DOI QR코드

DOI QR Code

Immediate effects of a neurodynamic sciatic nerve sliding technique on hamstring flexibility and postural balance in healthy adults

  • Park, Jaemyoung (Seoul Medical Center) ;
  • Cha, Jaeyun (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Kim, Hyunjin (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Asakawa, Yasuyoshi (Department of Physical Therapy, School of Health Sciences, Gunma University)
  • 투고 : 2014.05.18
  • 심사 : 2014.06.13
  • 발행 : 2014.06.26

초록

Objective: In this study, we applied a neurodynamic sciatic nerve sliding technique to healthy adults to elucidate its effects on hamstring flexibility and postural balance. Design: Cross-sectional study. Methods: This study targeted twenty four healthy adults (16 men, 8 women). A neurodynamic sciatic nerve sliding technique was applied 5 times to all subjects' dominant leg. The subjects were asked to sit on the bed while performing cervical and thoracic flexion, as well as knee flexion with ankle plantar flexion. Then, they were asked to perform cervical and thoracic extension and knee extension with their ankle in dorsiflexion and maintain the position for 60 s. For postural balance, we measured postural sway while the subjects maintained a one-legged standing posture using the Good Balance System and measured the hip joint flexion range of motion using a standardized passive straight leg raise (SLR) test. Results: SLR test increased significantly from $79^{\circ}$ before the intervention to $91.67^{\circ}$ after the intervention (p<0.05). Regarding the participants' balance evaluated using the one-legged standing test, the X-speed decreased significantly from 18.61 mm/s to 17.17 mm/s (p<0.05), the Y-speed decreased from 22.28 mm/s to 20.52 mm/s (p<0.05), and the velocity moment was significantly decreased from $89.33mm^2/s$ to $74.99mm^2/s$ after the intervention (p<0.05). Conclusions: Application of the neurodynamic sciatic nerve sliding technique exhibited improved hamstring flexibility and postural balance of healthy adults.

키워드

참고문헌

  1. Lumbroso D, Ziv E, Vered E, Kalichman L. The effect of kinesio tape application on hamstring and gastrocnemius muscles in healthy young adults. J Bodyw Mov Ther 2014;18:130-8. https://doi.org/10.1016/j.jbmt.2013.09.011
  2. Park JH, Choi WJ, Lee SW. Effects of immediate unilateral whole body vibration on muscle performance and balance in young adults. Phys Ther Rehabil Sci 2013;2:115-8. https://doi.org/10.14474/ptrs.2013.2.2.115
  3. Sahrmann SA. Does postural assessment contribute to patient care? J Orthop Sports Phys Ther 2002;32:376-9. https://doi.org/10.2519/jospt.2002.32.8.376
  4. Fransson P, Johansson R, Hafstrom A, Magnusson M. Methods for evaluation of postural control adaptation. Gait Posture 2000;12:14-24. https://doi.org/10.1016/S0966-6362(00)00052-7
  5. Horak FB. Clinical measurement of postural control in adults. Phys Ther 1987;67:1881-5.
  6. Ogura Y, Miyahara Y, Naito H, Katamoto S, Aoki J. Duration of static stretching influences muscle force production in hamstring muscles. J Strength Cond Res 2007;21:788-92.
  7. Halbertsma JP, van Bolhuis AI, Goeken LN. Sport stretching: effect on passive muscle stiffness of short hamstrings. Arch Phys Med Rehabil 1996;77:688-92. https://doi.org/10.1016/S0003-9993(96)90009-X
  8. Hartig DE, Henderson JM. Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. Am J Sports Med 1999;27:173-6.
  9. Hreljac A, Marshall RN, Hume PA. Evaluation of lower extremity overuse injury potential in runners. Med Sci Sports Exerc 2000;32:1635-41.
  10. Forman J, Geertsen L, Rogers ME. Effect of deep stripping massage alone or with eccentric resistance on hamstring length and strength. J Bodyw Mov Ther 2014;18:139-44. https://doi.org/10.1016/j.jbmt.2013.04.005
  11. Herrington L. Effect of different neurodynamic mobilization techniques on knee extension range of motion in the slump position. J Man Manip Ther 2006;14:101-7. https://doi.org/10.1179/106698106790820737
  12. de Weijer VC, Gorniak GC, Shamus E. The effect of static stretch and warm-up exercise on hamstring length over the course of 24 hours. J Orthop Sports Phys Ther 2003;33:727-33. https://doi.org/10.2519/jospt.2003.33.12.727
  13. Stephens J, Davidson J, Derosa J, Kriz M, Saltzman N. Lengthening the hamstring muscles without stretching using "awareness through movement". Phys Ther 2006;86:1641-50. https://doi.org/10.2522/ptj.20040208
  14. Coppieters MW, Butler DS. Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther 2008;13:213-21. https://doi.org/10.1016/j.math.2006.12.008
  15. Butler DS. Mobilization of the nervous system. London: ChurchillLivingstone; 1991.
  16. Kavlak Y, Uygur F. Effects of nerve mobilization exercise as an adjunct to the conservative treatment for patients with tarsal tunnel syndrome. J Manipulative Physiol Ther 2011;34:441-8. https://doi.org/10.1016/j.jmpt.2011.05.017
  17. Butler DB, Gifford L. The concept of adverse mechanical tension in the nervous system part 1: testing for "dural tension". Physiotherapy 1989;75:622-9. https://doi.org/10.1016/S0031-9406(10)62374-7
  18. Kornberg C, Lew P. The effect of stretching neural structures on grade one hamstring injuries. J Orthop Sports Phys Ther 1989;10:481-7.
  19. Kaur G, Sharma S. Effect of passive straight leg raise sciatic nerve mobilization on low back pain of neurogenic origin. J Phys Occup Ther 2011;5:179-84.
  20. Hsieh CY, Walker JM, Gillis K. Straight-leg-raising test. Comparison of three instruments. Phys Ther 1983;63:1429-33.
  21. Maitland GD, Hengeveld E, Banks K, English K. Maitland's vertebral manipulation. 7th ed. Edinburgh: Elsevier Butterworth- Heinemann; 2005. p. 499.
  22. Butler DS, Matheson MJ. The sensitive nervous system. 1st ed. Adelaide: Noigroup Publications; 2000.
  23. Era P, Sainio P, Koskinen S, Haavisto P, Vaara M, Aromaa A. Postural balance in a random sample of 7,979 subjects aged 30 years and over. Gerontology 2006;52:204-13. https://doi.org/10.1159/000093652
  24. Mendez-Sanchez R, Alburquerque-Sendín F, Fernandez-de-las- Penas C, Barbero-Iglesias FJ, Sanchez-Sanchez C, Calvo- Arenillas JI, et al. Immediate effects of adding a sciatic nerve slider technique on lumbar and lower quadrant mobility in soccer players: a pilot study. J Altern Complement Med 2010;16:669-75. https://doi.org/10.1089/acm.2009.0403
  25. Castellote-Caballero Y, Valenza MC, Martín-Martin L, Cabrera-Martos I, Puentedura EJ, Fernandez-de-Las-Penas C. Effects of a neurodynamic sliding technique on hamstring flexibility in healthy male soccer players. A pilot study. Phys Ther Sport 2013;14:156-62. https://doi.org/10.1016/j.ptsp.2012.07.004
  26. Cleland JA, Childs JD, Palmer JA, Eberhart S. Slump stretching in the management of non-radicular low back pain: a pilot clinical trial. Man Ther 2006;11:279-86. https://doi.org/10.1016/j.math.2005.07.002
  27. Villafañe JH. Botulinum toxin type A combined with neurodynamic mobilization for lower limb spasticity: a case report. J Chiropr Med 2013;12:39-44. https://doi.org/10.1016/j.jcm.2013.01.001
  28. Bloem BR, Allum JH, Carpenter MG, Honegger F. Is lower leg proprioception essential for triggering human automatic postural responses? Exp Brain Res 2000;130:375-91. https://doi.org/10.1007/s002219900259
  29. Shiratori T, Latash M. The roles of proximal and distal muscles in anticipatory postural adjustments under asymmetrical perturbations and during standing on rollerskates. Clin Neurophysiol 2000;111:613-23. https://doi.org/10.1016/S1388-2457(99)00300-4
  30. Webright WG, Randolph BJ, Perrin DH. Comparison of nonballistic active knee extension in neural slump position and static stretch technique on hamstring flexibility. J Orthop Sports Phys Ther 1997;26:7-13. https://doi.org/10.2519/jospt.1997.26.1.7
  31. Coutinho EL, DeLuca C, Salvini TF, Vidal BC. Bouts of passive stretching after immobilization of the rat soleus muscle increase collagen macromolecular organization and muscle fiber area. Connect Tissue Res 2006;47:278-86. https://doi.org/10.1080/03008200600995940
  32. Balster SM, Jull GA. Upper trapezius muscle activity during the brachial plexus tension test in asymptomatic subjects. Man Ther 1997;2:144-9. https://doi.org/10.1054/math.1997.0294
  33. Boyd BS, Wanek L, Gray AT, Topp KS. Mechanosensitivity of the lower extremity nervous system during straight-leg raise neurodynamic testing in healthy individuals. J Orthop Sports Phys Ther 2009;39:780-90. https://doi.org/10.2519/jospt.2009.3002
  34. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S, Kayhan A. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract 2006;60:820-8. https://doi.org/10.1111/j.1742-1241.2006.00867.x
  35. Castilho J, Ferreira LA, Pereira WM, Neto HP, Morelli JG, Brandalize D, et al. Analysis of electromyographic activity in spastic biceps brachii muscle following neural mobilization. J Bodyw Mov Ther 2012;16:364-8. https://doi.org/10.1016/j.jbmt.2011.12.003
  36. Coppieters MW, Stappaerts KH, Staes FF, Everaert DG. Shoulder girdle elevation during neurodynamic testing: an assessable sign? Man Ther 2001;6:88-96. https://doi.org/10.1054/math.2000.0375

피인용 문헌

  1. Comparative Effects of Tensioning and Sliding Neural Mobilization on Static Postural Control and Lower Limb Hop Testing in Football Players pp.1543-3072, 2019, https://doi.org/10.1123/jsr.2017-0374
  2. Immediate Effects of Neural Slider and Neural Tensioner on Forward Bending in Subjects with Hamstring Tightness vol.5, pp.1, 2021, https://doi.org/10.29273/jmst.2021.5.1.6