Background: Tightness of hip flexor muscles has been recognized as a risk factor for various musculoskeletal injuries in the lower extremities. Purpose: The purpose of this study was to examine the acute effects of two hip flexor stretching techniques (dynamic and hold-relax proprioceptive neuromuscular facilitation, HR-PNF) on hip extension (ROM), knee joint position sense (JPS) and balance in healthy college age students who exhibit tightness in hip flexor muscles. Study Design: Pretest-posttest randomized experimental groups. Methods: Thirty-six healthy college age students (mean = 22.37 years) with tight hip flexors participated in this study. Hip extension ROM, knee joint position sense and dynamic balance were tested pre- and post-stretching using a digital inclinometer, an iPod touch and the Y-Balance test, respectively. Subjects were randomly divided into dynamic and HR-PNF stretching groups. Three-way mixed analysis of variance was utilized to explore if an interaction existed between the groups in tested variables. Results: There was a significant effect of time on hip extension ROM in both groups (p < 0.001). There was also a significant effect of stretch type on hip extension ROM (p = 0.004) favoring hold-relax over dynamic stretching group. There was a non-significant effect of time on mean knee joint position replication error in both groups. There was a significant main effect of time on the Y-Balance test's mean distance of reach to posteromedial and posterolateral directions (p < 0.001). There was also a significant main effect of directions of reach on distances achieved (p < 0.001) favoring posterolateral over posteromedial, and the latter over anterior direction. Conclusions: The results of this study demonstrated the effectiveness of both HR-PNF and dynamic stretching techniques which resulted in a significant acute improvement in hip extension ROM and dynamic balance measures, with HR-PNF being more effective than dynamic stretch. However, there were no significant improvements in knee joint position replication over time in either stretching group. Level of Evidence: 2b.
RCT Entities:
Background: Tightness of hip flexor muscles has been recognized as a risk factor for various musculoskeletal injuries in the lower extremities. Purpose: The purpose of this study was to examine the acute effects of two hip flexor stretching techniques (dynamic and hold-relax proprioceptive neuromuscular facilitation, HR-PNF) on hip extension (ROM), knee joint position sense (JPS) and balance in healthy college age students who exhibit tightness in hip flexor muscles. Study Design: Pretest-posttest randomized experimental groups. Methods: Thirty-six healthy college age students (mean = 22.37 years) with tight hip flexors participated in this study. Hip extension ROM, knee joint position sense and dynamic balance were tested pre- and post-stretching using a digital inclinometer, an iPod touch and the Y-Balance test, respectively. Subjects were randomly divided into dynamic and HR-PNF stretching groups. Three-way mixed analysis of variance was utilized to explore if an interaction existed between the groups in tested variables. Results: There was a significant effect of time on hip extension ROM in both groups (p < 0.001). There was also a significant effect of stretch type on hip extension ROM (p = 0.004) favoring hold-relax over dynamic stretching group. There was a non-significant effect of time on mean knee joint position replication error in both groups. There was a significant main effect of time on the Y-Balance test's mean distance of reach to posteromedial and posterolateral directions (p < 0.001). There was also a significant main effect of directions of reach on distances achieved (p < 0.001) favoring posterolateral over posteromedial, and the latter over anterior direction. Conclusions: The results of this study demonstrated the effectiveness of both HR-PNF and dynamic stretching techniques which resulted in a significant acute improvement in hip extension ROM and dynamic balance measures, with HR-PNF being more effective than dynamic stretch. However, there were no significant improvements in knee joint position replication over time in either stretching group. Level of Evidence: 2b.
Entities:
Keywords:
Dynamic balance; dynamic stretching; hold-relax proprioceptive neuromuscular facilitation; knee joint position sense; tight hip flexor
Authors: Andreas Konrad; Richard Močnik; Sylvia Titze; Masatoshi Nakamura; Markus Tilp Journal: Int J Environ Res Public Health Date: 2021-02-17 Impact factor: 3.390
Authors: Antonio Cejudo; Pilar Sainz de Baranda; Francisco Ayala; Mark De Ste Croix; Fernando Santonja-Medina Journal: Int J Environ Res Public Health Date: 2020-10-19 Impact factor: 3.390
Authors: Andreas Konrad; Marina Maren Reiner; Daniel Bernsteiner; Christoph Glashüttner; Sigrid Thaller; Markus Tilp Journal: Int J Environ Res Public Health Date: 2021-03-03 Impact factor: 3.390