Comparison Between The Immediate Effect Of Neural Sliders Vs Neural Tensioners On Hamstring Flexibility In Knee Osteoarthritis Patients- An Experimental Study.

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Dr. Vanshika Nabira
Dr. Pallavi Chopade

Abstract

Objective- Osteoarthritis (OA) is a progressive condition of the joints, which begins in the cartilage, but also affects adjacent tissues such as bone and fluid within the synovial membrane. The increased activity of the hamstring muscles in OA is a compensation for weakness in the quadriceps, which leads to hamstring tightness. The neurodynamic approach, which targets neural tissue rather than muscle, has emerged as an alternative to traditional stretching for managing this tightness. The objective of the study was to  study and compare the immediate effect of neural sliders vs neural tensioners on hamstring flexibility in knee osteoarthritis patients using passive knee extension angle. Additionally, it examined the carryover effect of these interventions after 24 hours.


 Material and Methods- This study was conducted on 72 subjects between age group of 45 to 65 having knee osteoarthritis. Participants fulfilling the inclusion criteria were enrolled and divided into two groups, Group A received neural sliders and Group B received neural tensioners. Pre and Post intervention hamstring flexibility was assessed by Passive knee extension angle(PKET). Carryover effect was seen 24hrs after intervention.


Results- Results showed significant improvement in hamstring flexibility immediately after intervention in both groups (p < 0.0001). However, there was no significant difference between the effectiveness of neural sliders and neural tensioners (p = 0.967). While seeing the carryover effect 24hrs post intervention revealed a significant decrease in flexibility for both groups (p < 0.0001), with no significant difference between the two techniques (p = 0.65).


Conclusion- The study concluded that both neural tensioners and neural sliders are equally effective in improving hamstring flexibility in Knee Osteoarthritis patients. It can also be concluded that both don’t have a carryover effect 24hrs after the intervention.

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1.
Comparison Between The Immediate Effect Of Neural Sliders Vs Neural Tensioners On Hamstring Flexibility In Knee Osteoarthritis Patients- An Experimental Study. JPD [Internet]. 2026 Jan. 1 [cited 2026 Feb. 4];1(3):101-8. Available from: https://journalofphysiotherapydirectories.com/index.php/index_php/article/view/15

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