Title: To study the effect of Suboccipital Muscle Inhibition and Neural Flossing Techniques on Hamstring Flexibility in Young Adults

Authors: Dr Rasika Panse, Dr Ujwal Yeole, Shubhada Trivedi, Dr Pournima Pawar

 DOI: https://dx.doi.org/10.18535/jmscr/v6i11.148

Abstract

Background: Prolonged forward bend sitting posture puts strain on hamstring leading to decreased flexibility. Hamstrings and suboccipital muscles are connected by one neural system. Abnormal lower extremity neuro-dynamics may alter resting muscle length and changes in the perception of stretch or pain. As neural flossing technique alter such sensation and improve hamstring flexibility. Hence in this study we aim to study the combined effect of suboccipital muscle inhibition and neural flossing technique on hamstring flexibility in young adults.

Objectives: To study combined effect of suboccipital muscle inhibition and neural flossing technique on  flexibility of hamstring pre and post intervention using modified sit and reach test and active knee extension test and pain using NPRS.

Materials and Methodology: A study with Pre Post experimental design included 100 volunteers according to inclusion and exclusion criteria were selected by simple random sampling method. Intervention in form of suboccipital inhibition and neural flossing techniques was given thrice a week for period of 2 weeks. Data was documented on 1st, 3rd and 7th day of each week. Pre and post intervention hamstring flexibility was assessed.

Results: Comparison of pre and post intervention data was done, results showed the p-value was <0.001 which was extremely significant.

Conclusion: Hamstring tightness and stretch pain reduced significantly when combination of suboccipital muscle inhibition and neural flossing technique was given in young adults.

Keywords: Hamstring flexibility, SMI (sub-occipital muscle inhibition), NFT (neural flossing technique), SRT (sit and reach test), Active knee extension test, NPRS (Numeric pain rating scale).

References

  1. Divya G patel*, neeta J vyas, megha S sheth.  Immediate effect of application of bilateral self myo-fascial release on the plantar surface of the foot on hamstring and lumbar spine flexibility: a quasi experimental study. International journal of therapeutic applications, volume 32, 2016, 94-99 .
  1. Wilson A. Effective Management of Musculoskeletal Injury:a Clinical Ergonomics Approach to Prevention, Treatment and Rehabilitation. Churchill Livingstone, Edinburgh.2002.
  2. Sullivan K, Silvey D, Button D, Behm D, Roller-massage application to the hamstrings increases sit-and reach range of motion within five to ten seconds without performance impairments.Int. J. Sports Phys. Ther. 2013;8 (3), 228-236.
  3. Florence Peterson Kendall, 4th edition, Muscle testing and function with Posture and Back pain.
  4. Sung-hak cho, phd, PT1), soo-han kim, phd, PT2), du-jin park, phd, PT2)*. The comparison of the immediate effects of application of the suboccipital muscle inhibition and self-myofascial release techniques in the region on short hamstring. J. Phys. Ther. Sci.27: 195–197, 2015.
  5. Marek Jozwiak* Syzmon Pietrzak, Franciszek Tobjasz. The epidemiology and clinical manifestations of hamstring muscle and plantar foot flexor shortening .Developmental Medicine & Child Neurology 1997.39:481-483 481
  6. Andrew i todd anthea i bennett candice j christie. Physical implications of prolonged sitting in a confined posture – A literature review. Ergonomics SA, 2007, 19 (2)
  7. B. Troussier, C.Tesnieret, j,fauconnier, j,grisons, r,juvin and X.Phlelip. Comparative study of two different kinds of schools furniture among children. Ergonomics,1999,vol.42,no.3,516-526.
  8. Ghulam fatima, muhammad mustafa qamar1, jawad ul hassan2, ayesha basharat1. Extended sitting can cause hamstring tightness. Saudi journal of sports medicine / volume 17 / issue 2 / may-august 2017.
  9. Yolanda castellote-caballero,1 maríe c. Valenza,2 emilio J. Puentedura,3 césar fernández-de-las-peñas,4 and francisco alburquerque-sendín5. Immediate effects of neurodynamic sliding versus muscle stretching on hamstring flexibility in subjects with short hamstring syndrome. Journal of sports medicine volume 2014, article ID 127471, 8 pages.
  10. Bhatia shweta satishkumar, bid dibendunarayan, thngamani rmalingam. Effectiveness of nerve flossing technique in chronic lumbar radiculopathy. Indian journal of physiotherapy and occupational therapy.January-march 2017, vol 11. No 1.
  11. Anikwe ee1*, tella ba2, aiyegbusi ai2, chukwu sc3. Influence of nerve flossing technique on acute sciatica and hip range of motion. International journal of medicine and biomedical research volume 4 issue 2 may – august 2015
  1. James W. Youdas, PT, MS1, David A. Krause, PT, MBA, OCS1,John H. Hollman, PT, PhD1,William S. Harmsen, MS2, Edward Laskowski, MD3.The Influence of Gender and Age onHamstring Muscle Length in Healthy Adults.J Orthop Sports Phys Ther 2005;35:246-252.
  2. McPartland JM, Brodeur RR: Rectus capitis posterior minor: a small but important suboccipital muscle. J Bodyw Mov Ther, 1999, 3: 30–35.
  3. Manheim CJ: The myofascial release manual. Thorofare: Slack, 2001, pp23–28.
  4. Policínica FisioTex, Don Benito, Badajoz, Spain. Immediate Effects of the Suboccipital Muscle Inhibition Technique in Subjects With Short Hamstring Syndrome. J Manipulative Physiol Ther. 2009 June. 32(4):262-9.
  5. Nilam dave1, prof. Tushar J.Palekar1 and dr. Soumik basu1*individual and combined effect of suboccipital muscle inhibition technique and doming of diaphragm technique for hamstring tightness. Int J pharm bio sci 2017 apr ; 8(2): (B) 980-988.
  6. Godges J.J, MacRae P.G, Engelke K.A. Effects of exercise on hip range of motion, trunk muscle performance, and gait economy. Phys Ther 1993;73:468-477.
  7. Sarkari E, Multani N.K. Efficacy of neural mobilisation in sciatica. JESP 2007; 3:136-141.
  8. Pratik vakhariya 1, shruti panchal *2, bhumi patel 2. Effects of various therapeutic techniques in the subjects with short hamstring syndrome. International journal of physiotherapy and research, int J physiother res 2016, vol 4(4):1603-10. Issn 2321-1822.

Corresponding Author

Dr Rasika Panse

Mobile no -9689362993, Email: panserasika09gmail.com