EFFECTIVENESS OF PNF STRETCHING AND CYCLIC STRETCHING OF CALF TIGHTNESS ON COLLEGE GOING GIRLS

Authors

  • Ashlesha Sirari Shree Swaminarayan Physiotherapy College, Kadodara char rasta, N.H.8, Taluka: Palsana, Surat, Gujarat 394327, India.
  • Kajal Patel Shree Swaminarayan Physiotherapy College Kadodara char rasta, N.H.8. Taluka: Palsana, Surat, Gujarat 394327, India.

DOI:

https://doi.org/10.15621/ijphy/2015/v2i3/67030

Keywords:

Cyclic and PNF stretchimg, calf stretching, cyclic stretching, PNF stretching, Cyclic Vs PNF stretching, Calf stretching in school going girls, calf flexibility

Abstract

Background: Flexibility helps with injury prevention, the reduction of soreness following a workout, and a general sense of well-being. There are different stretching techniques and protocols for improvements in calf extensibility and flexibility. The purpose of the study was to investigate the effectiveness of two techniques i.e. CYCLIC and PNF stretching which improves calf flexibility. This study was done to find the effectiveness of calf Cyclic and PNF stretching technique to improve calf flexibility.
Methods: 30 subjects with age group 21-22 years were randomly allocated to 2 groups equally. Group 1(n=15) were given CYCLIC and group 2(n=15) were given PNF stretching technique. Plantar flexion was used to measure the calf tightness which was done before and after the treatment. Treatment was given for 7 days and on the 7th day the calf tightness was again measured.
Results: The mean difference of the CYCLIC is 4.6 and mean difference of PNF is 4.7 which indicate that CYCLIC and PNF both are effective to improve calf flexibility but PNF is more effective than CYCLIC to improve calf flexibility.
Conclusion: The neurophysiological basis of PNF, stating that the excitatory efficient of the neuromuscular spindle or the inhibitory afferent of the Golgi tendon organ (GTO) or both are responsible for the effects. During PNF stretch and isometric contraction of stretched agonists for extended period may cause activation of its neuromuscular spindle. The increase in tension created during the isometric contraction of the pre – lengthened agonist contracts concentrically. Both the fascia & the spindle of the agonist adjust to the nearly lengthened position. These impulses travel via causing post synaptic inhibition of the motor neuron to agonist increasing the tension from the GTO. These impulses can override the impulses coming from the neuromuscular spindles arousing the muscle to reflexly resist to the change in length, thus helping in lengthening the muscle.PNF stretching is more effective than cyclic stretching.

References

1. Carolyn Kishner, Lynn Allen Colby. Therapeutic exercise foundation & technique, 3 rd edition;1996. 2. Carolyn Kishner, Lynn Allen Colby. Therapeutic exercise foundation & technique, 5 th edition;2007. 0 5 10 15 20 25 30 35 40 Mean SD Pre-treatment Post-treatment 0 5 10 15 20 25 30 35 40 Mean SD Pre-treatment Post-treatment Int J Physiother 2015; 2(3) Page | 556 3. Bradford D. Appleton – www.bappleton.com. 4. Jayant joshi.Essentials of orthopeadics and applied physiotherapty.1999. 5. Jokl P, Konstadt S. The effect of limb immobilization on muscle function & protein composition. Clin Orthop Relat Res. 1983;(174):222-9 6. Etnyre & Abraham: Gains in range of motion using 3 popular stretching techniques. Am J phys Med.1986; 65(4):189-196. 7. 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. 8. A Zakaria et al. Efficacy of Pnf Stretching Techniques on Calf Tightness in Young Male Adult Population. World Journal of Medical Sciences.2012;7 (1): 23-26, 2012. 9. 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) 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. 11. 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. 12. B P Bonnar et al. The relationship between isometric contraction durations during holdrelax stretching and improvement of calf flexibility. J Sports Med Phys Fitness.2004;44 (3):258-261. 13. 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. 14. Hashim Ahmed, Amir Iqbal. Effect of modified hold-relax stretching and static stretching on hamstring muscle flexibility. J Phys Ther Sci. 2015; 27(2): 535–538. 15. J A Radford et al. Does stretching increase ankle dorsiflexion range of motion? A systematic review and concluded that Calf muscle stretching provides a small and statistically significant increase in ankle dorsiflexion. Joel Br J Sports med. 2006; 40(10):870-875. 16. Starring DT, Ossman MR, Nicolson Jr, Lemons J. Comparision of cyclic and PNF stretching using a mechanical device to improve ankle range of motion. Phys ther. 1988; 68(3):314-20. 17. Clark S, Christian A. Effects of ipsilateral anterior thigh soft tissue stretching of PNF. J Orthop sports phys Ther.1999;29(1);4-9. 18. Wallin, D.Ekblom, B. Grahn, R, Nordenberg, and T. Improvement of muscle flexibility: A comparison between two techniques. Am J Sports Med. 1985;13(4):263-8 19. Clark L, O'Leary CB, Hong J, Lockard M. The acute effects of stretching on presynaptic inhibition and peak power. The Journal of Sports Medicine and Physical Fitness.2014, 54(5):605-610. 20. Tae Ho Kim, PhD, Joo Soo Yoon, MS, PT, Jin Hwan Lee. The Effect of Ankle Joint Muscle Strengthening Training and Static Muscle Stretching Training on Stroke Patients’ C.O.P Sway Amplitude. J Phys Ther Sci. 2013; 25(12): 1613–1616.

Published

07-06-2015
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How to Cite

Sirari , A. ., & Patel , K. . (2015). EFFECTIVENESS OF PNF STRETCHING AND CYCLIC STRETCHING OF CALF TIGHTNESS ON COLLEGE GOING GIRLS. International Journal of Physiotherapy, 2(3), 552–556. https://doi.org/10.15621/ijphy/2015/v2i3/67030

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