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

2018 ◽  
Vol 27 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Leanna J. Gunn ◽  
Jill Campbell Stewart ◽  
Brittany Morgan ◽  
Steven T. Metts ◽  
Justin M. Magnuson ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Soft Tissue ◽  
Randomized Clinical Trial ◽  
Static Stretching ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hamstring Flexibility ◽  
Soft Tissue Mobilization ◽  
Facilitation Techniques ◽  
Better Than

Does soft tissue mobilization assist static stretching to improve hamstring flexibility? A randomized controlled trial

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Shibili Nuhmani
Keyword(s):  
Soft Tissue ◽  
Controlled Trial ◽  
Knee Extension ◽  
Repeated Measure ◽  
Control Group ◽  
Static Stretching ◽  
Significant Difference ◽  
Hamstring Flexibility ◽  
Soft Tissue Mobilization ◽  
Experimental Group

AbstractObjectivesObjective of the study is to investigate whether Soft tissue mobilization (STM) can assist with static stretching to improve hamstring flexibly.MethodsThe design of the study was repeated measure design. The study was conducted at the physical therapy laboratory of Jamia Hamdard University, New Delhi. Participants included 78 healthy males with hamstring tightness, randomly assigned to either the control group (static stretching) or the experimental group (STM and static stretching). The experimental group received five sets of four different STM techniques, followed by two sets of 30-s static stretches 3 days per week over the course of 12 weeks. The control group received 5 min of sham ultrasound with an inactive probe prior to static stretching. Active knee extension test (AKE) was the outcome measure.ResultsBoth groups showed significant improvement in AKE compared with the baseline measurements. With ingroup analysis showed a significant difference in AKE across all measured time periods (weeks 4, 8, and 12) with pre-test in both groups (p<0.05). No significant difference in AKE improvement was found between groups (p>0.05).ConclusionThe results of this study show that STM prior to static stretching does not significantly improve hamstring flexibility among healthy individuals. Although this study cannot be generalized, the results may be useful for evidence-based practice in the management of hamstring tightness.

Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Techniques on Balance and Gait Parameters in Children with Spastic Diplegia: A Study Protocol for a Randomized Clinical Trial

2021 ◽  
pp. 88-95
Author(s):  
Vikrant Salphale ◽  
Rakesh Krishna Kovela ◽  
Mohammad Irshad Qureshi ◽  
Pallavi Harjpal
Keyword(s):  
Clinical Trial ◽  
Cerebral Palsy ◽  
Randomized Clinical Trial ◽  
Lower Limb ◽  
The Other ◽  
Spastic Diplegia ◽  
Gait Parameters ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Task Oriented ◽  
Facilitation Techniques

Background: Cerebral Palsy is a spacious term which highlights an extensive gamut of motor affliction which has a stagnant tendency. The estimated Cerebral Palsy is indeed very prevalent in developed nations 2 out of the next 1000 live births and neonatal survivors. Among several Cerebral Palsy comes in a variety of manifestations. Spastic Diplegia is common in a majority of Preterm babies. Several treatment strategies of Physical therapy are utilized for Spastic Diplegia. This research focusses on assessing the Efficiency of Pelvic Proprioceptive Neuromuscular Facilitation (PNF) techniques over the Dimensions of Balance and Gait in children with Spastic Diplegia. Objective: To evaluate the Effectiveness and impact of the techniques of Pelvic Proprioceptive Neuromuscular Facilitation (PNF) on Balance, Gait Parameters and Pelvic Asymmetry in children having Spastic Diplegia. Methods: In this Randomized Clinical Trial, subjects (n= 40) having Spastic Diplegia will be selected and segregated in two groups using simple random sampling method with 1:1 allocation ratio. The allocation will be done through sequentially numbered opaque sealed envelope (SNOSE). Subjects in the experimental group will receive Pelvic PNF techniques like Rhythmic initiation and Slow reversal with Task- Oriented training which will contain sit to stand exercises, walking on the ground and reaching tasks for improving the balance and those in the other group will be given only Task- Oriented training for 4 weeks following baseline assessments. Throughout the treatment session and following 4 weeks follow up will be taken by assessing the Balance and Gait parameters of the subjects. The study duration will.  be of 1 year. Subjects with Spastic Diplegia with an age group of 8 to 12 years  who are able to do independent sitting, who are coming under GMFCS level I to III and those who are having pelvic asymmetry will be included in the study while subjects who had any surgery of spine or lower limb in past 6 months, who are having fixed deformities of spine or lower limb or any fracture or dislocation of spine or lower limb will be excluded from the study.  Results: Results will be recorded by using the outcome measures and instruments such as Pediatric Balance Scale, Gait Parameters and Palpation meter device at the end of the intervention and the effects of Pelvic PNF techniques will be compared with the other group which will receive Task oriented training. The statistical analysis will be done by using paired t test but if the data does not follow a normal distribution then Wilcoxon sign rank test will be used.           Discussion: The intention and motive of the study is to check the Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation techniques on Balance and Gait Parameters in children with Spastic Diplegia. Conclusion: The conclusion of this research is to acquire the fruitfulness of Approaches of Pelvic PNF on Balance and Gait Parameters in children having Spastic Diplegia.

scholarly journals The Use of Instrument Assisted Soft Tissue Mobilization Verse Massage and Proprioceptive Neuromuscular Facilitation Stretching Techniques on Improving Hamstring Flexibility

2020 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Soft Tissue ◽  
Repeated Measures ◽  
Physically Active ◽  
Treatment Groups ◽  
Muscle Tightness ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Within Subjects ◽  
Hamstring Flexibility ◽  
Soft Tissue Mobilization ◽  
Over Time

Context: Instrument assisted soft tissue mobilization (IASTM), massage and proprioceptive neuromuscular facilitation (PNF) stretching are interventions commonly used to address chronic muscle tightness and fascial restrictions. The efficacies of these interventions have not been well established. Objective: The purpose of this study was to compare the effectiveness of two manual therapy approaches, IASTM and Massage with PNF stretching (MAS/PNF) in improving hamstring muscle tightness and subjective reporting of tightness in physically active individuals. Design: Single blinded randomized, controlled, repeated-measures design, where group and treated limb were randomized. Setting: University athletic training clinic. Participants: Twenty healthy subjects (8 men, 12 women; mean age, 23.5±7.91 years) with bilateral hamstring tightness (measured using active knee extension (AKE)). Intervention: Subjects were randomly assigned to one of two treatment groups, IASTM (n=12) and MAS/PNF (n=8). Both treatments consisted of a unilateral 10 minutes treatment to the posterior leg. The subject’s untreated limb was the control. The authors measured pain levels (Visual Analog Scale (VAS)), general disability (Disablement in Physically Active Scale (DPAS), and perceived improvements in muscle tightness (Global Rate of Change (GRC)) at four different times (Pre, Post, 24hrs, 48hrs). A single blinded assessor collected all measurements. Main Outcome Measures: A repeated measures analysis of variance determined within-subjects factors between AKE and time (Pre, Post, 24hrs, 48hrs), limb (Treated vs. Control), and group (IASTM vs. MAS/PNF). Kruskal-Wallis H test analyzed data collected from the patient reported measures. Results: The authors found significant main effects between time (F=14.386, P< .001), limb (F=4.717, P=.043) and time-by-limb (F=11.233, P<.000), and AKE measurements. The treated limb of both groups demonstrated significant improvements in AKE compared to control limb. However the time by treatment interaction was not significant, indicating that both treatments groups changed similarly over time (P=.078). There was no difference in mean AKE between the treatment groups over time (F=4.717, P=.714). Significant within-subjects differences in VAS score were revealed for time (F=6.51, P=.000) and for time by group (F=4.46, P=.003). A significant treatment-by-time effect was revealed for the VAS during the treatment (F=10.47, P=.005). The IASTM group reported significantly higher discomfort during the treatment compared to the MAS/PNF group (P=.044). There was no statistically significant difference in the DPAS between the IASTM and MAS/PNF treatments, (post, p=.230; 24hrs, p=.475; 48hrs, p=.786). There was also no difference in GRC for perceived muscle tightness between groups over time (post, p=.321; 24hrs; p=.326; 48hrs, p=.609). Concusion: Both IASTM and MAS/PNF interventions were effective in increasing hamstring flexibility immediately post treatment, which was retained for up to 48 hours. There were no significant differences between the magnitudes of improvement, DPAS, or GRC between the interventions, but those within the IASTIM group reported more discomfort during the treatment.

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