Neural Mobilization Versus PNF Hold Relax Technique on Lower Extremity in Hemiplegic Stroke
Condition: Hemiplegic Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      Several studies about the effects of nerve mobilizations and stretching exercises have been
      conducted. This study will contribute to describing the long term effects of these techniques
      on gait, motor function and quality of life in hemiplegic stroke patients and compare the
      effectiveness of both techniques.
    

Detailed description: 
      Several studies about the effects of nerve mobilizations and stretching exercises have been
      conducted. Evidence regarding the comparison of these two techniques is sparse and is based
      on different clinical experiences and a less number of studies with limited methodological
      design. There has been no work regarding the long term effects of these two techniques in
      improving lower limb motor function in Hemiplegic stroke patients. This study will contribute
      to describing the long term effects of these techniques on gait, motor function and quality
      of life in hemiplegic stroke patients and compare the effectiveness of both techniques. A
      total of 54 patients diagnosed with Hemiplegic stroke will be selected for the collection of
      data according to the inclusion criteria. Patients will be divided into two groups, Group A
      and Group B. Group A will receive sciatic nerve mobilization (sliding technique) and Group B
      will receive Proprioceptive neuromuscular mobilization Hold relax technique 3 days a week for
      30 mins per day for 6 weeks. Sciatic nerve mobilizations (sliding technique) will be
      performed for a duration of 1 minute each for 6 such sets with 60 seconds rest period
      followed by every set. The Hold Relax Technique of Hamstring will be performed with each hold
      period lasting for 10 seconds followed by a relaxation phase of 10-15 seconds for 10
      repetitions. Data will be collected at baseline, after 3weeks and at 6 weeks after
      intervention from both groups. Gait will be measured using TUG (Timed up and go), Quality of
      life will be measured using the Urdu version of SS-QOL(stroke-specific quality of life)and
      lower limb motor function will be measured using fugl Meyer scale(lower extremity)
    

Intervention name(s): Neural mobilization; PNF hold relax technique
Intervention type(s): Other; Other
Intervention description(s): Sciatic nerve mobilization (sliding technique) will be performed by a physical therapist. The sciatic nerve mobilization technique improves the nerve mobility of the hemiparetic lower limb in a nervous system patient and is helpful in increasing the ROM of the lower limbs without resistance.; Proprioceptive neuromuscular facilitation hold relaxation technique of hamstring muscle will be performed by the physical therapist three days a week for 6 weeks. In the hold relax technique after reaching the point of resistance, an isometric contraction is performed against the resistance to get a pain free response.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Neural mobilization; PNF hold relax; stroke