IJPR.2024.139
Type of Article: Original Research
Volume 12; Issue 6 (December 2024)
Page No.: 4815-4820
DOI: https://dx.doi.org/10.16965/ijpr.2024.139
To Compare the Effect of Dynamic Stretching and Muscle Energy Technique On Hamstring Length, Pain Intensity, and Functional Performance in Individuals with Patellofemoral Pain Syndrome – A Comparative Study
Sumedh Laxman Chopade *1, Mayur Ajmera 2, Quazi Ibtesaam Huma 3.
*1 Undergraduate Student of Shiva Trust’s Aurangabad College of Physiotherapy, India.
2 Professor HOD, Department of Physiotherapy in Musculoskeletal Shiva Trust’s Aurangabad College of Physiotherapy, Aurangabad, India.
3 Assistant Professor, Department of Physiotherapy in Neurosciences, Shiva Trust’s Aurangabad College of Physiotherapy, Aurangabad, India.
Address for correspondence: Sumedh Laxman Chopade, Undergraduate student of Shiva Trust’s Aurangabad College of Physiotherapy, Aurangabad, India. E-Mail: sumedhchopade2001@gmail.com
ABSTRACT
Background: The hamstring group consists of three primary muscles at the back of the thigh: the semitendinosus, semimembranosus, and biceps femoris. Hamstring weakness or tightness can disrupt the normal biomechanics of the knee. For instance, when the hamstrings are tight, they may limit knee joint mobility, potentially worsening patellofemoral pain. The lower extremity functions as a kinetic chain; when the hamstrings are not working effectively, they can influence the pelvis and hips. This can result in altered loading patterns on the knee, increasing stress on the patellofemoral joint. So we selected two techniques for lengthening the muscle so that the study’s objective is to compare the effect of that technique in individuals with patellofemoral pain.
Aim: To Investigate and compare the effect of dynamic stretching and muscle energy technique on hamstring length, pain intensity, and functional performance in individuals with patellofemoral pain syndrome
Methodology: Twenty-six subjects enrolled in each group based on inclusion and exclusion criteria i.e. Group A Dynamic Stretching and Group B Muscle Energy Technique. Hamstring length was assessed by the 90-90 SLR, pain intensity by NPRS, and Functional performance by the LEFS on the Day 1, 3, and 9. Then, the mean and standard deviation are calculated.
Study design: Comparative study
Result: Both techniques show a significant on compared, on day 3 (SLR p-value = 0.0001) (NPRS p-value = 0.05) (LEFS p-value = 0.069) and on day 9 (SLR p-value = 0.0001) (NPRS p-value = 0.0001) (LEFS p-value = 0.0029) also in individual technique for dynamic stretching (p-value = 0.0001) and Muscle energy technique (p-value = 0.0047).
Conclusion: Both dynamic stretching and muscle energy techniques effectively address hamstring tightness, pain intensity, and functional performance in individuals with patellofemoral pain syndrome.
Key Words: Hamstring Muscle, Dynamic Stretching, Muscle Energy Technique, 90-90SLR (Straight Leg Raise), NPRS (Numerical Pain Rating Scale) and LEFS (Lower Extremity Function Scale).
REFERENCES
[1]. Chaurasia BD. B D Chaurasia’s Human Anatomy: Regional and Applied | Dissection and Clinical. 8th ed. Vol. 2. Delhi: CBS Publishers and Distributors; 2020
[2]. Kernozek TW, Vannatta CN, van den Bogert AJ. Comparison of two methods of determining patellofemoral joint stress during dynamic activities. Gait Posture. 2015;42:218
https://doi.org/10.1016/j.gaitpost.2015.05.017
PMid:26050874
[3]. Boling M, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010;20(5):725-730.
https://doi.org/10.1111/j.1600-0838.2009.00996.x
PMid:19765240 PMCid:PMC2895959
[4]. Robinson RL, Nee RJ. Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2007;37:232-238.
https://doi.org/10.2519/jospt.2007.2439
PMid:17549951
[5]. Patil S, White L, Joes A, Hui AC. Idiopathic anterior knee pain in the young: a prospective controlled trial. Acta Orthop Belg. 2010;76(3):356-359.
[6]. Salsich GB. Lower extremity kinetics during stair ambulation in patients with and without patellofemoral pain. Clin Biomech. 2000;16:405-41
https://doi.org/10.1016/S0268-0033(01)00085-7
PMid:11733129
[7]. Lui H. Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: a review of the literature. J Sport Health Sci. 2012;1:92-101
https://doi.org/10.1016/j.jshs.2012.07.003
[8]. Ballantyne F, Freyer G, McLaughlin P. The effect of muscle energy technique on hamstring extensibility: the mechanism of altered flexibility. J Osteopathic Med. 2003;6(2):59-63.
https://doi.org/10.1016/S1443-8461(03)80015-1
[9]. Greenman PE. Principles of Manual Medicine. 3rd ed. Baltimore: Lippincott Williams & Wilkins; 2003.
[10]. Waseem M, Nuhmani SH. Efficacy of muscle energy technique on hamstring muscle flexibility in normal Indian collegiate males. Calicut Med J. 2009;7(2).
[11]. Chaitow L. Muscle Energy Technique. 2nd ed. Edinburgh: Churchill Livingstone Harcourt; 2001
[12]. O’Sullivan K, Murray E. The effect of warm-up, static stretching, and dynamic stretching on hamstring flexibility in previously injured subjects. BMC Musculoskelet Disord. 2009;10:8.
https://doi.org/10.1186/1471-2474-10-37
PMid:19371432 PMCid:PMC2679703
[13]. Iain F, Ruth A. The acute effect of combined static and dynamic stretch protocols on fifty-meter sprint performance in track-and-field athletes. J Strength Cond Res. 2007;21(3):784-787.
https://doi.org/10.1519/R-19475.1
https://doi.org/10.1519/00124278-200708000-00022
[14]. Aldharman SS. Prevalence of patellofemoral pain and knee pain in the general population of Saudi Arabia. Cureus. 2022;14(10).
https://doi.org/10.7759/cureus.30355
[15]. Petersen W. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2013;21:1139-1150.
[16]. White LC, Dolphin P. Hamstring length in patellofemoral pain syndrome. Physiotherapy. Elisver2009;95:24-28.
https://doi.org/10.1016/j.physio.2008.05.009
PMid:19627682
[17]. Ahmed AR. A comparative study of muscle energy technique and dynamic stretching on hamstring flexibility in healthy adults. Bull Fac Ph Th Cairo Univ. 2011;16:1-10.
[18]. Iwata M. Dynamic stretching has sustained effects on range of motion and passive flexibility. J Sports Sci Med. 2019;18:33-39
[19]. Cai P, Liu L, Li H. Dynamic and static stretching on hamstring flexibility and stiffness: a systematic review and meta-analysis. Heliyon. 2023;9.
https://doi.org/10.1016/j.heliyon.2023.e18795
PMid:37560703 PMCid:PMC10407730
[20]. Waseem M, Nuhmani SH. Efficacy of muscle energy technique on hamstring muscle flexibility in normal Indian collegiate males. Calicut Med J. 2009;7(2).
[21]. Kang YH, Ha WB, Geum JH. Effect of muscle energy technique on hamstring flexibility: systematic review and meta-analysis. HealthCare. 2023;11:1089.
https://doi.org/10.3390/healthcare11081089
PMid:37107922 PMCid:PMC10137847
[22]. Cheraladhan ES, Sambandham J, Shah S. Immediate effect of muscle energy technique and eccentric training on hamstring tightness of healthy female volunteers: a comparative study. Int J Curr Res Rev. 2011;3:64-69.
[23]. Handel M, Horstmann T. Effects of contract-relax stretching training on muscle performance in athletes. Eur J Appl Physiol Occup Physiol. 1997;76(5):373-380.
https://doi.org/10.1007/s004210050268
PMid:9367279
[24]. Clark RA. Hamstring injuries: risk assessment and injury prevention. Ann Acad Med Singap. 2008;37(4):363-366.
https://doi.org/10.47102/annals-acadmedsg.V37N4p341
[25]. Vijayan V. Effectiveness of muscle energy technique versus traditional stretching in improving hamstring flexibility. Int J Physiother Res. 2019;7:2414-2419.
https://doi.org/10.16965/ijpr.2019.163
