Neurodynamic Sliding Verses Static Stretching

Comparison Of Neurodynamic Sliding Verses Static Stretching On Clinical Outcomes In People With Hamstring Tightness: A Randomized Control Trail

Hamstring muscle are more likely to shorten among all biarticular muscles of human body. One of the many factors of hamstring tightness is increased tension in the neural structure. Apart from routine stretching techniques, mobilization of nervous system proves to be more effective. There are lot of stretching techniques available but they are more effective after multiple sessions. This study aims to cater the problem of hamstring tightness by neural sliding and static stretching in minimum sessions and compare which technique is more effective in resolving the issue.

Study Overview

• Status: Completed
• Conditions: Healthy Individuals With Hamstring Tightness
• Intervention / Treatment: Other: Neurodynamic Sliding; Other: Static Stretching

Detailed Description

Randomized Controlled Trials was used to collect data. Total patients were selected in two group with each 31 subjects. Purposive sampling technique was used. Experimental group will receive routine physical therapy along with TENS, Hot pack and Neurodynamic Stretching. (For 30 seconds, 3 times per session for 3 alternative days a week & duration of 4 weeks). Outcome measure will be the hamstring tightness value angle in degrees, which will be obtained with the help of goniometer after performing active knee extension test and active straight leg raise test

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Jhang, Punjab, Pakistan, 35200
      • Iqbal Memorial Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 40 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• People with age ranging between 25 and 35 years.
• Hamstring tightness of twenty degrees
• Incapability to reach seventy degree hip flexion in SLR.

Exclusion Criteria:

• Neurological or orthopedic diseases
• Chronic or acute low back pain, Hamstring injury.
• During last three month, involved in any lower extremity exercise programs.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Neurodynamic Sliding; participents receive routine physical therapy along with TENS, Hot pack and Neurodynamic Stretching. (For 30 seconds, 3 times per session for 3 alternative days a week & duration of 4 weeks).	Other: Neurodynamic Sliding; Participants supine with their cervical and thoracic spine supported in a forward flexed position. Simultaneous hip and knee flexion will be alternated dynamically with simultaneous hip and knee extension. The therapist will change the arrangement of movement depending on the tissue resistance level.
Active Comparator: Static Streching; Participent receive the routine physical therapy treatment that will include TENS, Hot pack and static stretching for 30 seconds and 3 times per session for 3 alternative days a week (duration of 4 weeks).	Other: Static Stretching; Participent lying supine, the therapist will passively position the subject into the straight leg raise position without discomfort or pain to the point where resistance to movement will be first felt.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from Baseline in Hamstring flexibility assessed with Active Knee Extension Test	This test is use to measure Hamstring tightness. 0 degree indicates more hamstring flexibility	Baseline, 2nd Week, 4th week
Change from Baseline in Hamstring flexibility assessed with Straight Leg raise	This test is use to measure hamstring tightness. 90 degree indicates more hamstring flexibility	Baseline, 2nd Week, 4th week

Collaborators and Investigators

• Sponsor: University of Lahore
• Investigators: Principal Investigator: Mohsin Majeed, University of Lahore; Study Chair: Fahad Tanveer, University of Lahore

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2020
• Primary Completion (Actual): May 27, 2021
• Study Completion (Actual): May 27, 2021

Study Registration Dates

• First Submitted: September 30, 2021
• First Submitted That Met QC Criteria: September 30, 2021
• First Posted (Actual): October 13, 2021

Study Record Updates

• Last Update Posted (Actual): October 13, 2021
• Last Update Submitted That Met QC Criteria: September 30, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: IRB-UOL-FAHS/761-II/2020

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No