A systematic review on the comparative effectiveness of positional release technique and active release technique in improving hamstring flexibility among athletes
DOI:
https://doi.org/10.18203/2320-6012.ijrms20261703Keywords:
Hamstring flexibility, Athletes, Positional release technique, Active release technique, Manual therapy, Scoping review, PRISMAAbstract
Hamstring tightness is a common musculoskeletal issue among athletes, leading to reduced performance and increased risk of injury. Manual therapy techniques such as positional release technique (PRT) and active release technique (ART) are widely used, but comparative evidence remains fragmented. This review aims to systematically map and synthesize available evidence on the comparative effectiveness of PRT and ART in improving hamstring flexibility among athletes. Review was conducted following PRISMA guidelines. Database searched included PubMed, Scopus, and Web of Sciences. Eligible studies included randomized controlled trials (RCTs), quasi experimental trials and comparative physiotherapy interventions. Risk of bias was assessed using the Cochrane RoB 2 tool, and study quality was appraised using the JBI critical appraisal checklist. Seven studies (2017-2026) met inclusion criteria. Both PRT and ART demonstrated significant improvements in hamstring flexibility. ART showed superior short-term gains in dynamic flexibility, while PRT was more effective in sustained pain reduction. Evidence suggests complementary roles of PRT and ART. ART may be preferable for athletes requiring rapid flexibility gains while PRT may benefit from those with chronic tightness and pain. Further high-quality RCTs are warranted.
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