Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.

<h4>Background</h4>Good hamstring flexibility(HF) is crucial for sports performance and health, with injuries having an economic impact on healthcare and sports teams. Therefore, our objectives were to estimate the effect of neurodynamic techniques on HF and to compare the effect of thes...

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Main Authors: Sergio Núñez de Arenas-Arroyo, Vicente Martínez-Vizcaíno, Ana Torres-Costoso, Sara Reina-Gutiérrez, Bruno Bizzozero-Peroni, Iván Cavero-Redondo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0318671
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author Sergio Núñez de Arenas-Arroyo
Vicente Martínez-Vizcaíno
Ana Torres-Costoso
Sara Reina-Gutiérrez
Bruno Bizzozero-Peroni
Iván Cavero-Redondo
author_facet Sergio Núñez de Arenas-Arroyo
Vicente Martínez-Vizcaíno
Ana Torres-Costoso
Sara Reina-Gutiérrez
Bruno Bizzozero-Peroni
Iván Cavero-Redondo
author_sort Sergio Núñez de Arenas-Arroyo
collection DOAJ
description <h4>Background</h4>Good hamstring flexibility(HF) is crucial for sports performance and health, with injuries having an economic impact on healthcare and sports teams. Therefore, our objectives were to estimate the effect of neurodynamic techniques on HF and to compare the effect of these techniques with static stretching.<h4>Methods</h4>We systematically searched the Cochrane, MEDLINE(via PubMed), Scopus, Web of Science and Sportdiscus databases for RCTs comparing neurodynamic interventions with control intervention or with static stretching exercises for HF in adults with limited HF. We conducted a random-effects meta-analysis with subgroup analyses according to the type of comparison group(control group or static stretching exercises) and total number of sessions. Furthermore, to reflect the variation in genuine therapy effects in different scenarios, including future patients, we calculated a 95% prediction interval(prI).<h4>Results</h4>Thirteen trials were included, involving 624 participants. Pooled results showed a significant improvement in HF for immediate (SMD = 1.01, 95% CI: 0.44 to 1.59) and short-term effects (SMD = 1.21, 95% CI: 0.90 to 1.52). Subgroup analyses by type of comparison group showed that these techniques are more effective than the control group in the immediate and short term and than static stretching in the short term. Analyses by total sessions showed a significant increase in HF with a treatment of 1, 3, 10 and 12 sessions.<h4>Conclusion</h4>Neurodynamic techniques improve HF immediately and in the short term. Subgroup analyses by type of comparison group showed that these techniques are more effective than static stretching in the short term.
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spelling doaj-art-b9311146a0a3450e8afc5da7cc6817072025-02-12T05:30:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031867110.1371/journal.pone.0318671Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.Sergio Núñez de Arenas-ArroyoVicente Martínez-VizcaínoAna Torres-CostosoSara Reina-GutiérrezBruno Bizzozero-PeroniIván Cavero-Redondo<h4>Background</h4>Good hamstring flexibility(HF) is crucial for sports performance and health, with injuries having an economic impact on healthcare and sports teams. Therefore, our objectives were to estimate the effect of neurodynamic techniques on HF and to compare the effect of these techniques with static stretching.<h4>Methods</h4>We systematically searched the Cochrane, MEDLINE(via PubMed), Scopus, Web of Science and Sportdiscus databases for RCTs comparing neurodynamic interventions with control intervention or with static stretching exercises for HF in adults with limited HF. We conducted a random-effects meta-analysis with subgroup analyses according to the type of comparison group(control group or static stretching exercises) and total number of sessions. Furthermore, to reflect the variation in genuine therapy effects in different scenarios, including future patients, we calculated a 95% prediction interval(prI).<h4>Results</h4>Thirteen trials were included, involving 624 participants. Pooled results showed a significant improvement in HF for immediate (SMD = 1.01, 95% CI: 0.44 to 1.59) and short-term effects (SMD = 1.21, 95% CI: 0.90 to 1.52). Subgroup analyses by type of comparison group showed that these techniques are more effective than the control group in the immediate and short term and than static stretching in the short term. Analyses by total sessions showed a significant increase in HF with a treatment of 1, 3, 10 and 12 sessions.<h4>Conclusion</h4>Neurodynamic techniques improve HF immediately and in the short term. Subgroup analyses by type of comparison group showed that these techniques are more effective than static stretching in the short term.https://doi.org/10.1371/journal.pone.0318671
spellingShingle Sergio Núñez de Arenas-Arroyo
Vicente Martínez-Vizcaíno
Ana Torres-Costoso
Sara Reina-Gutiérrez
Bruno Bizzozero-Peroni
Iván Cavero-Redondo
Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
PLoS ONE
title Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
title_full Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
title_fullStr Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
title_full_unstemmed Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
title_short Immediate and short-term effects of neurodynamic techniques on hamstring flexibility: A systematic review with meta-analysis.
title_sort immediate and short term effects of neurodynamic techniques on hamstring flexibility a systematic review with meta analysis
url https://doi.org/10.1371/journal.pone.0318671
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