Immediate effect of dynamic oscillatory stretching vs. neurodynamic sliding technique on stretch tolerance, popliteal angle range and hamstring flexibility in apparently healthy individuals with hamstring tightness: a pre-post clinical trail

Ganesh B. R., Veedika V. Marwah, Vidhi S. Joshi


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.


Dynamic oscillatory stretching, Flexibility, Neurodynamic sliding, Popliteal angle, Stretch tolerance, Tightness

Full Text:



Portnoy H, Morin F. Electromayographic study of postural muscles in various positions and movements. Am J Physiol-Legacy Content. 1956;186(1):122-6.

Mitchell UH, Myrer JW, Hopkins JT, Hunter I, Feland JB, Hilton SC. Acute stretch perception alteration contributes to the success of the PNF “contractelax” stretch. J Sport Rehabilitation. 2007;16(2):85-92.

Carol O. A Kinesiology: the mechanics and pathomechanics of human movement. 3rd ed. Philadelphia: Wolters Kluwer; 2016:782-804.

Uk Essays. Hamstring Tightness Is Common Health and Social Care Essay, 2013. Available at: Accessed on 14 October 2018.

Michaeli A, Tee JC, Stewart A. Dynamic oscillatory stretching efficacy on hamstring extensibility and stretch tolerance: a randomized controlled trial. Int J Sports Physical Ther. 2017Jun;12(3):305.

Maitland GD. Vertebral Manipulation. 5th ed. Butterworths. 1986:106:351-364.

Shacklock M. Neurodynamics. Physiotherapy. 1995;81(1):9-16.

Shacklock M. Clinical neurodynamics: a new musculoskeletal treatment. 1st ed. Edinburgh, London, New York: Elsevier Butterworth-Heinemann; 2005:1-30.

Ben M, Harvey LA. Regular stretch does not increase muscle extensibility: a randomized controlled trial. Scandinavian J Med Sci Sports. 2010Feb;20(1):136-44.

Castellote-Caballero Y, Valenza MC, Puentedura EJ, Fernández-de-las-Peñas C, Alburquerque-Sendín F. Immediate effects of neurodynamic sliding versus muscle stretching on hamstring flexibility in subjects with short hamstring syndrome. J Sports Med. 2014;2014.

Fatima G, Qamar MM, Hassan JU, Basharat A. Extended sitting can cause hamstring tightness. Saudi J Sports Med. 2017;17(2):110.

Reid DC. Textbook of sports injury assessment and Rehabilitation. 2nd ed. Churchill Livingstonel; 1992:98-99.

Davis DS, Quinn RO, Whiteman CT, Williams JD, Young CR. Concurrent validity of four clinical tests used to measure hamstring flexibility. J Strength Conditioning Res. 2008;22(2):583-8.

Shakya NR, Manandhar S. Prevalence of Hamstring muscle tightness among undergraduate physiotherapy students of Nepal using passive knee extension angle test. Int J Sci Res Pub. 2018;8(1):182-7.

Vidhi S, Anuprita T, Asmita K, Twinkle D, Unnati P, Sujata Y. Comparison of PNF technique with NDS technique for hamstrings tightness in asymptomatic subjects. Indian J Physiotherapy Occupational Ther. 2014;8(3):158.