Improving Hamstring Flexibility - part 1 Assessment.

'Percieved hamstring tightness' is a common complaint in patients with lower back, buttock and posterior thigh pain. Wether this tightness originates from reduced tissue extensibility to altered neural mobility can be determined with tests such as the passive knee extension, active knee extension, passive straight leg raise and slump tests. Treatments targeting an improving neural tissue mobility and address pathoneuromechanics have been shown to be more effective in reducing hamstring tightness, than the more tradition passive/active static hamstring stretches. 

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A mechanism-based approach to clinical reasoning of pain.

The clinical reasoning process for pain is complicated, particularly as there is no gold standard assessment for pain. Smart and collegues interview experiences musculoskeletal physiotherapists and pain physicians to determine which symptoms and clinical signs are indicative of nociceptive, neuropathic and central sensitisation pain, and their clinical utility and accuracy in diagnosis. 

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