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Background: The hamstrings being postural muscles are prone to tightness which leads to muscular imbalances and inefficiency of daily living activities. Hence, the present study aims to compare two competent techniques Dynamic Oscillatory Stretching (DOS)vs. neurodynamic sliding (NDS) technique.Methods: A Total of 60 subjects were recruited (31 males, 29 females). passive 90-90 knee extension test, modified v sit to reach test and NPRS scale were used to evaluate the range, flexibility and stretch tolerance in participants pre intervention and were allotted into Group A (DOS) and Groups B. The subjects were then re-assessed immediately post intervention.Results: The results were obtained using the independent and dependent t-tests. Post intervention results were suggestive of a significant within group result with a p=0.0001 under all the parameters. Subjects in Group a showed a greater increase in the ROM while, Group B showed a better result in flexibility and stretch tolerance.Conclusions: Both the techniques are efficient and can be incorporated in sports rehabilitation to prevent on site injury thereby improving athlete’s performance.
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Introduction: Slump test, a neurodynamic test, is used to test mechanical movement of the neurological tissues and to test their sensitivity to mechanical stress. Various studies have found that neural tissue mobility differs in normal young adults with different body mass index (BMI). This study aimed at finding out whether the neural mobility is different in patients with different BMI having low back pain with or without radiculopathy. Objective: To compare the effect of different sensitizing manoeuvres on slump test in patients with low back pain having normal and overweight BMI. Material and methods: 30 patients having low back pain with or without radiculopathy were divided in two groups, one group (A) had patients with underweight and normal BMI and the other group (B) had overweight and obese subjects. Patients with conditions like infection, tumour, osteoporosis, spinal surgery and pregnancy were excluded. The outcome measure used was the popliteal angle, The readings were taken in four positions namely cervical spine neutral with ankle neutral, cervical spine neutral with ankle dorsiflexion, cervical spine flexion with ankle neutral, and cervical spine flexion with ankle dorsiflexion and were compared on both the sides. Thoracic and lumber spine was maintained in flexion in all positions. Level of significance was kept at 5%. Results: The difference in the means of popliteal angle deficit score on both the right and left sides between groups A and B in all four positions was found to be significantaly significant. Conclusion: Neural tissue extensibility is reduced in overweight and obese patients with low back pain compared to the patients having normal and underweight BMI.
RESUMEN
BACKGROUND: The aim of this study was to identify the risk factors for anterior knee pain in patients with cerebral palsy. METHODS: This prospective study investigated the risk factors for anterior knee pain in 127 ambulatory patients with spastic cerebral palsy in terms of walking pain, resting pain, and provocative pain. Demographic data analysis and physical examination for measuring the knee flexion contracture and unilateral and bilateral popliteal angles were performed. Patellar height was measured on radiographs, and patella alta was identified. The risk factors for anterior knee pain were analyzed using multivariate analysis with a generalized estimating equation. RESULTS: Seventy-seven patients were found to have patella alta based on the radiographic measurements (60.6%). Overall, sixteen patients (12.6%) had either unilateral or bilateral anterior knee pain. Of these, 6 patients showed a visual analogue scale (VAS) 7. Age was found to be a significant risk factor for walking pain and resting pain with odds ratios (ORs) of 1.08 (95% confidence interval [CI], 1.02 to 1.14) and 1.09 (95% CI, 1.03 to 1.15), respectively. In the multivariate analysis, knee flexion contracture was a significant protective factor with an OR of 0.92 (95% CI, 0.85 to 0.98). CONCLUSIONS: Approximately 12.6% of ambulatory patients with spastic cerebral palsy were found to have anterior knee pain in our hospital-based cohort study. Age was found to be a significant risk factor for anterior knee pain while walking and resting.