Type of Article:  Original Research

Volume 6; Issue 1 (February 2018)

Page No.: 2619-2622

DOI: https://dx.doi.org/10.16965/ijpr.2017.265


Shraddha Kothawale *, Keerthi Rao.

A.P.J Abdul Kalam college of Physiotherapy, Loni , Maharashatra , India.

Address for Correspondence: Dr. Shraddha Kothawale, A.P.J Abdul Kalam college of Physiotherapy, Loni , Maharashatra , India. E-Mail: shrakothawale@gmail.com


Background: Hamstrings tightness a form of chronic dysfunction, is a sub-clinical problem often missed and manifests in form of musculoskeletal pain or injuries. Positional Release Technique (PRT) and Active Release Technique (ART) is a manual therapy technique of osteopathic origin. Its efficacy and effectiveness are under-researched, with little evidence available to guide the practitioners about the most useful and efficacious technique to increase the length of shortened muscles. Hence, this study aims at finding out an effective variant Positional Release Technique and Active Release Technique which has an immediate effect on hamstrings flexibility.

Objectives: The objectives of this study were to find out the effectiveness of Positional Release technique and Active Release technique on Hamstring Tightness.

Methodology: Sixty participants with hamstrings tightness meeting the inclusion and exclusion criteria were allocated into four groups: Group A:PRT , Group B:ART , with Twenty nine participants in PRT  group and Twenty Eight in ART Group . Pre intervention and post intervention Active knee extension test (AKE) and Sit to reach test was measured using universal goniometer and measuring Scale to determine the effectiveness of the technique.

Results: Pre intervention the mean baseline scores of AKE and Sit to reach test for Group A, Group B, when compared to their post intervention scores showed a highly significant (p<0.01) improvement.

Conclusion: Active Release Technique can be used as an effective physiotherapeutic intervention in reducing hamstrings tightness instantly.

Key words: Hamstrings tightness, Positional Release Technique, Active Release Technique, Active Knee Extension test, Sit to reach test.


  1. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise and physical fitness: definitions and distinctions for health –related research. Public health Reports 1985;100(2):126-131.
  2. Carlson SA, Fulton JE, Pratt M, Yang ZE, Adams K .Inadequate Physical Activity and Health Care Expenditures in the United States. Progress in Cardiovascular Diseases 2015;57(4):315-323.
  3. Kisner C, Colby L. Therapeutic Exercise: Stretching. 4th New Delhi: Jaypee Brothers; 2002;171-215.
  4. Page P, Frank C, Lardner R. Muscle length testing. The Janda Approach: Restoration of Muscle Balance. USA: Human Kinetics; 2010;93-110.
  5. Standring S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. Pelvic girdle, Gluteal region & thigh. 40th Edinburgh: Elsevier;2008:1349-1386.
  6. Richard N. Pierce, Positional Release Techniques goeata.org.com.
  7. Cindy Pirog Active Release Technique (ART) PTA 236 Spring 2013.
  8. Kage V, Ratnam R. Immediate effect of active release techniques versus mulligan bent leg raise in subjects with hamstring tightness: A randomized clinical Trial .International Journal of Physiotherapy and research 2014;2(1):301-304.
  9. Smith M, Fryer G. A comparison of two muscle energy techniques for increasing flexibility of the hamstrings muscle group. J Bodywk &MvtTher. 2008;12:312-317.
  10. Bakirtzoglou P, Ioannou P &Bakirtzoglou F .Evaluation of hamstring flexibility by using two different measuring instruments Sport Logia 2010;6(2):28-32.
  11. Heggannavar A, Behere A. Effect of positional release therapy versus static stretching on subjects with hamstring tightness. Romanian Journal of Physical Therapy 2014;20(34).
  12. Kage V, Bindra R. Effect of active release technique versus myofascial release on subjects with plantar fasciitis. 2015;101:702.
  13. George JW, Tunstall AC, Tepe RE, Skaggs CD The effect of active release technique on hamstring flexibility: a pilot study. Journal of Manipulative and Physiological Therapeutics 2006;29(3):224-7.
  14. Abelson B., Abelson K. Release your pain.2nd by Rowan Tree books Ltd.2012.

Cite this article: Shraddha Kothawale, Keerthi Rao. EFFECTIVENESS OF POSITIONAL RELEASE TECHNIQUE VERSUS ACTIVE RELEASE TECHNIQUE ON HAMSTRINGS TIGHTNESS. Int J Physiother Res 2018;6(1):2619-2622. DOI: 10.16965/ijpr.2017.265