{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:53:51Z","timestamp":1781499231817,"version":"3.54.1"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;amp;R"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Hamstring injuries are among the most frequent and recurrent musculoskeletal issues in professional women's football. Range of motion (\n                      <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>\n                      ) limitations and neuromuscular fatigue are potentially modifiable risk factors targeted by preventive therapies\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To compare the immediate and short\u2010term effects of three intervention protocols\u2014manual therapy, active neuromuscular exercises, and a combined approach\u2014on hip and knee\n                      <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>\n                      in elite female football players during the competitive season\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010six players were randomly allocated to one of three groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922 per group): passive therapy (Group A), active therapy (Group B), and combined intervention (passive and active therapy) (Group C). Hip and knee\n                      <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>\n                      were measured at baseline (Pre), immediately after a single intervention session (Post), and at 1\u2010week follow\u2010up (\n                      <jats:styled-content style=\"fixed-case\">FU<\/jats:styled-content>\n                      ) and a 24\u2010item questionnaire was completed for each player. Data were analyzed using repeated\u2010measures analysis of variance (\n                      <jats:styled-content style=\"fixed-case\">ANOVA)<\/jats:styled-content>\n                      and post hoc tests with Bonferroni correction\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All groups showed significant within\u2010group improvements over time in multiple\n                      <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>\n                      variables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Between\u2010group analyses at\n                      <jats:styled-content style=\"fixed-case\">FU<\/jats:styled-content>\n                      revealed significantly greater gains in passive left hip flexion for Groups B (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.006) and C (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.034) compared to Group A. Right hip external rotation also showed significant differences at\n                      <jats:styled-content style=\"fixed-case\">FU<\/jats:styled-content>\n                      (Group B\u2009&gt;\u2009A,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001; Group B\u2009&gt;\u2009C,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.011). Mixed\u2010model\n                      <jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>\n                      indicated significant time \u00d7 group interaction effects for passive left hip flexion (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.014), right hip external rotation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.010), and left hip external rotation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.041), favoring the combined intervention\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Combined therapy produced superior short\u2010term gains in specific\n                      <jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>\n                      measures compared to isolated interventions. These findings suggest that integrated neuromuscular strategies may enhance flexibility outcomes relevant to hamstring injury prevention\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.70053","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T09:11:17Z","timestamp":1763716277000},"page":"656-668","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Immediate and short\u2010term effects of manual, active, and combined therapies on lower limb range of motion in professional female footballers: A randomized controlled trial"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2608-2019","authenticated-orcid":false,"given":"Jorge Vel\u00e1zquez","family":"Saornil","sequence":"first","affiliation":[{"name":"Health Science Faculty Pontifical University of Salamanca  Salamanca 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