Assessing Cryotherapy and Moist Heat Pack Application With and Without the Use of Proprioceptive Neuromuscular Facilitation-Contract Relax Stretching

2020 ◽  
pp. 1-6
Author(s):  
Amy Mauro ◽  
Blaine C. Long
Keyword(s):  
Range Of Motion ◽  
Static Stretching ◽  
Detectable Change ◽  
Treatment Groups ◽  
Moist Heat ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hip Flexion ◽  
All Treatment

Cryotherapy or moist heat packs (MHP) are often used prior to static stretching to enhance range of motion (ROM). Their influence on ROM when applied prior to proprioceptive neuromuscular facilitation-contract relax (PNF-CR) stretching is unknown. The purpose of this study was to determine if an ice bag or MHP influenced passive hip flexion ROM prior to PNF-CR stretching. When compared to the control, all treatment groups had a large effect. Participants receiving MHP PNF-CR, PNF-CR only, and ice bag PNF-CR met or exceeded our meaningful detectable change, thus demonstrating increased ROM. Those receiving an ice bag or MHP only did not demonstrate improvements and failed to present with ROM improvements.

Immediate effects of static and proprioceptive neuromuscular facilitation stretching of hamstring muscles on straight leg raise, craniovertebral angle, and cervical spine range of motion in neck pain patients with hamstring tightness: A prospective randomized controlled trial

2021 ◽  
pp. 1-10
Author(s):  
Eun-Dong Jeong ◽  
Chang-Yong Kim ◽  
Nack-Hwan Kim ◽  
Hyeong-Dong Kim
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Range Of Motion ◽  
T Test ◽  
Static Stretching ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Before And After ◽  
Straight Leg Raise ◽  
Pain Patients ◽  
Group Effects

BACKGROUND: The cranio-cervical flexion exercise and sub-occipital muscle inhibition technique have been used to improve a forward head posture among neck pain patients with straight leg raise (SLR) limitation. However, little is known about the cranio-vertebral angle (CVA) and cervical spine range of motion (CROM) after applying stretching methods to the hamstring muscle. OBJECTIVE: To compare the immediate effects of static stretching and proprioceptive neuromuscular facilitation stretching on SLR, CVA, and CROM in neck pain patients with hamstring tightness. METHODS: 64 subjects were randomly allocated to the static stretching (n1= 32) or proprioceptive neuromuscular facilitation (n2= 32) stretching group. The SLR test was performed to measure the hamstring muscle’s flexibility and tightness between the two groups, with CROM and CVA also being measured. The paired t-test was used to compare all the variables within each group before and after the intervention. The independent t-test was used to compare the two groups before and after the stretching exercise. RESULTS: There were no between-group effects for any outcome variables (P> 0.05). However, all SLR, CVA, and CROM outcome variables were significantly improved within-group (P< 0.05). CONCLUSIONS: There were no between-group effects for any outcome variable; however, SLR, CVA, and CROM significantly improved within-group after the one-session intervention in neck pain patients with hamstring tightness.

Comparison between 4 weeks passive static stretching and proprioceptive neuromuscular facilitation programmes on neuromuscular properties of hamstring muscles: a randomised clinical trial

2020 ◽  
Vol 27 (3) ◽  
pp. 1-11
Author(s):  
Anelize Cini ◽  
Gabriela Souza de Vasconcelos ◽  
Milena Caumo Soligo ◽  
Cassiele Felappi ◽  
Rodrigo Rodrigues ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Structural Changes ◽  
Randomised Clinical Trial ◽  
Control Group ◽  
Static Stretching ◽  
Hamstring Muscles ◽  
Significant Difference ◽  
Before And After ◽  
Group A ◽  
Hip Flexion

Background/aims Studies have shown the efficacy of stretching to increase the hip flexion range of motion but studies regarding its effects are not unanimous about the most efficient technique. The aim of this study was to compare the effect of two stretching techniques on the neuromuscular properties of the hamstring muscles. Methods A total of 18 women (aged 24 ± 2.52 years old) participated, and were divided into three groups: a control group, a passive static stretching group and a propioceptive neuromuscular facilitation stretching group. Evaluations of variables of the hamstring muscles were performed before and after the training period. The intervention was carried out for 30 seconds, three times a week for a total of 4 weeks. Results A significant difference was found in the range of motion in the passive static stretching group (pre=80.8° [±11.0] and post=94.5° [±10.2]; t(5)=−3.755; P=0.013) and in concentric torque (passive static stretching group – pre=66.3 Nm [±12.9] and post=70.0 Nm [±8.1]; t(5)=−1.267; P=0.023; propioceptive neuromuscular facilitation stretching group – pre=79.1 Nm [±12.7] and post=83.5 Nm [±11.6]; t(5)=−1.917; P=0.014; control group – pre=71.1 Nm [±10.1] and post=74.1 Nm [±14.6]; t(5)=−1.275; P=0.003). Conclusions Passive static stretching was superior to propioceptive neuromuscular facilitation when comparing the increase range of motion in hip flexion, even without neural and structural changes in hamstring muscles after a 4-week period.

scholarly journals The Effectiveness of PNF Versus Static Stretching on Increasing Hip-Flexion Range of Motion

2018 ◽  
Vol 27 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Landon Lempke ◽  
Rebecca Wilkinson ◽  
Caitlin Murray ◽  
Justin Stanek
Keyword(s):  
Range Of Motion ◽  
Knee Extension ◽  
Static Stretching ◽  
Bottom Line ◽  
Physically Active ◽  
Active Population ◽  
Significant Difference ◽  
Methods And Techniques ◽  
Hip Flexion ◽  
Joint Range

Clinical Scenario:Stretching is applied for the purposes of injury prevention, increasing joint range of motion (ROM), and increasing muscle extensibility. Many researchers have investigated various methods and techniques to determine the most effective way to increase joint ROM and muscle extensibility. Despite the numerous studies conducted, controversy still remains within clinical practice and the literature regarding the best methods and techniques for stretching.Focused Clinical Question:Is proprioceptive neuromuscular facilitation (PNF) stretching more effective than static stretching for increasing hamstring muscle extensibility through increased hip ROM or increased knee extension angle (KEA) in a physically active population?Summary of Key Findings:Five studies met the inclusion criteria and were included. All 5 studies were randomized control trials examining mobility of the hamstring group. The studies measured hamstring ROM in a variety of ways. Three studies measured active KEA, 1 study measured passive KEA, and 1 study measured hip ROM via the single-leg raise test. Of the 5 studies, 1 study found greater improvements using PNF over static stretching for increasing hip flexion, and the remaining 4 studies found no significant difference between PNF stretching and static stretching in increasing muscle extensibility, active KEA, or hip ROM.Clinical Bottom Line:PNF stretching was not demonstrated to be more effective at increasing hamstring extensibility compared to static stretching. The literature reviewed suggests both are effective methods for increasing hip-flexion ROM.Strength of Recommendation:Using level 2 evidence and higher, the results show both static and PNF stretching effectively increase ROM; however, one does not appear to be more effective than the other.

scholarly journals Acute effect of different stretching methods in classical dancer children

2020 ◽  
Vol 19 (2) ◽  
pp. 114
Author(s):  
Renata Nascimento ◽  
Mariana Desiree ◽  
Estevão Rios Monteiro ◽  
Aline Ribeiro ◽  
Natália Reis ◽  
...  
Keyword(s):  
Acute Effect ◽  
Static Stretching ◽  
Posterior Thigh ◽  
Passive Stretching ◽  
Subject Design ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hip Flexion ◽  
Stretching Exercises

 Introduction: Dancers use to do stretching exercises to increase flexibility in the preparation and completion of training and activities. The purpose of the present study was to compare two methods of passive stretching of hip flexion in classical dancer children. Methods: Twenty-one female’s children were recruited for the study, and each participant visited the laboratory on two occasions during three-days at least twenty-four hours between visits. A randomized within-subject design used to investigate the effects of three conditions: control (CG), static stretching (SS), and proprioceptive neuromuscular facilitation (PNF) applied to the posterior thigh, unilaterally, on passive hip flexion (HF) with 60-seconds. Results: There were no statistical differences for CG (F = 0.716; p = 0.552), SS (F = 0.536; p = 0.662) and PNF (F = 1.713; p = 0.191). Conclusion: The results found in the present study indicate that different stretching methods can promote increases in HF and PROM without difference between methods.Keywords: flexibility, dancing, youngster.

Effect of Static Stretching, Dynamic Stretching, and Myofascial Foam Rolling on Range of Motion During Hip Flexion

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tobias Siebert ◽  
Lars Donath ◽  
Mischa Borsdorf ◽  
Norman Stutzig
Keyword(s):  
Range Of Motion ◽  
Static Stretching ◽  
Dynamic Stretching ◽  
Foam Rolling ◽  
Hip Flexion

Effect of Foam Rolling and Static Stretching on Passive Hip-Flexion Range of Motion

2014 ◽  
Vol 23 (4) ◽  
pp. 296-299 ◽  
Author(s):  
Andrew R. Mohr ◽  
Blaine C. Long ◽  
Carla L. Goad
Keyword(s):  
Range Of Motion ◽  
Outcome Measure ◽  
Lower Extremity Injury ◽  
Static Stretching ◽  
Static Stretch ◽  
Main Outcome Measure ◽  
Foam Rolling ◽  
Significant Change ◽  
Hip Flexion ◽  
And Control

Context:Many athletes report that foam rollers help release tension in their muscles, thus resulting in greater range of motion (ROM) when used before stretching. To date, no investigators have examined foam rollers and static stretching.Objective:To determine if foam rolling before static stretching produces a significant change in passive hip-flexion ROM.Design:Controlled laboratory study.Setting:Research laboratory.Participants:40 subjects with less than 90° of passive hip-flexion ROM and no lower-extremity injury in the 6 mo before data collection.Interventions:During each of 6 sessions, subjects' passive hip-flexion ROM was measured before and immediately after static stretching, foam rolling and static stretching, foam rolling, or nothing (control). To minimize accessory movement of the hip and contralateral leg, subjects lay supine with a strap placed across their hip and another strap located over the uninvolved leg just superior to the patella. A bubble inclinometer was then aligned on the thigh of the involved leg, with which subjects then performed hip flexion.Main Outcome Measure:Change in passive hip-flexion ROM from the preintervention measure on day 1 to the postintervention measure on day 6.Results:There was a significant change in passive hip-flexion ROM regardless of treatment (F3,17 = 8.06, P = .001). Subjects receiving foam roll and static stretch had a greater change in passive hip-flexion ROM compared with the static-stretch (P = .04), foam-rolling (P = .006), and control (P = .001) groups.Conclusions:Our results support the use of a foam roller in combination with a static-stretching protocol. If time allows and maximal gains in hip-flexion ROM are desired, foam rolling the hamstrings muscle group before static stretching would be appropriate in noninjured subjects who have less than 90° of hamstring ROM.

Changes in Hamstring Range of Motion After Neurodynamic Sciatic Sliders: A Critically Appraised Topic

2017 ◽  
Vol 26 (4) ◽  
pp. 311-315
Author(s):  
Robert J. Bonser ◽  
Christy L. Hancock ◽  
Bethany L. Hansberger ◽  
Rick A. Loutsch ◽  
Eric K. Stanford ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Neural System ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Static Stretching ◽  
Common Condition ◽  
Bottom Line ◽  
Active Population ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hamstring Flexibility

Clinical Scenario:Hamstring tightness is a common condition leading to dysfunctional or restricted movement that is often treated with stretching. Neurodynamics has been proposed as an alternative to stretching by targeting the neural system rather than muscle tissue.Focused Clinical Question:In an active population, what is the effect of using neurodynamic sliders compared with stretching on traditional measures of range of motion (ROM)?Summary of Key Findings:The authors of a well-designed study found that neurodynamic sliders were more effective than static stretching, while the authors of 2 less-well-designed studies reported no difference with static stretching or that proprioceptive neuromuscular facilitation stretching was more effective than neurodynamic sliders.Clinical Bottom Line:Evidence exists to support the use of neurodynamic sliders to increase measures of hamstring ROM in patients who present with limited hamstring flexibility; however, the effectiveness of neurodynamic sliders compared with traditional stretching is inconclusive.Strength of Recommendation:Grade B evidence exists that neurodynamic sliders perform as well as traditional stretching techniques at increasing measures of hamstring ROM in patients with limited hamstring flexibility.

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