Efektivitas Neurodynamic Sciatic Nerve Sliders Technique dalam Meningkatkan Fleksibilitas Otot Hamstring pada Subjek dengan Short Hamstring Syndrome

Authors

  • I Made Dhita Prianthara Universitas Bali Internasional
  • I.A Pascha Paramurthi Universitas Bali Internasional
  • I Putu Astrawan Universitas Bali Internasional
  • I Putu Prisajaya Universitas Bali Internasional

DOI:

https://doi.org/10.26630/jk.v14i2.3768

Keywords:

Active knee extension, Goniometer, Fleksibilitas otot, Straight leg raise.

Abstract

Short hamstring syndrome merupakan suatu kondisi yang disebabkan oleh berkurangnya ukuran panjang jaringan otot hamstring dan menyebabkan ketegangan otot, muscle strain dan keterbatasan gerak dan fungsi yang dapat meningkatkan terjadinya risiko terjadinya nyeri pada pinggang, nyeri paha belakang dan meningkatkan risiko jatuh. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas neurodynamic sciatic nerve sliders technique dalam meningkatkan fleksibilitas otot hamstring pada subjek dengan short hamstring syndrome. Penelitian ini bersifat eksperimental dengan rancangan pre dan post test one group design. Sampel penelitian berjumlah 22 orang yang diberikan intervensi neurodynamic sciatic nerve sliders technique. Pengukuran lingkup gerak sendi dilakukan dengan pasif straight leg raise (SLR) dan active knee extension (AKE) menggunakan goniometer. Hasil pengujian hipotesis menggunakan Paired Samples T Test yang diperoleh rerata selisih setelah perlakuan sebesar 21,818±1,447 pada pasif straight leg raise dan 40,455±2,567 pada active knee extension dengan nilai p=0,000. Dari hasil penelitian tersebut dapat disimpulkan neurodynamic sciatic nerve sliders technique dapat meningkatkan fleksibilitas otot hamstring pada subjek dengan short hamstring syndrome.

References

Adhi, W. P. (2013). Perbedaan Kemampuan Fleksibilitas Sit And Reach Test Berdasarkan Usia, Jenis Kelamin, Penyakit Sendi Dan Rasio Lingkar Pinggang Panggul (RLPP) Pada Usia 15-59 Tahun Di Kelurahan Duren Sawit Jakarta Timur Tahun 2012. Jurnal Ilmiah Fisioterapi, 3(2), 26-37. https://journal.binawan.ac.id/JIF/article/view/273

Ahmed, A. R., & Samhan, A. F. (2016). Short Term Effects of Neurodynamic Stretching and Static Stretching Techniques on Hamstring Muscle Flexibility in Healthy Male Subjects. International Journal of Medical Research & Health Sciences, 5(5), 36–41.

Babu, Vinod. K., Akalwadi, A., Kumar, Sai. N., & Mahendrabhai, U. M. (2015). Immediate Effect of Neurodynamic Sliding Technique Versus Mulligan Bent Leg Raise Technique on Hamstring Flexibility in Asymptomatic Individuals. International Journal of Physiotherapy, 2(4), 658–666. https://doi.org/10.15621/ijphy/2015/v2i4/67747

Bhoir, T., & Anap, D. (2016). Immediate Effect Of Mulligan Bent Leg Raise Technique Versus Self Myofacial Release On Hamstring Tightness In Young Adults-A Randomized Control Trial. Indian Journal Of Physical Therapy, 4(1).

Castellote-Caballero, Y., Valenza, M. C., Puentedura, E. J., Fernández-de-las-Peñas, C., & Alburquerque-Sendín, F. (2014). Immediate Effects of Neurodynamic Sliding versus Muscle Stretching on Hamstring Flexibility in Subjects with Short Hamstring Syndrome. Journal of Sports Medicine, 2014, 1–8. https://doi.org/10.1155/2014/127471

Coppieters, M. W., Andersen, L. S., Johansen, R., Giskegjerde, P. K., Hivik, M., Vestre, S., & Nee, R. J. (2015). Excursion Of The Sciatic Nerve During Nerve Mobilization Exercises: An In Vivo Cross-Sectional Study Using Dynamic Ultrasound Imaging.Journal of Orthopaedic and Sports Physical Therapy. https://doi.org/10.2519/jospt.2015.5743

Curtis, B., & Retchford, T. (2015). Acute Effects of Neural Mobilization and Static Hamstring Stretching on Multi-joint Flexibility in a Group of Young Adults. Journal of Novel Physiotherapies, 06(01), 1–6. https://doi.org/10.4172/2165-7025.1000283

Ellis, R. F., Hing, W. A., & McNair, P. J. (2012). Comparison of Longitudinal Sciatic Nerve Movement With Different Mobilization Exercises: An In Vivo Study Utilizing Ultrasound Imaging. Journal of Orthopaedic & Sports Physical Therapy, 42(8), 667–675. https://doi.org/10.2519/jospt.2012.3854

Kaur, M., Paul, R., Kumar, S., Arora, R., & Arora, L. (2014). A Randomized Controlled Trial to Compare the Effectiveness of Static Stretching Versus PNF Stretching of Hamstring Muscles Following Superficial Heat in Athletes. International Journal of Scientific and Research Publications, 4(7), 1–4.

Kisner, C., & Colby, L. A. (2018). Therapeutic Exercise: Foundations and Techniques. F.A Davis Company.

Lim, J. Y., Lee, I. W., & Kim, K. D. (2021). Immediate Effects of Neural Slider and Neural Tensioner on Forward Bending in Subjects with Hamstring Tightness. Journal of Musculoskeletal Science and Technology, 5(1), 6-13.

McHugh, M. P., Johnson, C. D., & Morrison, R. H. (2012). The role of neural tension in hamstring flexibility. Scandinavian Journal of Medicine and Science in Sports, 22(2), 164–169. https://doi.org/10.1111/j.1600-0838.2010.01180.x

Neumann, D. A. (2016). Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences.

Page, P. (2012). Current Concepts In Muscle Stretching For Exercise And Rehabilitation. The International Journal of Sports Physical Therapy, 7(1), 110.

Park, J. M., Cha, J. Y., Kim, H. J., & Yasuyoshi, A. (2014). Immediate effects of a neurodynamic sciatic nerve sliding technique on hamstring flexibility and postural balance in healthy adults. Physical Therapy Rehabilitation Science, 3(1), 38-42. https://kmbase.medric.or.kr/Main.aspx?d=KMBASE&i=1012020140030010038&m=VIEW

Piqueras-Rodríguez, F., Palazón-Bru, A., & Gil-Guillén, V. F. (2016). Effectiveness analysis of active stretching versus active stretching plus low-frequency electrical stimulation in children who play soccer and who have the short hamstring syndrome. Clinical Journal of Sport Medicine, 26(1), 59–68. https://doi.org/10.1097/JSM.0000000000000188

Razouvohu, & Ganesh, S. H. (2017). Comparative Study of the Effects of Neurodynamic Sliding vs Suboccipital Muscle Inhibition Technique on Flexibility of Hamstring in Asymptomatic Subjects with Hamstring Syndrome. International Journal of Clinical Skills, 11(4), 113–119.

Ridder, R., De Blaiser, C., Verrelst, R., De Saer, R., Desmet, A., & Schuermans, J. (2020). Neurodynamic sliders promote flexibility in tight hamstring syndrome. European Journal of Sport Science, 20(7), 973–980. https://doi.org/10.1080/17461391.2019.1675770

Sadek, S. M., Kamel, R. M., & Saleh, M. (2021). Immediate Effect of Neurodynamic Tensioner Versus Proprioceptive Neuromuscular Facilitation Stretch on Subjects with Short Hamstring Syndrome. Med. J. Cairo Univ, 89(2), 627–634. https://doi.org/10.21608/mjcu.2021.167867

Shacklock, M. (2014). Clinical Neurodynamics in Sports Injuries. Sports Rehabilitation, January 2014, 50–56.

Sharma, S., Balthillaya, G., Rao, R., & Mani, R. (2016). Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial. Physical Therapy in Sport, 17, 30–37. https://doi.org/https://doi.org/10.1016/j.ptsp.2015.03.003

Shinde, S. V., & Kanase, S. B. (2017). Effect of Mulligan Bent Leg Raise versus Neural Mobilization on Hamstring Tightness in College Students. IOSR Journal of Dental and Medical Sciences, 16(03), 59–63. https://doi.org/10.9790/0853-1603035963

Singh, S., Grover, V., & Singh, S. (2015). Effect of neural mobilization and PNF Stretching on Hamstring Flexibility in Working Women. International Journal of Health Sciences and Research, 5(1), 156–164.

Tai, M. Z., Bandawde, M., Palekar, T., & Gondkar, D. (2017). To compare effectiveness of mulligan bent leg raise versus myofacial release in physiotherapy students with hamstring tightness. Indian J. Pharm. Biol. Res, 5(1), 42–47. https://doi.org/10.30750/ijpbr.5.1.6

Vakhariya, P., Panchal, S., & Patel, B. (2016). Effects of Various Therapeutic Techniques in the Subjects With Short Hamstring Syndrome. International Journal of Physiotherapy and Research, 4(4), 1603–1610. https://doi.org/10.16965/ijpr.2016.147

Downloads

Additional Files

Published

2023-08-30

Issue

Vol. 14 No. 2 (2023): Jurnal Kesehatan

Section

Articles

License

Authors who publish in this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.