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Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching |
Puentedura EJ, Huijbregts PA, Celeste S, Edwards D |
Physical Therapy in Sport 2011 Aug;12(3):122-126 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
PURPOSE: To compare the immediate effects of a hold-relax proprioceptive neuromuscular facilitation stretching (HR-PNF) versus static stretch (SS) on hamstring flexibility in healthy, asymptomatic subjects. SUBJECTS: Thirty subjects (13 female; mean age 25.7 +/- 3.0, range 22 to 37) without excessive hamstring muscle flexibility were randomly assigned to one of two stretch groups: HR-PNF or SS. METHODS: The left leg was treated as a control and did not receive any intervention. The right leg was measured for ROM pre- and post-stretch interventions, with subjects receiving randomly assigned interventions one week apart. Data were analyzed with a 3 (intervention: HR-PNF, SS, control) 2 (time: pre and post) factorial ANOVA with repeated measures and appropriate post-hoc analyses. RESULTS: A significant interaction was observed between intervention and time for hamstring extensibility, F[2,58] = 25.229, p < 0.0005. Main effect of intervention for the tested leg was not significant, p = 0.782 indicating that there was no difference between the two stretch conditions. However, main effect for time was significant (p < 0.0005), suggesting that hamstring extensibility (for both stretching conditions) after intervention was greater than before. CONCLUSION: No significant differences were found when comparing the effectiveness of HR-PNF and SS techniques. Both stretching methods resulted in significant immediate increases in hamstring length.
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