his legs was elevated to 30 degree. Popliteal angle of effected sign was 87 degrees. There was no weakness of lower extremity. MRI of lumbar spine showed L5-S1 right far lateral disc herniation. It was decided that patient’s diagnosis was THS depending on lumbar discopathy. Medical treatment, conventional physical therapy (15 session) and Mulligan traction straight leg raise technique (TSLR) were applied (9 session). After the treatment his complaints were better than the baseline and the results of examination was improved. Case Report 2: 19 year old male was was complaining of left leg pain which spread to the back left leg last four month. SLRT was leading to elevation of whole body like a board with painful and patient was suffering from pain when his legs was elevated to 40 degree. He was standing and walking with limited forward flexion and increased flexion at left knee. it was also decided that patient’s diagnosis was THS depending on lumbar discopathy. Medical treatment, conventional physical therapy (15 session) and Mulligan TSLR technique were applied (9 session). After the therapy, his toe touching distance was 25 cm and SLRT was negative. Low back range of motion (ROM) was full. Conclusion: As well as developing technologies and treatment approaches, we believe that early diagnosis of THS and its reason can prevent additional surgeries. Our cases which diagnosed THS related lumbar disc herniation improved with early intervention.

Tight hamstring syndrome lumbar discopathy Mulligan technique

References (11)

  1. 1 Stretching exercises: Effect on passive extensibility and stiffness in short hamstrings of healthy subjects [DOI]
  2. 2 Adverse mechanical tension in the nervous system? Analysis of straight leg raise [DOI]
  3. 3 The Neuroscience Of Human Movement
  4. 4 The Relationship Between Tight Hamstrings and Lumbar Hypolordosis in Children With Cerebral Palsy [DOI]
  5. 5 Variability in Straight Leg Raise Measurements [DOI]
  6. 6 Mulligan Traction Straight Leg Raise: A Pilot Study to Investigate Effects on Range of Motion in Patients with Low Back Pain [DOI]
  7. 7 Hamstring tightness and sciatica in young patients with disc herniation [DOI]
  8. 8 Effectiveness of Neural Mobilization in the Treatment of a Patient with Lower Extremity Neurogenic Pain: A Single-Case Design [DOI]
  9. 9 Tight hamstring syndrome and extra- or intraspinal diseases in childhood: A multicenter study [DOI]
  10. 10 Effect of Mulligan Stretching Techniques (TSLR and BLR) on Biceps Femoris Muscle and Pelvic Rotation by Using Surface Emg and Bubble Inclinometer Respectively [DOI]
  11. 11 HERNIATED INTERVERTEBRAL LUMBAR DISC IN THE TEENAGER [DOI]

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