The effect of static stretching exercises on hip range of motion, pain, and disability in patients with non-specific low back pain (original) (raw)
Related papers
Stretching as a Part of a Strategy for the Prevention and Management of Chronic Low Back Pain
Trakia Journal of Sciences, 2019
Tasks in the treatment of chronic pain in the lumbar region include a decrease in the degree of pain and improvement of daily activity, prevention of musculoskeletal disorders, as well as maintenance of working capacity. The aim of this study is to investigate the application of stretching exercises as a way to restore muscle balance and to prevent recurrent pain in the back. Tasks: To study available publications on the application of stretching exercises in lumbar pain; To draw conclusions after analyzing the data. Results: The proposed special exercises for fitness, muscle balance and normal tone of the dorsal muscles are important for the restoration and protection of patients from back pain. Conclusion: the regular conduct of kinesitherapy for prophylaxis, outside the acute period, would play a role in keeping the spine in condition. This would significantly limit the incidence of relapses, clinical practice in our country still lags behind this approach, unfortunately.
Efficacy of Flexion and Extension Exercises in Management of Low Back Pain
Objectives: Low back pain is a condition that continues to place a great deal of stress on the healthcare system. Globally one out of three people suffer from low back pain. Lifetime prevalence of low back pain is estimated to be at least 60-70%. Low back pain (LBP) is a major health problem because of its high prevalence worldwide. Design: Interventional longitudinal studies. Methodology: A total of 50 patients were included as per pre define inclusion and exclusion criteria and assigned into two groups each having 25 patients. Group A was given Flexion exercises, Back Flexion exercises while Group B was given Extension exercises, additionally both the group given NSAID and deep heat (Short Wave Diathermy). The patient's outcome measures were assessed by visual analog scale. Results: Follow up showed that all 25 patients who did extension exercise could walk independently. Both treatments are found to be statistically significant in improving walking score of patients (p-value= 0.000). In group comparison, extension exercise is statistically better in improving patient's walking ability than flexion exercise (p-value= 0.025). Conclusion: Although both treatment were equally effective but back extension exercises was seemed to be more effective in the management of LBP as compare to Lumbar flexion exercises.
Effect of Static Stretching on Muscle Activation During Sit to Stand Among Low Back Pain Population
Jurnal Teknologi
Differential muscle activation pattern following hamstring stretching among low back pain (LBP) is being reported. Reduce in hamstring extensibility can alter the lumbar lordosis during sitting thus put pressure on lumbar intervertebral discs and increase load on the lumbar spine. This can lead to changes in the pelvic motion and altered the functional movement especially during sit to stand (STS). Thus, the faulty motion and muscles will be used and further lead to the changes of muscle activation especially to the back and lower limb muscles. Previous study showed that static stretching can help to increase activation of muscle among LBP population. However, limited evidence exists regarding the effects of static hamstring stretching on muscle activation of gluteus maximus during STS among LBP population. The main objective is to determine the effect of static hamstring stretching on hamstring flexibility on muscle activation of gluteus maximus (GM) during STS among LBP population...
International Journal of Physiotherapy, 2015
Background: Although exercising is common among the multidisciplinary approach, but its analgesic effect is still controversial. The purpose of this study was to evaluate the analgesic effect of an exercise program through a booklet for people with chronic non-specific lower back pain, under the direction of a physiotherapist or as an entirely self-directed program. Methods: A prospective and randomized study was done in 44 patients, with pain intensity greater than 3 by VAS. Patients in G1 received a booklet with the exercise program and once a week they had a physiotherapist's guidance while performing them at the pain care center, while patients in G2 received just the booklet and once a week they went to the pain care center to answer some questionaries. All patients were expected to perform the exercises once a day at home. There were evaluated pain intensity and quality of life before the treatment, after 6 and then 12 weeks. Acetaminophen could be used as necessary. Results: Pain intensity was lower in G1 than in G2, and there was a significant reduction in pain intensity in G1 but not in G2. G1 patients needed less acetaminophen than the patients in G2. Quality of life was higher in G1 than in G2. Conclusions: the patients showed a better outcome (pain intensity, quality of life, and less acetaminophen intake) when the stretching and strengthening exercise program was performed under the direction of a physiotherapist, compared to the patients who had an entirely self-directed exercise program for chronic non-specific lower back pain.
Nigerian journal of experimental and clinical biosciences, 2022
Exercise is known to be beneficial in the management of chronic low back pain (LBP), especially in pain reduction and improving function. Core stability exercise (CSE) is fast becoming the foremost exercise in the management of LBP; however, it is presently undetermined whether CSEs produces more valuable effects than stretching exercises in the management of LBP. The study aimed to review the effectiveness of CSEs or stretching exercises in the management of chronic LBP. A systematic review of randomized clinical trials was done using published articles. Multiple databases and specific journal websites were searched to obtained original researches published between 2000 and 2021 in which pain and disability were evaluated as outcomes. Methodological quality was assessed using the Physiotherapy Evidence Database scale and none of the included studies had scores of <9/10. Three studies met the criteria for this review. The included studies randomized participants into two different exercise groups. One out of the three studies showed benefits of CSE over stretching exercises for pain and disability. Another study showed ST exercise is more beneficial to CSE for pain and disability while the last study shows both CSE and ST exercises to be effective in pain and disability management. In conclusion compared to ST exercise, CSE is not more effective in pain reduction and improved physical function in individuals with LBP in the short term. However, no follow-up assessments were done postintervention.
Journal of Population Therapeutics & Clinical Pharmacology, 2023
Background: Acute low back pain is one of the leading causes of work absences throughout the world. People from low-and middle-income countries faced more low back pain compared to developed countries. This is because they work physically and prefer to use manually carrying objects by hand. One of the effective treatments for acute low back pain is exercise. The current study aims to compare the effectiveness of the McKenzie Extension Exercise to William Flexion Exercise for patients with acute low back pain and or sub-acute low back pain in Erbil City. Methods: Quasi-experimental comparative trial of pre-post study design was conducted. Patients were recruited from the physiotherapy department of Rzgary Teaching Hospital, Iraq from October 17th, 2021 to December 1st, 2022. The patient seeking care for acute or sub-acute low back pain visited the physiotherapy department at Rzgary teaching hospital. Eligible participants were assigned to receive management based on the McKenzie group receiving exercises according to physical examination at least Five times a day and the William group receiving exercises at least Three times a day. Primary outcome measures include pain (0-10 Numerical Rating Scale NRS) over the First week at Threeweek, pain at Three months, and level of disability (0-24 Roland Morris Disability Questionnaire RMDQ) over the First week, three weeks and at Three months treatment effect was estimated. Result: One Hundred and Twenty participants were recruited and all of them completed the program. An Independent sample t-test was applied to compare the mean NRS score of two treatment groups before treatment and after treatment. The P-value for the independent sample t-test (0.89) shows that there is a non-significant difference in mean NRS between the two treatment groups before treatment. The P-value for the independent sample t-test (< 0.001) shows that there is a highly significant difference in mean NRS between the two treatment groups after treatment. The P-value for the independent sample t-test (0.568) shows that there is a non-significant difference in mean RMDQ between the two treatment groups before treatment. The P-value for the independent sample t-test (<0.001) shows that there is a highly significant difference in mean RMDQ between the two treatment groups after treatment. Conclusion: In the present study it was found that McKenzie Extension Exercise produced a significant effect in managing acute and sub-acute low back pain in adult patients. Furthermore, William Flexion e124 Comparison between the Effectiveness of McKenzie Extension Exercises and William Flexion Exercises for Treatment of Acute or Sub-acute Low Back Pain
Journal of Strength and Conditioning Research, 2009
Stretching is performed in rehabilitation and sports conditioning programs. It is not known how often during a week stretching needs to be performed to maintain flexibility. Therefore, the purpose of this study was to determine the influence of intermittent stretching (i.e., 2-3 days/week) on hip range of motion (ROM) following a 4-week, daily stretching program. This study used a randomized, single-blind, test-retest design. Healthy adult subjects, age 18 to 50 years, were randomly assigned to 1 of 2 static stretching protocols: (a) standard protocol or (b) intermittent protocol. All subjects stretched their hamstrings daily for the first 4 weeks. The standard group discontinued all stretching after 4 weeks. The intermittent group continued to stretch 2 to 3 days per week for an additional 4 weeks. All subjects were measured for hip ROM weekly for the full 8 weeks. Thirty-two subjects completed the study (standard group = 14; intermittent group = 18, mean age 24.6 years). Mean hip ROM increased (p , 0.05) for both groups from before protocol (PRE) to Week 4 (standard group gain from 71.4 6 18.5 degrees to 90.6 6 20.5 degrees and intermittent group gain from 68.6 6 15.7 degrees to 89.1 6 16.8 degrees). During the final 4 weeks, mean hip ROM decreased (p , 0.05) for the standard group from 90.6 6 20.5 degrees to 83.9 6 20.3 degrees. Mean hip ROM for the intermittent group did not decrease during the final 4 weeks of the study (89.1 6 16.8 degrees to 93.2 6 14.9 degrees, p. 0.05). Intermittent stretching (i.e., 2 or 3 days/week) is sufficient to maintain ROM gains acquired from a prior static stretching program. Clinicians and trainers may educate their clients of the benefits of intermittent stretching to maintain flexibility.
comparison of william flexion and Mckenzie extension exercises in chronic low back pain patients
Euorpean journal of pharmaceutical and Medical Research, 2020
Chronic back pain defined as pain that lasts for 7–12 weeks or may persists beyond the predictable period of restoration. A Randomized controlled trial study was conducted at department of Physiotherapy in Mayo Hospital Lahore. 40 Sample of patients having age group of 20-60 years were placed in two groups. The Williams flexion exercise was applied in first group while McKenzie extension exercise technique was applied in later group for a window of of 4 weeks. The visual analogue scale (VAS) for pain assessment and Oswestery low back pain disability index (OLBPDI) to quantify disability due to low back pain, were used to asses all the patients before and after 4 weeks of physical therapy intervention. Data was scrutinized by SPSS and statistical test was applied at 95% level of significance, results in determination of the efficacy of both treatment regimens, thereafter compared with each other. Comparative study revealed better result in refining pain and dipping physical disability in first group. KEYWORDS: chronic low back pain (CLBP), McKenzie extension exercise, William’s flexion exercise, visual analogue scale (VAS), Oswestery low back pain disability index (OLBPDI).
Background & objectives: This study was conducted to determine whether slump stretching is beneficial compared to low grade lumbar spine mobilization and exercises for the subgroup of low back pain patients hypothesized to benefit from these forms of treatment. Methods: 45 patients between the age group of 25 - 40 years were selected and divided into 3 groups as Group A, B and C each consist of 15 subjects. Group A given with Maitland Grade 1 - 2 lumbar spine mobilization (Central Posterior Anterior) and standard exercises, Group B given with slump stretching and standard exercises and Group C given with only standard exercises for a period of three weeks. Patients were evaluated with Numeric pain rating scale (NPRS) and Roland Morris disability questionnaire (RMDQ) prior to and 3 weeks after the treatment and scores were analyzed. Results: One Way ANOVA for NRS Score and Kruskal-Wallis one-way ANOVA for RMDQ Score among Group A, B and C shows that (F = 22.235, DF = 2, 42, P-value < 0.001 and Minimum Significant Difference (MSD) of 11.225 respectively), the mean score of at least one group i.e. Group B is significantly different from the other groups. Interpretation & conclusion: This study concluded that Slump stretching and exercise is beneficial for improving short term disability, decreasing pain, and centralization of symptoms compared to treatment with Grade 1 to 2 Maitland Mobilization and exercises. These data provide preliminary evidence supporting the notion that patients with LBP can benefit from slump stretching exercises.
Journal of Orthopaedic & Sports Physical Therapy, 2000
Study Design: A 2-group, nonrandomized, mixed design with 1 between-subjects factor (group) and 2 within-subjects factors (knee and hip position). Objectives: To determine the amount of passive hip extension during changes in the knee angle in the sagittal plane, and the hip angle in the frontal plane in back-healthy (BH) subjects and subjects with low back pain (LBP). Background: Information regarding the specific contributions of hip flexor muscles to limitations in hip extension range of motion (ROM) is necessary for the prescription of appropriate treatment. Methods and Measures: Thirty-five BH subjects (24 women and 11 men, mean age = 31.37 t 11.36) and 10 subjects with LBP (6 women and 4 men, mean age = 33.70 t 9.31) participated in the study. The passive length of the one-and two-joint hip flexor muscles was tested in 4 different conditions in which the positions of the knee and the hip were varied. The knee was positioned passively in full extension or 80" of flexion while the hip was positioned passively in zero abduction or full abduction. Results: Subjects with LBP displayed less passive hip extension than BH subjects (LBP,-5.61" t 4.30; BH,-2.57" t 4.18). Both groups had less hip extension when the knee was in flexion of 80" than when the knee was fully extended (flexed,-5.51" ? 4.50; extended,-0.98" t 4.651, and when the hip was in zero hip abduction than when the hip was fully abducted (zero,-7.55" 2 5.03; full, 1. O6O t 4.31). The contribution of the different hip flexors to a hip extension limitation differed between BH and subjects with LBP. BH subjects demonstrated an effect of knee angle on hip extension when the hip was in zero abduction (flexed,-1 1.43" t 5.81; extended,-2.49" t 5.391, but not when the hip was in full abduction (flexed, 1.74" t 3.91; extended, 1.89" ? 3.94). Subjects with LBP demonstrated an effect of knee angle on hip extension when the hip was in zero abduction (flexed,-12.60" t 4.91; extended,-6.65" 2 5.03) and when the hip was in full abduction (flexed,-3.10" t 5.53; extended,-0.10" ? 5.18). Conclusions: The results of this study provide evidence that changing the knee joint angle in the sagittal plane and the hip joint angle in the frontal plane, during the hip flexor length test, can affect the amount of passive hip extension ROM. The contribution of specific hip flexor muscles to a hip extension limitation may differ depending on the individual's movement dysfunction. Modifying the hip flexor length test, as described, should provide information about the specific muscles contributing to a hip joint extension limitation.