Authors :
T. Bharaneedharan; M. Sheerin harshini; D. Dhanalakshmi
Volume/Issue :
Volume 8 - 2023, Issue 6 - June
Google Scholar :
https://tinyurl.com/mt27emaa
Scribd :
https://tinyurl.com/46krk9ca
DOI :
https://doi.org/10.5281/zenodo.14779018
Abstract :
BACKGROUND: Calf muscle tightness (i.e., decreased
flexibility) associated with decreased in ankle movements
as well as many disorders such as Achilles Tendinitis,
Plantar fasciitis and muscle and joint sprain .The
Repetitive task such as pedaling and prolonged Sitting
which may cause excessive stress & thus affect the
drivers by causing the calf muscle tightness. The Present
study is done to find out the effectiveness of
Neurodynamic Sliding Technique versus PNF stretching
on calf flexibilityamong bus drivers.
PURPOSE: To find out the effectiveness of
Neurodynamic sliding versus PNF stretching on calf
muscle flexibility amoung bus drivers.
METHODOLOGY: The study design was an
comparative study.20 subjects were randomly allocated
into two groups.Group A received Neurodynamic
sliding technique and group B received PNF stretching
for 6 weeks.Both the group were assessed by using
outcome measures like Weight bearing lunge
test(WBLT), Numerical Pain rating scale(NPRS).
RESULT: Data analysis was done by using a paired and
unpaired 't' test for within the group and between the
group. Statistical analysis for between the group showed
significant improvement in Group B (p<0.0005).The
result of the study shows that Group B has more impact
in reducing tightness and pain and improving ROM than
Group A among bus drivers.
CONCLUSION: The study concluded that PNF
stretching (GROUP B) shows a more significant effect on
calf muscle flexibility among bus drivers after 6 weeks of
intervention when compared with GROUP A.
Keywords :
Calf muscle flexibility, Neurodynamic Sliding Technique, PNF Stretching, Weight Bearing Lunge test, NPRS.
References :
- Sun-young Kang, Sung-dae Choung. Characteristics of Leg and Ankle in Taxi Drivers. PhysTherKor 2014;21(1):5562. http://dx.doi.org/10.12674/ptk.2014.21.1.055.
- N Rugbeer. The prevalence of work-related musculoskeletal disorders in long- distance bus drivers. South African Journal of Sports Medicine. Vol. 28 No. 2 (2016).
- Leonard Joseph, Miles Standen. Prevalence of musculoskeletal pain among professional drivers: A systematic review. Journal of Occupational Health.2020;62: e12150.
- Lalit, Retasha Soni. The Prevalence of Musculoskeletal Disorders Among Bus Drivers. Indian Journal of Physiotherapy. Vol 2(5),850-854, October 2015.
- Riddhi Gohil, Prajakta Tilaye. Normative Data for Calf Muscle Flexibility Tested by Weight Bearing Lunge Test in Age Group of 20-30 Years Pilot Study. International Journal of Health Sciences and Research.Vol.12; Issue: 2; February 2022.
- Jeon Hyeong Lee, Jong Sung Chang. The Effect of Calf Stiffness on Gait, Foot Pressure and Balance in Adults.Vol. 31, No. 6, December 2019. https://doi.org/10.18857/jkpt.2019.31.6.346.
- Ashlesha Sirari, Kajal Patel. Effectiveness of PNF stretching and Cyclic Stretching on Calf Tightness on College Going girls. Indian Journal of Physiotherapy. Vol 2(3),552-556, (2015).
- Fiona Miranda and Amit Kumar Singh. Neurodynamic sliding versus PNF stretching on hamstring flexibility in working women with prolong sitting job: A comparative study. International Journal of Physical Education, Sports and Health..2021; 8(5): 17-21.
- Gidu Diana Victoria, Ene-Voiculescu Carmen. The PNF (PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION) Stretching Technique-A Brief review. September 2013,13(2),623-628.
- Megan M. Konor. Reliability of Three Measures of Ankle Dorsiflexion Range of Motion. International Journal of Physical Sports Physical Therapy. Vol 7, Nov 3(June 2012).
- R. Ferber, L.R. Osternig .Effect of PNF Techniques on Knee Flexor muscle EMG Activity in Older Adults.Journal of Electromyography and kinesiology.12(2002),391-397.
- Echezona Nelson Dominic Ekechukwu. Ergonomic assessment of work-related musculoskeletal disorder and its determinants among commercial mini bus drivers and driver assistants(mini bus conductors)inNigeria.December7,2021.https://doi.org/10.1371/journal.pone.0260211.
- Ju-hyeon Jung. The effect of neurodynamic technique of tibial nerve on range of motion, pain, and mechanosensitivity of the lower extremity in healthy individuals: A preliminary study. Journal of Human Sport and Exercise - 2021, Vol. 16, No. 4.
- Konrad,M. Gad,M. Tilp.Effect of PNF stretching training on the properties of human muscle and tendon structures.10 April 2014. https://doi.org/10.1111/sms.12228.
- Shah, Chaitali. The effect of Hamstring and Calf Tightness on Static, Dynamic Balance and Mobility - A Correlation Study. Indian Journal of Physiotherapy and Occupational Therapy; New Delhi Vol. 7, Iss. 4, (Oct-Dec 2013): 17-22.
- Hee-jin Jang, Suhn-yeop Kim. Comparison of the Duration of Maintained Calf Muscle Flexibility After Static Stretching, Eccentric Training on Stable Surface, and Eccentric Training on Unstable Surfaces in Young Adults With Calf Muscle Tightness.
- PhysTherKorea2014;21(2):57-66.
- Etnyre BR, Abraham LD .Gains in range of ankle dorsiflexion using three popular stretching techniques. American Journal of Physical Medicine, 01 Aug 1986, 65(4):189-196.
- Shah C. The effect of hamstring and calf tightness on static, dynamic balance and mobility - a correlation study. Indian J Pysiother & Occup Ther. 2013;7(4):17-22.
- Mozafari A, Vahedian M, Mohebi S, Najafi M. Work-related musculoskeletal disorders in truck drivers and official workers. Acta Med Iran. 2015;53(7):432-438
- Daniel C Funk et al. Impact of prior exercise on calf flexibility: a comparison of proprioceptive neuromuscular facilitation and cyclic stretching and have concluded that that PNF performed after exercise enhanced acute calf flexibility. J Strength Cond Res.2003;17(3):489- 492.
- Spernoga SG, ULITL, Arnold BL, Gonsneder BM. Duration of maintained calf flexibility after a one time, modified hold relaxes stretching protocol. J athl Train. 2001; 36(1):44-48.
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- O'Hora J et al. Efficacy of cyclic stretching and proprioceptive neuromuscular facilitation stretch on calf length. J Strength Cond Res. 2011; 25(6):1586-91.(10).
- N N Mahieu et al. Effect of proprioceptive neuromuscular facilitation stretching on the plantar flexor muscle-tendon tissue properties. Scand J Med Sci Sports. 2009;19(4):553-60.
- B Schuback et al. A comparison of a self-stretch incorporating proprioceptive neuromuscular facilitation components and a therapist-applied PNF-technique on calf flexibility. Physiotherapy.2004;90(3):151-157.
BACKGROUND: Calf muscle tightness (i.e., decreased
flexibility) associated with decreased in ankle movements
as well as many disorders such as Achilles Tendinitis,
Plantar fasciitis and muscle and joint sprain .The
Repetitive task such as pedaling and prolonged Sitting
which may cause excessive stress & thus affect the
drivers by causing the calf muscle tightness. The Present
study is done to find out the effectiveness of
Neurodynamic Sliding Technique versus PNF stretching
on calf flexibilityamong bus drivers.
PURPOSE: To find out the effectiveness of
Neurodynamic sliding versus PNF stretching on calf
muscle flexibility amoung bus drivers.
METHODOLOGY: The study design was an
comparative study.20 subjects were randomly allocated
into two groups.Group A received Neurodynamic
sliding technique and group B received PNF stretching
for 6 weeks.Both the group were assessed by using
outcome measures like Weight bearing lunge
test(WBLT), Numerical Pain rating scale(NPRS).
RESULT: Data analysis was done by using a paired and
unpaired 't' test for within the group and between the
group. Statistical analysis for between the group showed
significant improvement in Group B (p<0.0005).The
result of the study shows that Group B has more impact
in reducing tightness and pain and improving ROM than
Group A among bus drivers.
CONCLUSION: The study concluded that PNF
stretching (GROUP B) shows a more significant effect on
calf muscle flexibility among bus drivers after 6 weeks of
intervention when compared with GROUP A.
Keywords :
Calf muscle flexibility, Neurodynamic Sliding Technique, PNF Stretching, Weight Bearing Lunge test, NPRS.