The Effectiveness of SLR Stretching and Pelvic Tilt Control Stretching on SLR Range Among Asymptomatic Females with Hamstring Tightness
DOI:
https://doi.org/10.61919/jhrr.v4i1.193Keywords:
Hamstring Flexibility, Pelvic Tilt Control Stretching, Passive Straight Leg Raise, Young Females, Muscle Tightness, Physical Therapy, Sedentary LifestyleAbstract
Background: Hamstring muscle tightness is a significant factor that impedes performance in daily and sports activities, necessitating the need for effective stretching techniques to enhance hamstring flexibility. This is particularly important for an active, physically fit lifestyle, as hamstring tightness is linked to various musculoskeletal issues and injuries.
Objective: This study aimed to evaluate and compare the effectiveness of Passive Straight Leg Raise (SLR) stretching and Pelvic Tilt Control Stretching in improving hamstring flexibility among asymptomatic young females with hamstring tightness.
Methods: In a quasi-experimental trial conducted at the Arif Memorial Teaching Hospital and Riphah International University, Lahore, 50 female participants aged 20-40 years with unilateral hamstring tightness were randomly assigned to either the Passive SLR stretching group or the Pelvic Tilt Control Stretching group. The efficacy of the stretching techniques was assessed using the active knee extension test, measured with a goniometer, both pre- and post-treatment.
Results: The Pelvic Tilt Control Stretching group showed a significant improvement in hamstring flexibility, with the mean post-treatment active knee extension significantly increasing from the pre-treatment measurement (p-value = 0.000). In contrast, the Passive SLR group showed no significant change in flexibility (p-value = 0.872). The study also highlighted the prevalence of a sedentary lifestyle among participants and its potential contribution to reduced hamstring flexibility.
Conclusion: The study concludes that Pelvic Tilt Control Stretching is an effective method for improving hamstring flexibility in young, asymptomatic females, suggesting its incorporation into physical therapy practices. This finding is particularly relevant for populations prone to hamstring tightness due to sedentary lifestyles.
Keywords: Hamstring Flexibility, Pelvic Tilt Control Stretching, Passive Straight Leg Raise, Young Females, Muscle Tightness, Physical Therapy, Sedentary Lifestyle.
Downloads
References
Devi TM, Vishwanath S. Prevalence of Hamstring muscle tightness among undergraduate physiotherapy students from Dakshina Kannada, District: A cross sectional study. 2023.
Gunaydin G, Citaker S, Cobanoglu G. Effects of different stretching exercises on hamstring flexibility and performance in long term. Science & Sports. 2020;35(6):386-92.
Timmins R, Woodley S, Shield A, Opar D. Anatomy of the Hamstrings. Prevention and Rehabilitation of Hamstring Injuries. 2020:1-30.
Stępień K, Śmigielski R, Mouton C, Ciszek B, Engelhardt M, Seil R. Anatomy of proximal attachment, course, and innervation of hamstring muscles: a pictorial essay. Knee Surgery, Sports Traumatology, Arthroscopy. 2019;27:673-84.
Khalil E, Tariq R, Arsalan HM, Khalid A, Ayaz S, Javed H. Prevalence of hamstrings tightness and its impact on lower extremity function in asymptomatic individuals with prolonged standing hours. International Journal of Natural Medicine and Health Sciences. 2022;1(4).
Wan X, Qu F, Garrett WE, Liu H, Yu B. Relationships among hamstring muscle optimal length and hamstring flexibility and strength. Journal of Sport and Health Science. 2017;6(3):275-82.
Look M. Is Myofascial Decompression Through Cupping Therapy a More Effective Method to Increase Passive SLR and Active Knee Extension Measurements in Healthy Adults with Tight Hamstrings Compared to Static Stretching: A Meta-Analysis: California State University, Fresno; 2021.
Chen CH, Xin Y, Lee KW, Lin MJ, Lin JJ. Acute effects of different dynamic exercises on hamstring strain risk factors. PLoS One. 2018;13(2):e0191801.
Shamsi M, Shahsavari S, Safari A, Mirzaei M. A randomized clinical trial for the effect of static stretching and strengthening exercise on pelvic tilt angle in LBP patients. Journal of Bodywork and Movement Therapies. 2020;24(3):15-20.
Kaur G, Reza MK. Efficacy of Eccentric Training and Muscle Energy Technique on Hamstring Flexibility in Sedentary College Students. Indian Journal of Physiotherapy and Occupational Therapy. 2013;7(3):93.
Farrow AC, Blinch J, Harry JR, Palmer TB. Short-term Effects of Static Stretching on Hamstring Passive Stiffness in Young and Older Women. Journal of Musculoskeletal & Neuronal Interactions. 2023;23(3):290.
Cai P, Liu L, Li H. Dynamic and static stretching on hamstring flexibility and stiffness: A systematic review and meta-analysis. Heliyon. 2023.
Fasuyi FO, Fabunmi AA, Adegoke BO. Hamstring muscle length and pelvic tilt range among individuals with and without low back pain. Journal of Bodywork and Movement Therapies. 2017;21(2):246-50.
Preece SJ, Tan YF, Alghamdi TD, Arnall FA. Comparison of pelvic tilt before and after hip flexor stretching in healthy adults. Journal of Manipulative and Physiological Therapeutics. 2021;44(4):289-94.
Aye T, Kuramoto-Ahuja T, Han H, Maruyama H. Comparison of immediate effects between two medical stretching techniques on Hamstrings flexibility. Journal of physical therapy science. 2017;29(9):1518-21.
Satkunskiene D, Khair RaM, Muanjai P, Mickevicius M, Kamandulis S. Immediate effects of neurodynamic nerve gliding versus static stretching on hamstring neuromechanical properties. European Journal of Applied Physiology. 2020;120:2127-35.
Naraoka Y, Katagiri M, Shirasawa T. Effectiveness of a 12-week program of active and passive stretching in improving low back and neck pain in Japanese sedentary men. Health. 2017;9(3):493-505.
Berg K. Prescriptive stretching: Human Kinetics Publishers; 2019.
Kuszewski MT, Gnat R, Gogola A. The impact of core muscles training on the range of anterior pelvic tilt in subjects with increased stiffness of the hamstrings. Human movement science. 2018;57:32-9.
Kang Y-H, Ha W-B, Geum J-H, Woo H, Han Y-H, Park S-H, et al., editors. Effect of Muscle Energy Technique on Hamstring Flexibility: Systematic Review and Meta-Analysis. Healthcare; 2023: MDPI.
Iwata M, Yamamoto A, Matsuo S, Hatano G, Miyazaki M, Fukaya T, et al. Dynamic stretching has sustained effects on range of motion and passive stiffness of the hamstring muscles. Journal of sports science & medicine. 2019;18(1):13.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Malia Younas, Ruhama Shahzad, Bakhtawar Zulfiqar, Ayesha Iqbal , Sana Amjad, Hassan Javed
This work is licensed under a Creative Commons Attribution 4.0 International License.