Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Comparison of Nerve Mobilization, Static Stretching, and Hold-Relax on Hamstring Flexibility in Stroke Patients

신경가동기법, 정적신장기법, 유지-이완기법이 뇌졸중 환자의 슬괵근 유연성에 미치는 효과 비교

  • Seong, Jae-Hyeon (Dept. of Rehabilitation Center, Youseong Wellness Hospital) ;
  • Choi, Jong-Duk (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University)
  • 성재현 (유성웰니스병원 재활센터) ;
  • 최종덕 (대전대학교 보건스포츠과학대학 물리치료학과)
  • Received : 2010.04.12
  • Accepted : 2010.05.07
  • Published : 2010.05.21
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Abstract

The purpose of this study was to examine the acute effects of nerve mobilization, static stretching, and hold-relax on the flexibility of hamstring muscles and their surface electromyographic (EMG) responses to passive stretches in poststroke hemiparesis. This study was a randomized cross-over trial. Fourteen subjects received three treatment sessions in random order with each consisting of ten repetitions. The treatment sessions included nerve mobilization, static stretching, and hold-relax. The treatment sessions were held at least 24 hours apart to minimize any carryover effect. The outcome was measured by the distance between the greater trochanter and lateral malleolus and hamstring EMG activity during passive knee extension stretching. Repeated-measures analysis of variance showed significant changes in hamstring flexibility and EMG activity in main effect of time pre, post and followup (p<.05). However, no significant differences occurred among the three stretching techniques. No technique was consistently found to be superior. The three stretching techniques in this study make it difficult to determine the most effective technique. Therefore, clinicians use nerve mobilization of effective stretching techniques with other stretching techniques.

Keywords

References

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