Title: Effect of Stretching, Eccentric Strengthening and Neural Slider on Bio-Motor Ability of Footballers with Hamstring Tightness”: A Randomized Control Trial
Authors: Vaibhav Dave, Amit Sharma, Roshani Patel, Ushma Prajapati, Mohindra Varma, Prachi oza
DOI: https://dx.doi.org/10.18535/jmscr/v7i5.122
Abstract
Background: Football being considered intermittent high intensity sport. It requires flexibility, power, strength and balance for finishing the game without any injury. The purpose of the present study is that there are many techniques to improve hamstring flexibility and prevent injury due to tight hamstring as per recent studies, in this study we are comparing as to which technique is most effective for improving the hamstring flexibility as well as bio motor abilities among male football players.
Aim: Static-Stretching, Eccentric-strengthening and neural-slider to improve the flexibility and performance of football player.
Method: 60 male football players were selected based on inclusion and exclusion criteria with age of 14-24 years. They were randomly assigned into four equal groups. The control group (Group-A) received no treatment. The other groups received static stretching (Group-B), static stretching plus eccentric strengthening (Group-C), static stretching plus eccentric strengthening plus neural slider(Group-D) and. The treatment was given for 3 days a week for 6 weeks continuously. Pre-test and post-test measurements of vertical jump test, Y balance, T test and sit and reach test were conducted.
Results and Discussion: Pre and Post Analysis were done by T-test, ANOVA and POST HOC BONFERRONI through SPSS version 20.0. Improvement was seen in hamstring muscles and bio motor abilities in Group-D after receiving the treatment for 6 weeks. Statistical improvement is seen in some of the components of bio motor abilities also.
Conclusions: The interventional Group-D with static stretching, eccentric strengthening and neural slider was more effective compared to other groups. It indicates that the combined protocol can be used to prevent injuries related to tightness in football players and improve bio motor abilities.
Keywords: Football, Sit and reach test, Vertical jump test, T-Test, Y-Balance test, Static stretching, Eccentric strengthening, Neural slider, Hamstring, Tightness, Bio-motor ability.
References
- Derk T, Witvroue E, Daniels L and Asselman P. Muscle Flexibility as a Risk Factor for Developing Muscle Injuries in Male Professional Soccer Players. The American Journal of Sports Medicine 2003;31(1):78-80
- Tyler Tf, Nicholas Sj and Campbell Rj. The Association of Hip Strength And Flexibility with The Incidence of Adductor Muscle Strains in Professional Ice Hockey Players. Am J Sports Med2001;29(3):124-128.
- Heiderscheit Bc, Sherry Ma, SilderA, Chumanov Es, Thelen Dg. Hamstring Strain Injuries: Recommendations For Diagnosis, Rehabilitation, And Injury Prevention. J Orthop Sports Phys Ther. 2010;40:67-81.
- Engebertesen A H and Mykel bust G. Intrinsic Risk Factors for Hamstring Injuries Among Male Soccer Players. The AmericanJ of Sports Med 2010;38:68-73.
- Less A and Nolan L. The Biomechanics OfSoccer; A Review. J Sports Sci 1998;16:211-234.
- Chomiak J, Junge A and Peterson L. Severe Injuries in Football Players Influencing Factors. Amj Sports Med2000;28:58-68.
- Clanton T O and Coupe K J. Hamstring Strains in Athletes Diagnosis And Treatment. The Journal of the American Academy of Orthopaedic Surgeons 1998;6(4):237-239.
- Barlow A Et Al. Effect of Massage of The Hamstring Muscle Group On Performance Of The Sit and Reach Test. Br J Sports Med2004; 38(3):349-351.
- Zachezeweski Je, Sally Rw and BarnesMr J. Improving Flexibility in Physical Therapy. Lippincott Co, Philadelphia1989.
- Dvorak J, Junge A and Chomiak J. RiskFactors Analysis for Injuries in Football Players. Am J Sports Med 2000;28:69-74.
- Wendell L. Unresolved Controversies In Back Management of Orthopaedic And Sports. Physical Therapy 1988;9(7):1213-1216.
- Weijer Cd and Gorniak H. The Effect OfStatic Stretch and Warm Up Exercise On Hamstring Length Over the Course of 24 Hours. Journal of Orthopaedic Sports Physical Therapy 2003;33(12):727-732.
- Bandy Wd, Iron Jm and Briggler M.Effect of Time On Static Stretching AndDynamic Rom On the Flexibility OfHamstring Muscle. J of Ortho SpotsPhysical Therapy 1996;27(4):295-300.
- Russell Tn and William Db. Eccentric Training and Static Stretching Improve Hamstring Flexibility of High School Males. Journal of Athletic Training2004; 39:254-258.
- Shacklock M. Clinical Neurodynamic: A New System of Musculoskeletal Treatment. London,Uk: Elsevier Health Sciences; 2005.
- Turl Se, George Kp. Adverse Neural Tension: AFactor in Repetitive Hamstring Strain? J Orthop Sports Phys Ther. 1998;27(1):16–21. Doi.Org/10.2519/Jospt.1998.27.1.16.
- Park J, Cha J, Kim H, Asakawa Y. Immediate Effects of A Neurodynamic Sciatic Nerve Sliding Technique On Hamstring Flexibility and Postural Balance in Healthy Adults. J Phys Ther RehabilSci. 2014;3(1):38–42.
- Weppler Ch, Magnusson Sp. Increasing Muscle Extensibility: A Matter of Increasing Length or Modifying Sensation? Phys Ther.2010;90(3):438–449. Http://Dx.Doi.Org/10.2522/Ptj.20090012.
- Björklund M, Hamberg J, Crenshaw Ag. Sensory Adaptation After A 2-Week Stretching Regimen Of The Rectus Femoris Muscle. Arch Phys MedRehabil. 2001;82(9):1245–1250. Org/10.1053/Apmr.2001.24224.
- Ellis Rf, Hing Wa, Mcnair Pj. Comparison Of Longitudinal Sciatic Nerve Movement With Different Mobilization Exercises: An in Vivo Study Utilizing Ultrasound Imaging. J Orthop SportsPhys Ther. 2012;42(8):667–675.Org/10.2519/Jospt.2012.3854.
- Coppieters Mw, Kurz K, Mortensen Te, Richards Nl, Skaret Ia, Mclaughlin Lm, Et Al. The Impact Of Neurodynamic Testing On the Perception Of Experimentally Induced Muscle Pain. Man Ther. 2005;10(1):52–60. Math.2004.07.007.
- Mackenzie B. 101 performance evaluation tests, Brian Mackenzie, eds. 2005;109-111