IJPR.2018.112

Type of Article:  Original Research

Volume 6; Issue 2 (April 2018)

Page No.: 2676-2681

DOI: https://dx.doi.org/10.16965/ijpr.2018.112

EFFECTS OF NEURAL TISSUE MOBILISATION AND PNF TECHNIQUE OF HOLD-RELAX ON LOWER EXTREMITY FLEXIBILITY IN POST STROKE PATIENTS

Simran Ostwal 1, Razia Nagarwala *2.

1 BPTh student, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

*2 Prof. & HOD Cardio-pulmonary Physiotherapy, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

Corresponding Author’s name: Dr. Razia Nagarwala, PT, Prof. & HOD Cardio-pulmonary Physiotherapy Dept. Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. Contact no:9850816350 E-Mail: rnagarwala@yahoo.com

ABSTRACT

Purpose: The purpose of the study was to study the effects of neural tissue mobilisation and hold-relax technique of lower extremity flexibility in post stroke patients.

Materials and Methods: 26 subjects were recruited in the study, 13 in each group. Group A (NDS) received sliders to the sciatic nerve in supine while Group B received PNF Hold-relax to hamstrings in supine. Both the treatment techniques were given in addition the set treatment protocols of the subjects. Popliteal angle was measured before commencing the treatment and after termination of the treatment.

Results:  No significant results were found between both the groups indicating equal effectiveness of both the treatment techniques.

Conclusion: Both, Neural mobilisation and Hold-Relax can be used equally in improving flexibility in post stroke patients.

KEY WORDS: Neural Tissue Mobilisation, Hold-Relax Technique, Flexibility, Stroke.

REFERENCES

  1. Butler DS: The Sensitive Nervous System. Adelaide: Noigroup Publications, 2000
  2. Cleland JA, Childs JD, Palmer JA, et al. : Slump stretching in the management of non-radicular low back pain: a pilot clinical trial. Man Ther, 2006;11:279–286.
  3. Ali MH, Gaikwad S, Mathew JT (2015) A Comparative Study between Hold Relax Technique and Static Stretching to Improve Gait Parameter of Hemiplegic Stroke Patients. Int J Neurorehabilitation 2:180. doi:10.4172/2376-0281.1000180
  4. Nery dosSantos AC, Gusmão deGoes AC, Lago RM, Petto J. Neural mobilization as a therapeutic option in the treatment of stroke. Manual Therapy, Posturology & Rehabilitation Journal= Revista Manual Therapy. 2016 Jan 1;14
  5. Michael Shacklok: Clinical neurodynamics.
  6. Kayla B. Hindle,  Tyler J. Whitcomb,  Wyatt O. Briggs,  Junggi Hong: Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function, J Hum Kinet. 2012 Mar; 31: 105–113
  7. Shacklok Michael: Clinical neurodynamics
  8. Joshi R, Cardona M, Iyengar S, Sukumar A, Raju CR, Raju KR, et al. Chronic diseases now a leading cause of death in rural India — mortality data from the Andhra Pradesh Rural Health Initiative. Int J Epidemiol. 2006;35:1522–9.
  9. Tapas Kumar Banerjee,  Shyamal Kumar Das. Fifty years of stroke researches in India. Ann Indian Acad Neurol. 2016 Jan-Mar; 19(1): 1–8.
  10. Singh S, Grover V, Singh S. Effect of Neural Mobilization and PNF Stretching on Hamstring Flexibility in Working Women. International Journal of Health Sciences and Research (IJHSR). 2015;5(8):361-8.
  11. Jonkers I, Stewart C, Spaepen A. The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait. Gait & posture. 2003 Jun 1;17(3):264-72.
  12. Hyun-Kyu Cha,  Hyuk-Shin Cho, jong-Duk Choi: Effects of the Nerve Mobilization Technique on Lower Limb Function in Patients with Poststroke Hemiparesis: J Phys Ther Sci. 2014 Jul; 26(7): 981–983.
  13. Akosile CO, Adegoke BA, Johnson OE. Effects of Proprioceptive Neuromuscular Facilitation technique on the functional ambulation of stroke survivors. Journal of Nigeria Society of Physiotherapy. 2012 Jul 9;18(1-2):22-7
  14. Yun-hyeok Shin,  Seung-chul Chon. The Effects of Sciatic Nerve Mobilization on Hamstring Flexibility, Lower Limb Strength and Gait Performance in Patients With Chronic Stroke. Physical Therapy Korea 2015;22(4):8-16.

Cite this article: Simran Ostwal, Razia Nagarwala. EFFECTS OF NEURAL TISSUE MOBILISATION AND PNF TECHNIQUE OF HOLD-RELAX ON LOWER EXTREMITY FLEXIBILITY IN POST STROKE PATIENTS. Int J Physiother Res 2018;6(2):2676-2681. DOI: 10.16965/ijpr.2018.112