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IJPR.2017.220

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Type of Article:  Original Research

Volume 5; Issue 6 (November 2017)

Page No.: 2425-2431

DOI: https://dx.doi.org/10.16965/ijpr.2017.220

COMPARISON OF IMMEDIATE EFFECT ON HAMSTRING FLEXIBILITY USING NON BALLISTIC ACTIVE KNEE EXTENSION IN NEURAL SLUMP POSITION AND STATIC STRETCH TECHNIQUE

Gadpal Pratiksha *1  , Asgaonkar Bharati 2.

*1 Musculoskeletal Physiotherapiest , Physiotherapy Department, Tnmc and Nair Charitable Hospital, Mumbai, India.

2 Associate Professor, Ph.D. Guide, Physiotherapy Department, Tnmc and Nair Charitable Hospital, Mumbai, India.

Address for Correspondence: Dr. Pratiksha B. Gadpal, Musculoskeletal Physiotherapiest, Physiotherapy Department, Tnmc and Nair Charitable 986hospital, Mumbai, India.  E-Mail:drpratikshag@yahoo.com

ABSRACT

Background: Amongst all of the biarticular muscles of the human body hamstring have a greater tendency to shorten. Increased tension in the neural structures has also been shown to be one of the most important causative factor for the hamstring tightness for which mobilisation of the nervous system has emerged as a significant adjunct apart from routine  stretching techniques. There are lots of studies available which has proven the effect of stretching on the hamstring flexibility, but only after giving the multiple sessions. Thus the aim of this study was to determine whether a single session of hamstring stretching by neural slump and static stretch technique improves hamstring flexibility or not.

Materials and Methods: 60 healthy individuals between the age groups of 18-30 as per the inclusion and exclusion criterion were enrolled for the study. Hamstring tightness was measured using knee flexion angle. Subjects were asked to actively extend their knee from 90-90 hip knee flexion in supine position, individuals having knee flexion angle more than 15 degrees were assumed to have hamstring tightness and were randomly allocated and divided into 2 groups, group A was given static stretch in modified Hurdler’s position and group B was given neural slump stretch, having 30 subjects in each group.

Result: Data was collected and statistically analyzed using the appropriate statistical tests. Results showed significant reduction in hamstring tightness in both the groups and on comparison, group B (Neural slump stretch) was found to be more effective than group A (Static stretch).

Conclusion: Neural slump stretch was found to be more effective in immediately improving the  hamstring flexibility as compared to static stretch.
KEY WORDS: Hamstring, Neural slump stretch, Flexibility, Static stretch.

REFERENCES

  1. Roberto Méndez-Sánchez, Francisco Alburquerque-Sendín, Cesar Fernández-de-las-Peñas,et al. Immediate Effects of Adding a Sciatic Nerve Slider Technique on Lumbar and Lower Quadrant Mobility in Soccer Players: A Pilot Study. The Journal of Alternative and Complementary Medicine. June 2010;16(6):669-675.
  2. Wits, Kelly Hamilton BSc Physio. Lumbar mechanical dysfunction in association with Meralgia Paresthetica: A case report. Available from,KHBSP Wits- bellrogersphysio.co.za
  3. Bhavana Suhas Mhatre ,et al. Which is the better method to improve “perceived hamstrings tightness” – Exercises targeting neural tissue mobility or exercises targeting hamstrings muscle extensibility?. International Journal of Osteopathic Medicine. September 2013;16(3):153–162.
  4. O’Hora, John; Cartwright, Abigail; Wade, Clive D; Hough, Allan D; Shum, Gary L K. Efficacy of static stretching and proprioceptive neuromuscular facilitation stretch on hamstrings length after a single session. Journal of Strength and Conditioning Research.June 2011;25(6):1586-1591.
  5. John Cronin,et al. The acute effects of hamstring stretching and vibration on dynamic knee joint range of motion and jump performance. Physical therapy in sports. 2008;9(2):89–96.
  6. Puentedura, Emilio J., et al. Immediate effects of quantified hamstring stretching: Hold-relax proprioceptive neuromuscular facilitation versus static stretching. Physical therapy in sports. 2011;12(3):122-126.
  7. Rubini EC, Souza AC, Mello ML, Bacurau RF, Cabral LF, Farinatti PT. Immediate effect of static and proprioceptive neuromuscular facilitation stretching on hip adductor flexibility in female ballet dancers. Journal of Dance Medicine & Science. December 2011;15(4):177-181.
  8. Herrington, Lee. Effect of Different Neurodynamic Mobilization Techniques on Knee Extension Range of Motion in the Slump Position. Journal of Manual & Manipulative Therapy. 2006;14(2):101-107.
  9. Fidel C, Martin E, Dankaerts W, Allison G, Hall T. Cervical spine sensitising manoeuvres during the slump test. Journal of Manual Manipulative Therapy. 1996;4:6-21.
  10. P. McHugh, C.H. Cosgrave. To stretch or not to stretch: the role of stretching in injury prevention and performance. Scandinavian journal of medicine and science in sports. April 2010;20(2):169-181.
  11. Weerasekara, I.,et al. Prevalence of Hamstring Tightness among the Male Athletes of University of Peradeniya in 2010.Journal of SLSAJ. 2012;12: 56-58.
  12. Therapeutic exercise : Foundations and techniques. Carolyn Kisner, Lynn Allen Colby. Jaypee brothers. 6 th Edition, 2013;72-113.
  13. Slavko Rogan, Dirk Wüst, Thomas Schwitter, Dietmar Schmidtbleicher, Et al. Static stretching of the hamstring muscle for injury prevention in football codes: a systematic review. Asian Journal of Sports Medicine. 2013 March;4(1):1–9.
  14. Sports Injures: Diagnosis and Management. Christopher M. Norris. Second edition, Chapter 6,pg no.119;Chapter 7,pg no.144.
  15. Aggrawal, Anjana. Comparative effectiveness of stretching and muscle energy technique on blood   lactate levels in hamstring tightness; a randomized controlled trial. KLE University, Belgaum. Orthopaedic Physiotherapy, july 2012. available from: http://hdl.handle.net/123456789/299
  16. Davis Hammonds, Autumm L, Et al. Acute lower extremity  running kinematics after a hamstring stretch. Journal of Athletic   2012 Jan-Feb;47(1):5–14.
  17. Peter Brukner and Karim Khan. Clinical sports medicine. McGraw-hill professional. 2007;Third edition, pg no.29,366,385.
  18. Mendiguchia, Jurdan; Brughelli, Matt. A return-to sport algorithm for acute hamstring injuries. Physical Therapy in Sport. 2011;12(1):2-14.
  19. William G. Webright, Billie Jane Randolph, David H. Perrin. Comparision of nonballistic active knee extension in neural slump position and static stretch techniques on hamstring flexibility.Journal of orthopedic and sports physical therapy. 1997;26(1):7-13.
  20. Michael Shacklock. Clinical neurodynamics: a new system of musculoskeletal treatment. 1st edition. Edinburgh: Elsevier; 2005. Chapter no. 1. pg no.16-36.;  Chapter no.3, pg no.72-76.
  21. Castellote-Caballero, et al.  Effects of a neurodynamic sliding technique on hamstring flexibility in healthy male soccer players. A pilot study. Physical Therapy in Sport. August 2013;14(3):156–162.
  22. Yolanda Castellote-Caballero; et al. Immediate effects of neurodynamic versus muscle stretching on hamstring flexibility in subjects with short hamstring syndrome. Department of physical therapy, university of newada, las vegas,2013.

Cite this article: Gadpal Pratiksha, Asgaonkar Bharati. COMPARISON OF IMMEDIATE EFFECT ON HAMSTRING FLEXIBILITY USING NON BALLISTIC ACTIVE KNEE EXTENSION IN NEURAL SLUMP POSITION AND STATIC STRETCH TECHNIQUE. Int J Physiother Res 2017;5(6):2425-2431. DOI: 10.16965/ijpr.2017.220
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