Effectiveness of Pnf Stretching Versus Static Stretching on Pain and Hamstring Flexibility Following Moist Heat in Individuals with Knee Osteoarthritis

Meena, Vijay Singh; Shanthi, C.; Madhavi, K.

doi:10.15621/ijphy/2016/v3i5/117434

Cited by 14 publications

(21 citation statements)

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“…Both experimental interventions demonstrated a statistically significant greater increase in hip flexion ROM than static stretching. The results of this study are consistent with previous research indicating PNF stretching may be more effective than static stretching [25,26,28] and that IASTM may be an effective method for improving ROM [32,33,[37][38][39]. It demonstrates that IASTM is effective specifically for treating tight hamstring muscles and affirms that PNF is effective Objective outcome measures for assessing hamstring flexibility consist of tests that attempt to lengthen the hamstrings maximally in various ways to allow an angular ROM measurement.…”

Section: Discussionsupporting

confidence: 92%

“…Proprioceptive neuromuscular facilitation (PNF) techniques have been shown to increase hamstring length as effectively as, or more effectively than, comparable static stretching interventions in several studies [19][20][21][22][23][24][25][26][27][28] but other studies have found it is less effective [29]. PNF stretching is based upon the physiological reflex mechanism responsible for activating the Golgi tendon organ and causing autogenic inhibition in the agonist muscle [30].…”

Section: Introductionmentioning

confidence: 99%

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Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial

Gunn

Stewart

Morgan

et al. 2018

Journal of Manual & Manipulative Therapy

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Objectives: Tight hamstrings contribute to inefficiency of movement and increased risk for injury. Static stretching is the most common intervention for this problem, but the use of alternatives like instrument-assisted soft tissue mobilization (IASTM) and proprioceptive neuromuscular facilitation (PNF) is increasing among clinicians. This study examined two prospective studies with the common aim of demonstrating the effectiveness of IASTM or PNF over static stretching for improving hamstring tightness. Methods: Nondisabled adults were recruited on a university campus. IASTM study: N = 17 (11 males and 6 females). PNF study: N = 23 (7 males and 16 females). Hip flexion range of motion was measured with a passive straight leg raise (for IASTM) or active straight leg raise (for PNF) before and after stretching. Participants performed a self-static stretch on one leg and received the alternative intervention on the contralateral leg. The two studies were analyzed separately for reliability indices and significant differences between interventions. Results: Hip flexion measures showed good reliability in both studies (intraclass correlation coefficient = 0.97) with a minimal detectable change of <4.26. Both studies showed significant interactions between time and intervention (p < 0.05). Follow-up analyses revealed PNF and IASTM interventions resulted in greater increases in hip flexion range than static stretching. Discussion: These findings demonstrate the effectiveness of PNF and IASTM techniques over static stretching for hamstring flexibility. These interventions provide more efficient alternatives for improving flexibility in the clinic, allowing greater progress in a shorter period of time than an equivalent static stretching program.Level of Evidence: 1b.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial

Gunn

Stewart

Morgan

et al. 2018

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

show abstract

“…This procedure is repeated 3 times in each session with a rest of 10 seconds between the stretches. The duration of PNF stretching is given for one week, 6 sessions per week (Meena V et al, 2016).…”

Section: Experimental Conditionsmentioning

confidence: 99%

“…According to to (Meena V et al, 2016;Agrawal Sonal.S., 2016;Vamsidhar N et al, 2014), different stretches, such as PNF (hold-relax) and static stretching have been incorporated into the tightness of the hamstring in the OA knee, and normal individuals have been given. However, only a few literature examining the effect of PNF (hold-relax) stretching and static stretching for pain and hamstring tightness have been evaluated in OA knee patients.…”

mentioning

confidence: 99%

A comparative study on the effectiveness of PNF stretching versus static stretching on Pain and Hamstring flexibility in osteoarthritis knee patients

S¹,

Vk²,

Soundarya³

2019

ijrps

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Osteoarthritis (OA) knee is a long-term chronic disease characterized by the destruction of articular cartilage and underlying bone. Pain, limitation of motion and functional impairment are common clinical features. Poor hamstring flexibility is a major problem for patients with OA knee. The stretching of the hamstring is a necessary intervention in the management of the OA knee. This study is therefore intended to compare the effectiveness of static stretching vs PNF stretching for pain, hamstring flexibility and functional mobility in OA Knee patients. 30 patients were randomly divided into two groups. Group A (N=15) received PNF stretching, wax therapy and isometric quadriceps exercises, and group B (N=15) received static stretching, wax therapy and isometric quadriceps exercises. The intensity of the pain was measured using the NPRS (Numerical Pain Rating Scale), hamstring flexibility by AKET (Active Knee Extension Test) and functional mobility by TUG (Timed up and Go) test. The results showed that significant differences in NPRS (Z=4.64, P=0.001), AKET (t=9.61, P=0.001) and TUG (t=8.19, P=0.001) were observed in group A patients when compared to group B. In conclusion, the PNF stretching treatment program is effective in reducing pain, improving hamstring flexibility and functional mobility in patients with OA knee compared to static stretching.

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“…Hamstring stretching with PNF using the hold-relax (HR) technique is a method in which relaxation is induced after performing isometric contraction to the point where resistance is felt in the hamstring muscles. [5][6][7] Activation of the Golgi tendon organ…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Hamstring Stretching with Proprioceptive Neuromuscular Facilitation versus Jack-Knife Stretching for Individuals with Hamstring Tightness

Oh¹,

Kang²

2021

J Musculoskelet Sci Technol

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Effectiveness of Pnf Stretching Versus Static Stretching on Pain and Hamstring Flexibility Following Moist Heat in Individuals with Knee Osteoarthritis

Cited by 14 publications

References 0 publications

Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial

Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial

A comparative study on the effectiveness of PNF stretching versus static stretching on Pain and Hamstring flexibility in osteoarthritis knee patients

The Effectiveness of Hamstring Stretching with Proprioceptive Neuromuscular Facilitation versus Jack-Knife Stretching for Individuals with Hamstring Tightness

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