Neurodynamic Sciatic Nerve Sliders and Passive Stretching Technique to Reduce Pain and to Increase Hamstring Muscle Flexibility

I Made Dhita Prianthara, Ida Ayu Astiti Suadnyana, I.A Pascha Paramurthi, Ni Luh Anita Chandra Dewi, I Dewa Gde Alit Kamayoga

Abstract


Short hamstring syndrome is a condition caused by a reduction of the length of hamstring muscles causing muscle tension, muscle strain, and limitations in movement and function. The purpose of this study was to determine the efficacy of the neurodynamic sciatic nerve sliders technique with passive stretching on reducing pain and increasing flexibility of the hamstring muscles in tailors with short hamstring syndrome. This study was an experimental study with pre-test and post-test two group design. The study sample consisted of 22 people given the neurodynamic sciatic nerve sliders technique intervention, for group 1, and passive stretching, for group 2. Pain was measured using a visual analogue scale (VAS), while hamstring muscle flexibility was tested by active knee extension (AKE) measured before and after intervention. Data analysis used paired sample t-test and independent sample t-test. The Paired Sample T-test for pain data of Group 1 obtained p = 0.000 (p <0.05), while the result of Group 2 was p = 0.000 (p <0.05). For the flexibility data of the hamstring muscles, group 1 obtained p = 0.000 (p <0.05) and group 2 obtained p = 0.000 (p <0.05). Independent Samples T-test for pain obtained an average score after treatment of 1.48 ± 1.10 for group 1 and 2.37 ± 0.76 for group 2 with a value of p = 0.039 (p <0.05). For flexibility data, the mean after treatment was 165.00 ± 4.05 for group 1 and 155.00 ± 8.33 for group 2 with a value of p = 0.002 (p <0.05). From these results, neurodynamic sciatic nerve sliders technique and passive stretching can reduce pain and increase hamstring muscle flexibility in tailors with short hamstring syndrome.


Keywords


Flexibility, Neurodynamic Sciatic Nerve Sliders Technique, Passive Stretching

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References


Ahmed, A. R., & Samhan, A. F. (2016). Short Term Effects of Neurodynamic Stretching and Static Stretching Techniques on Hamstring Muscle Flexibility in Healthy Male Subjects. International Journal of Medical Research & Health Sciences, 5(5), 36–41.

Aprilia, L., Solichin, S., & Puspitasari, S. T. (2021). Gambaran Keluhan Low Back Pain (LBP) pada Pekerja Menjahit dengan Pengukuran Visual Analog Scale (VAS). Sport Science and Health, 3(3), 117-124.

Babu, Vinod. K., Akalwadi, A., Kumar, Sai. N., & Mahendrabhai, U. M. (2015). Immediate Effect of Neurodynamic Sliding Technique Versus Mulligan Bent Leg Raise Technique on Hamstring Flexibility in Asymptomatic Individuals. International Journal of Physiotherapy, 2(4), 658–666.

Baird, M. F., Graham, S. M., Baker, J. S., & Bickerstaff, G. F. (2012). Creatine-kinase- and exercise-related muscle damage implications for muscle performance and recovery. Journal of Nutrition and Metabolism, 2012 : 1-13

Boonstra, A. M., Preuper, H. R. S., Reneman, M. F., Posthumus, J. B., & Stewart, R. E. (2008). Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International journal of rehabilitation research, 31(2), 165-169.

Cadellans-Arróniz, A., López-de-Celis, C., Pérez-Bellmunt, A., Rodríguez-Sanz, J., Llurda-Almuzara, L., González-Rueda, V., & Rodríguez-Rubio, P. R. (2021). Effects of diacutaneous fibrolysis on passive neuromuscular response and mechanosensitivity in athletes with hamstring shortening: A randomized controlled trial. International journal of environmental research and public health, 18(12), 6554.

Castellote-Caballero, Y., Valenza, M. C., Martín-Martín, L., Cabrera-Martos, I., Puentedura, E. J., & Fernández-de-Las-Peñas, C. (2013). Effects of a neurodynamic sliding technique on hamstring flexibility in healthy male soccer players. A pilot study. Physical Therapy in Sport, 14(3), 156-162.

Daga, F. A., Panzolini, M., Allois, R., Baseggio, L., & Agostino, S. (2021). Age-Related Differences in Hamstring Flexibility in Prepubertal Soccer Players: An Exploratory Cross-Sectional Study. Frontiers in Psychology, (12) : 1-6

Davis, S., Quinn, R. O. Q., Whiteman, C. T., Williams, J. D., & Young, C. R. (2008). Concurrent Validity of Four Clinical Tests Used to Measure Hamstring Flexibility. Journal of Strength and Conditioning Research, 22(2), 583–588.

Dommerholt, J., & Huijbregts, P. (2009). Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management: Pathophysiology and Evidence-Informed Diagnosis and Management. Jones & Bartlett Publishers.

Ginting, A. M., Wijanarko, W., & Erwansyah, R. (2022). Pengaruh Stretching Dan Strengthening Terhadap Penurunan Skala Nyeri Sendi Lutut Ostheoarthritis Genu Di Kwala Bekala Lingkungan XIV Medan. Jurnal Kesehatan Dan Fisioterapi, 2(5), 11–17.

Hamid, M. S. A., Ali, M. R. M., & Yusof, A. (2013). Interrater and intrarater reliability of the active knee extension (AKE) test among healthy adults. Journal of physical therapy science, 25(8), 957-961.

Irawati, N., Yogisutanti, G., & Sitorus, N. (2020). Hubungan antara status gizi, masa kerja dan sikap kerja dengan gangguan muskuloskeletal pada penjahit di Jawa Barat. JPH RECODE, 4(1), 52-60.

Kisner, C., & Colby, L. A. (2017). Therapeutic Exercise: Foundations and Techniques. F.A Davis Company.

Kurniawan, W. O., Pradita, A., Kasimbara, R. P., & Halimah, N. (2023). Pengaruh Passive Stretching Exercise Terhadap Perubahan Fleksibilitas Hamstring Pada Kasus Osteoartritis Genu Di Rumah Sakit dr. Soepraoen Kota Malang. Jurnal Keperawatan Muhammadiyah, 8(1), 32–37.

Mistry, G. S., Vyas, N. J., & Sheth, M. S. (2014). Correlation of hamstrings flexibility with age and gender in subjects having chronic low back pain. International journal of therapies and rehabilitation research, 3(4), 1.

Miucin, P., Dewi, A. A. N. T. N., Sundari, L. P. R., & Sugiritama, I. W. (2020). Hubungan antara durasi duduk dan posisi duduk dengan fleksibilitas otot hamstring pada pegawai kantor instansi Pemerintah Sewaka dharma Kota Denpasar. Majalah Ilmiah Fisioterapi Indonesia, 8(3), 29.

Moksha, J., Medha, D., & Swati, M. (2019). Effectiveness of sliders vs tensioners on pain and disability in nonspecific low back pain with associated lower limb symptoms: A pretest posttest experimental study. IJHSR, 9(9), 46-52.

Monayo, E. R., & Akuba, F. (2019). Pengaruh Stretching Exercise Terhadap Penurunan Skala Nyeri Sendi Lutut Pada Pasien Osteoartrtis. Jambura Nursing Journal, 1(1), 1-10.

Page, P. (2012). Current concepts in muscle stretching for exercise and rehabilitation. International journal of sports physical therapy, 7(1), 109.

Page, P., Frank, C. C., & Lardner, R. (2010). Assesment and Treatment of Muscle Imbalance. Human Kinetics.

Ganesh, S. H. (2017). Comparative study of the effects of neurodynamic sliding vs suboccipital muscle inhibition technique on flexibility of hamstring in asymptomatic subjects with hamstring syndrome. International Journal of Clinical Skills, 11(4).

RAGIA, M. K., SAFAA, M. S., SALEH, P. D., & Sh, M. A. R. W. A. (2021). Immediate Effect of Neurodynamic Tensioner Versus Proprioceptive Neuromuscular Facilitation Stretch on Subjects with Short Hamstring Syndrome. The Medical Journal of Cairo University, 89(June), 627-634.

Sharma, S., Balthillaya, G., Rao, R., & Mani, R. (2016). Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial. Physical Therapy in Sport, 17, 30-37.

Shinde, S. V., & Kanase, S. B. (2017). Effect of mulligan bent leg raise versus neural mobilization on hamstring tightness in college students. IOSR J Dent Med Sci, 16(3), 59-63.

Vakhariya, P., Panchal, S., & Patel, B. (2016). Effects of various therapeutic techniques in the subjects with short hamstring syndrome. Int J Physiother Res, 4(4), 1603-1610.




DOI: https://doi.org/10.17509/jpjo.v8i2.58228

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