DOI: 10.3390/bioengineering13080927 ISSN: 2306-5354

Comparative Effects of Femoral Nerve Neurodynamic Techniques and Static Stretching on Quadriceps Muscle Mechanical Properties

Pinelopi Anestaki, Dimitris Mandalidis, Eleftherios Paraskevopoulos

Background: Neurodynamic techniques are commonly used to improve neural mobility and musculoskeletal function, but their effects on muscle mechanical properties remain unclear. This study investigated the acute effects of femoral nerve slider, femoral nerve tensioner, and static stretching interventions on the rectus femoris and vastus medialis muscles. Methods: Thirty healthy adults (18–35 years) were non-randomly allocated using a predetermined alternating sequence to a femoral nerve slider (n = 10), femoral nerve tensioner (n = 10), or static stretching group (n = 10). No sham or no-intervention control group was included. Muscle mechanical properties were assessed before and immediately after the intervention using the MyotonPRO (Myoton AS, Tallinn, Estonia). Outcomes included muscle tone, stiffness, logarithmic decrement, relaxation time, and creep. A three-way mixed repeated-measures ANOVA was performed. Results: No statistically significant differences in pre–post changes were detected among the three intervention groups for any of the examined mechanical parameters. Significant main effects of time were found for stiffness (p = 0.026) and creep (p = 0.005), indicating overall reductions from pre- to post-assessment. Significant time × muscle interactions were identified for relaxation time (p = 0.029) and creep (p = 0.002), indicating different temporal patterns between the rectus femoris and vastus medialis. Following Holm adjustment of the follow-up comparisons, the pre–post reduction in the vastus medialis remained statistically significant for creep but not for relaxation time. The rectus femoris demonstrated greater stiffness and logarithmic decrement values, whereas the vastus medialis exhibited greater relaxation time values. Conclusions: No statistically significant differences in immediate pre–post changes in quadriceps muscle mechanical properties were detected among the femoral nerve slider, femoral nerve tensioner, and static stretching groups. Temporal and muscle-specific patterns were observed for selected mechanical parameters; however, these findings should not be interpreted as evidence of equivalence between the interventions.

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