Abstract
Background: Hamstring tightness is a prevalent musculoskeletal concern among college students, often leading to functional impairments and increased injury risk. Muscle Energy Technique (MET) and Neurodynamic Sliding Technique (NDT) have been proposed as effective interventions to improve hamstring flexibility by targeting muscular and neural components.
Objective: To systematically review and synthesize evidence on the efficacy of MET and NDT in reducing hamstring tightness among college students.
Methods: A literature search was conducted across PubMed, Google Scholar, and Science Direct databases for randomized controlled trials and clinical studies focusing on MET and NDT in young adults. Studies published between 2010 and 2025 meeting predefined inclusion criteria were selected. Data on intervention protocols, outcome measures, and safety were extracted and analysed.
Results: A total of 15 articles met the inclusion criteria. Both MET and NDT demonstrated statistically significant improvements in hamstring flexibility, with NDT showing a slightly higher effect size. Intervention durations ranged from single sessions to six weeks, with consistent results supporting the safety and efficacy of both techniques.
Conclusions: Both MET and NDT are effective in reducing hamstring tightness, with NDT providing potentially more sustained improvements. Incorporating these techniques in rehabilitation protocols can optimize flexibility outcomes in college student populations.