Divya Prasanna, E (2011) Comparison between conventional spinal exercises with MET and conventional spinal exercises with stretching to reduce pain and Improve flexibility in low back pain for athletes. Masters thesis, College of Physiotherapy, Trinity Mission and Medical Foundation, Madurai.
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Abstract
INTRODUCTION : Muscle flexibility as the ability of a muscle to lengthen, allowing one joint (or more than one joint in a series) to move through a range of motion and “a loss of muscle flexibility as a decrease in the ability of the muscle to deform” Resulting in decreasing ROM about a joint- Zachazewski (1989). Flexibility is a physical fitness attribute and is often evaluated from the joint range of motion (ROM), an essential element of normal biomechanical functioning in sports. Muscle tissue length is thought to play an important role in efficiency and effectiveness of human movement. Muscle energy technique (MET) is defined as a ‘manual therapy procedure which involves the voluntary contraction of patient muscle in a precisely controlled direction, at varying levels of intensity, against a distinctly executed counterforce applied by the operator’. This is also known as “Active Muscular Relaxation Technique”. It is claimed to be effective for a variety of purposes including lengthening a shortened muscles, as a lymphatic or venous pump to aid the drainage of fluid or blood and increasing the range of motion. Physical therapists are very diligent in encouraging athletes to maintain or improve flexibility in order to prevent injury. It would seem that a fine balance between flexibility, tightness and synergistic coactivation of muscle is essential for the prevention of athletic injuries. AIMS AND OBJECTIVES : 1. To find out the effectiveness of hamstring stretching along with conventional spinal exercises to reduce the low back pain. 2. To find out the effectiveness of MET in hamstring muscle along with conventional spinal exercises to reduce the low back pain 3. To compare the effectiveness of stretching and MET in hamstring along with conventional spinal exercises to improve the hamstring flexibility thereby reducing the low back pain. SIGNIFICANCE OF THE STUDY : This study serves as a guideline for Physiotherapists to design an appropriate treatment program for the management of Low Back Pain. HYPOTHESIS : (i) Null Hypothesis: There is no statistically significant difference between Conventional Spinal Exercises with MET And Conventional Spinal Exercises with Stretching in Reducing Pain and Improving the Hamstring Flexibility in Low Back Pain for Athletes (ii) Hypothesis: There is statistically significant difference between Conventional Spinal Exercises with MET And Conventional Spinal Exercises with Stretching in Reducing Pain and Improving the Hamstring Flexibility in Low Back Pain for Athletes CONCLUSION : According to Hall & Brody the stimulus for sarcomere length changes may be the amount of tension along the myofibril or the myotendon junction, with high tension leading to an addition of sarcomeres and low tension causing a decrease. * Researchers have reported immediate hamstring length and ROM increases from 30(Ballantyne et al) to 330 (Magnusson et al following MET or similar methods. [ * It has been suggested that hamstring strength should be 60% to 70% that of the antagonist quadriceps to help prevent hamstring injuries was supported by Greg Gardner Ed.D., et al. * MET reduces the overall stress load to which the person is adapting and or person’s mind-body can be helped to cope adapt more efficiently to that load was determined by Chaitow & Delany. * Ballantyne Suggested that a single application of MET to hamstring produced no biomechanical change to the muscle, but created a change in tolerance to stretch. Thus elastic property of an muscle is maintained . * MET group were able to increase the popliteal angle i.e. improvement in the hamstring flexibility. This technique is very simple and can be easily used voluntarily on those who are experiencing lack of muscle flexibility was supported by Mohd. Waseem, Shibili Nuhmani and C. S. Ram. * To prevent musculoskeletal injury and dysfunction the individual needs to avoid undue mechanical stress, at the same time improving flexibility and stability in order to acquire greater tolerance to strain is maintained by Muscle Energy Techniques. * Muscle Energy Technique is used by athletes as a preventive measure to guard against further muscle and joint injury and reduce the spasm and maintain the muscle length which helps in reducing pain and improving the flexibility of Low Back.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.27091205 |
| Uncontrolled Keywords: | conventional spinal exercises, Muscle energy technique, conventional spinal exercises, reduce pain, Improve flexibility, low back pain, athletes. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Subramani R |
| Date Deposited: | 23 Aug 2017 00:50 |
| Last Modified: | 12 Jan 2020 00:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2796 |
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