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Yıldırım MS, Ozyurek S, Tosun O, et al. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016;33(1):89-94doi: 10.5604/20831862.1194126.
Yıldırım, M. S., Ozyurek, S., Tosun, O., Uzer, S., & Gelecek, N. (2016). Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biology of sport, 33(1), 89-94. https://doi.org/10.5604/20831862.1194126
Yıldırım, M S, et al. "Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial." Biology of sport vol. 33,1 (2016): 89-94. doi: https://doi.org/10.5604/20831862.1194126
Yıldırım MS, Ozyurek S, Tosun O, Uzer S, Gelecek N. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016 Mar;33(1):89-94. doi: 10.5604/20831862.1194126. Epub 2016 Feb 08. PMID: 26929476; PMCID: PMC4763548.
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Biol Sport. 2016 Mar;33(1):89-94. doi: 10.5604/20831862.1194126. Epub 2016 Feb 08.

Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial.

Biology of sport

M S Yıldırım, S Ozyurek, Oç Tosun, S Uzer, N Gelecek

Affiliations

  1. Dokuz Eylül University, School of Physical Therapy and Rehabilitation, Turkey.

PMID: 26929476 PMCID: PMC4763548 DOI: 10.5604/20831862.1194126

Abstract

The aim of this study was to compare the effects of static stretching, proprioceptive neuromuscular facilitation (PNF) stretching and Mulligan technique on hip flexion range of motion (ROM) in subjects with bilateral hamstring tightness. A total of 40 students (mean age: 21.5±1.3 years, mean body height: 172.8±8.2 cm, mean body mass index: 21.9±3.0 kg · m(-2)) with bilateral hamstring tightness were enrolled in this randomized trial, of whom 26 completed the study. Subjects were divided into 4 groups performing (I) typical static stretching, (II) PNF stretching, (III) Mulligan traction straight leg raise (TSLR) technique, (IV) no intervention. Hip flexion ROM was measured using a digital goniometer with the passive straight leg raise test before and after 4 weeks by two physiotherapists blinded to the groups. 52 extremities of 26 subjects were analyzed. Hip flexion ROM increased in all three intervention groups (p<0.05) but not in the no-intervention group after 4 weeks. A statistically significant change in initial-final assessment differences of hip flexion ROM was found between groups (p<0.001) in favour of PNF stretching and Mulligan TSLR technique in comparison to typical static stretching (p=0.016 and p=0.02, respectively). No significant difference was found between Mulligan TSLR technique and PNF stretching (p=0.920). The initial-final assessment difference of hip flexion ROM was similar in typical static stretching and no intervention (p=0.491). A 4-week stretching intervention is beneficial for increasing hip flexion ROM in bilateral hamstring tightness. However, PNF stretching and Mulligan TSLR technique are superior to typical static stretching. These two interventions can be alternatively used for stretching in hamstring tightness.

Keywords: Biomechanical phenomena; Muscle stretching exercises/methods; Proprioception/physiology; Proprioceptive neuromuscular facilitation; Range of motion; Static stretch; Warm-up

References

  1. Phys Ther. 1987 Jan;67(1):24-30 - PubMed
  2. Br J Sports Med. 2005 Sep;39(9):594-8; discussion 598 - PubMed
  3. J Athl Train. 2005 Jun;40(2):94-103 - PubMed
  4. Phys Ther. 1996 Aug;76(8):836-45; discussion 845-9 - PubMed
  5. Physiother Theory Pract. 2010 May;26(4):240-50 - PubMed
  6. Med Care. 1989 Mar;27(3 Suppl):S178-89 - PubMed
  7. Sports Biomech. 2004 Jan;3(1):159-83 - PubMed
  8. Exp Brain Res. 2001 Mar;137(2):163-9 - PubMed
  9. J Athl Train. 2001 Mar;36(1):44-48 - PubMed
  10. BMC Musculoskelet Disord. 2009 Apr 16;10:37 - PubMed
  11. Ann Acad Med Singapore. 2003 Sep;32(5 Suppl):S56-7 - PubMed
  12. J Strength Cond Res. 2009 Mar;23(2):660-7 - PubMed
  13. J Orthop Sports Phys Ther. 2001 Mar;31(3):138-44 - PubMed
  14. J Strength Cond Res. 2009 Nov;23(8):2217-22 - PubMed
  15. Phys Ther. 2004 Sep;84(9):800-7 - PubMed
  16. J Orthop Sports Phys Ther. 1998 Apr;27(4):295-300 - PubMed
  17. Aust J Physiother. 1983 Oct;29(5):155-65 - PubMed
  18. Clin J Sport Med. 2010 Jan;20(1):8-14 - PubMed
  19. Sports Med. 2006;36(11):929-39 - PubMed
  20. J Strength Cond Res. 2005 Feb;19(1):27-32 - PubMed
  21. J Physiol. 1991;440:497-512 - PubMed
  22. J Strength Cond Res. 2010 Apr;24(4):972-7 - PubMed
  23. J Sports Med Phys Fitness. 2004 Sep;44(3):258-61 - PubMed
  24. Clin Biomech (Bristol, Avon). 2014 Jun;29(6):636-42 - PubMed

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