Does muscle energy technique utilizing crossed extensor reflex (CER) influence extensibility and pressure pain threshold (PPT) of the hamstrings in asymptomatic individuals?
Item
- Title
- Does muscle energy technique utilizing crossed extensor reflex (CER) influence extensibility and pressure pain threshold (PPT) of the hamstrings in asymptomatic individuals?
- Author(s)
- Mikic, N
- Abstract
- Background: Therapeutic effects of muscle energy technique (MET) in osteopathic manual treatment (OMT) includrng hypoalgesia and increased tolerance to stretch are well documented. However, the research refers to post isometric relaxation (PlR) MET. Very limited research on the effects of CER MET is available. Objective: lnvestigation of the previously un-researched effects of CER MET on extensibility and PPT of the hamstrings on a population of asymptomatic subjects compared to the control. Design: lndependent measures, randomized control study. Methods: Asymptomatic students were recruited from the European School of Osteopathy (ESO). Subjects were included or excluded based on a set of criteria. Eligible subjects were randomly divided into two equally sized groups: CER MET and a control group. Extensibility of the hamstrings using Back savers Sit-and-reach test (BS) and PPT of the hamstrings and rectus femoris (RF) were measured using an analogue pressure algometer pre- and post- intervention. Both groups were tested for normality of distribution using ShapiroWilks (SW), and equality of variance with Levene's test. Significance was tested using ANOVA or Kruskal-Wallis (KW)tests. Results: The results of the study demonstrate no significant difference between CER MET and the control group in terms of hamstrings extensibility (ANOVA, p=0.89) or PPT of medial hamstrings (MH), raterar hamstring (LH) or RF (KW: p=0.67, p=0.74 and p=0.27 respectively). Discussion: CER MET of the hamstrings failed to show a significant difference in extensibility or PPT of the hamstrings in an asymptomatic student population compared to the control group, however a favourable trend was noted for PPT. Limitations of this study include sample size and heterogeneity, application of the investigated technique, measurement procedure and equipment used. Conclusion: The CER MET of the hamstrings does not significanfly affect extensibility or PPT of the hamstrings on asymptomatic individuals. Symptomatic sample and modified CER MET is advised for further research.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16051
- Inst-Identifier
- 1229
- Keywords
- Back saver Sit-and-reach test, Crossed extensor reflex, Extensibility, Hamstrings, Mothner reflex, Muscle energy technique, Pressure pain threshold
- Recommended
- 0
- Item sets
- Thesis
Mikic, N, “Does muscle energy technique utilizing crossed extensor reflex (CER) influence extensibility and pressure pain threshold (PPT) of the hamstrings in asymptomatic individuals?”, Osteopathic Research Web, accessed April 23, 2025, https://library.wso.at/s/orw/item/485