EFFECT OF STATIC STRETCHING OF HAMSTRING ON NON-SPECIFIC LOW BACK PAIN
Keywords:
Oswestry disability index questionnaire, nonspecific back pain, static hamstrings stretching, altered lumbo-pelvic rhythm, posture, passive straight leg raiseAbstract
Objective: To determine the effect of static stretching of hamstring muscle on the non-specific low back pain.
Methodology: A Quasi-Experimental study was conducted in Rabia Moon Institute of Neurology which total 30 participants were included through non-probability purposive sampling. Thirty participants were selected who fulfilled our inclusion criteria, they were divided into two groups; group A or treatment group received conventional physiotherapy treatment as well a static stretching exercise protocol for 5 days. Group B or control group received conventional physiotherapy treatment only. VAS (Visual analog scale) and Oswestry Disability questionnaire, SFGD (Standing Finger to ground Distance,) PSLR (passive straight leg raise) for both legs were measured pre- and post-treatment.
Result: A total of 30 patients aged 20-55 were included in the study. Mean age of the participants was found to be 37.88 years. The difference in means of all the assessment parameters pre and post-treatment for both groups were analyzed through paired t-test. There was a significant improvement in VAS, SFGD, Passive Straight leg Raise PSLR (right leg), PSLR (left leg) and level of disability pre- and post-treatment in the treatment group.
Conclusion: This present study concluded that static stretching of hamstrings is effective in decreasing non-specific low back pain.
References
Okereke S, Gregory M. DVT pathway audit. Clinical Radiology. 2020 Dec 1;75:e14.
Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, Blyth FM, Smith E, Buchbinder R, Hoy D.
Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Annals of translational medicine. 2020 Mar;8(6).
Ijaz M, Akram M, Ahmad SR, Mirza K, Ali Nadeem F, Thygerson SM. Risk Factors Associated with the Prevalence of Upper and Lower Back Pain in Male Underground Coal Miners in Punjab, Pakistan. International Journal of Environmental Research and Public Health. 2020 Jan;17(11):4102.
Wong CK, Mak RY, Kwok TS, Tsang JS, Leung MY, Funabashi M, Macedo LG, Dennett L, Wong AY. Prevalence, incidence, and factors associated with non-specific chronic low back pain in community-dwelling older adults aged 60 years and older: a systematic review and meta-analysis. The journal of pain. 2021 Aug 24.
Grabovac I, Dorner TE. Association between low back pain and various everyday performances. Wiener klinische Wochenschrift. 2019 Nov;131(21):541-9.
Waseem M, Karimi H, Gilani SA, Hassan D. Treatment of disability associated with chronic non-specific low back pain using core stabilization exercises in Pakistani population. Journal of Back and Musculoskeletal Rehabilitation. 2019 Jan 1;32(1):149-54.
Napoli A, Alfieri G, Scipione R, Andrani F, Leonardi A, Catalano C. Pulsed radiofrequency for low-back pain and sciatica. Expert Review of Medical Devices. 2020 Feb 1;17(2):83-6.
Skorupska E. Muscle atrophy measurement as assessment method for low back pain patients. Muscle Atrophy. 2018:437-61.
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, Viswanath O, Jones MR, Sidransky MA, Spektor B, Kaye AD. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Current pain and headache reports. 2019 Mar;23(3):1-0.
Hashem LE, Roffey DM, Alfasi AM, Papineau GD, Wai DC, Phan P, Kingwell SP, Wai EK. Exploration of the inter-relationships between obesity, physical inactivity, inflammation, and low back pain. Spine. 2018 Sep 1;43(17):1218-24.
Vatandoost S, Sheikhhoseini R, Akhbari B, Salavati M, Pourahmadi M, Farhang M, O’Sullivan K. Altered muscle strength and flexibility among a subgroup of women with chronic nonspecific low back pain: Cross-sectional case-control study. Physiotherapy Theory and Practice. 2022 Feb 23:1-9.
Kim B, Yim J. Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku journal of experimental medicine. 2020;251(3):193-206.
Shamsi M, Mirzaei M, Khabiri SS. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Science, Medicine and Rehabilitation. 2019 Dec;11(1):1-5.
Zawadka M, Skublewska-Paszkowska M, Gawda P, Lukasik E, Smolka J, Jablonski M. What factors can affect lumbopelvic flexion-extension motion in the sagittal plane?: A literature review. Human movement science. 2018 Apr 1;58:205-18.
Gaur VV, Kapoor AA, Phansopkar PA. Short term effects of muscle energy technique vs. active release technique in improving hamstring flexibility and pain in patients with acute anterior cruciate ligament (ACL) tear-a randomized control trial. J Evol Med Dent Sci. 2021 Jan 18;10(3):137-42.
Ballard MT, Drury C, Bazrgari B. Changes in Lumbo-Pelvic Coordination of Individuals With and Without Low Back Pain When Wearing a Hip Orthosis. Frontiers in Sports and Active Living. 2020 Jul 16;2:90.
Lathuilière S, Mesejo P, Alameda-Pineda X, Horaud R. A comprehensive analysis of deep regression. IEEE transactions on pattern analysis and machine intelligence. 2019 Apr 11;42(9):2065-81.
Hansberger BL, Loutsch R, Hancock C, Bonser R, Zeigel A, Baker RT. Evaluating the relationship between clinical assessments of apparent hamstring tightness: a correlational analysis. International Journal of Sports Physical Therapy. 2019 Apr;14(2):253.
Santonja-Medina F, Santonja-Renedo S, Cejudo A, Ayala F, Ferrer V, Pastor A, Collazo-Diéguez M, Rodríguez-Ferrán O, Andújar P, Sainz de Baranda P. Straight Leg Raise Test: Influence of Lumbosant© and Assistant Examiner in Hip, Pelvis Tilt and Lumbar Lordosis. Symmetry. 2020 Jun;12(6):927.
Bansal D, Asrar MM, Pharm M, Ghai B, Pushpendra D. Prevalence and impact of low back pain in a community-based population in northern India. Pain Physician. 2020;23(4):E389.
Kim B, Yim J. Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku journal of experimental medicine. 2020;251(3):193-206.
Cejudo A, Centenera-Centenera JM, Santonja-Medina F. The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis. International Journal of Environmental Research and Public Health. 2021 Jan;18(16):8654.
Choi YJ, Sim HP, Lee JY. The Comparison of Effects Mulligan's Technique Applied to Shortened Hamstring. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2018;24(1):7-14.
Razzaq M, Bhatti ZM, Nawaz U, Ghani HM. Comparative Effects of Mulligan’s Two Leg Rotation Technique and Muscle Energy Technique on Hamstring Flexibility. Pakistan Journal of Medical & Health Sciences. 2022 May 26;16(05):102-.
Waseem M, Karimi H, Gilani SA, Hassan D. Treatment of disability associated with chronic non-specific low back pain using core stabilization exercises in Pakistani population. Journal of back and musculoskeletal rehabilitation. 2019;32(1):149-54.
Garcia MC, Lennon A, Bazett-Jones DM, Ford KR, Long JT, Taylor-Haas JA. Influence of hamstring flexibility on running kinematics in adolescent long-distance runners. Gait & Posture. 2022 Mar 1;93:107-12.
Sumaira Imran Farooqui, Zulekha Saleem, Ashbeel John Edgar, Shahida Abbass. Assessment of hamstring flexibility retention through sit-and-reach box in university students with nonspecific low back pain. 2020];5(1):31-8.
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