EFFECTIVENESS OF POST-ISOMETRIC RELAXATION VERSUS STATIC STRETCHING ON PAIN AND FUNCTIONAL DISABILITY IN PREGNANT WOMEN WITH UPPER CROSS SYNDROME

Authors

Keywords:

Upper-cross-syndrome, stretching, post-isometric, pregnancy, neck disability index, numeric pain rating scale, muscle energy technique

Abstract

Background of the study: Cervical discomfort is among recurring musculoskeletal problems becoming a cause of cost and work loss as well. Our purpose is to compare the effects of post-isometric relaxation with static-stretching in reducing Pain and functional disability in Upper Cross Syndrome among pregnant females

Methodology: A randomized clinical trial was selected in a physiotherapy setting using NPRS and NDI. 26 patients was taken, non-probability convenient sampling technique was used. Patients were divided into group of two: one was treated with post-isometric relaxation (Group A), and the second group was treated with static stretching (group B).

Results: Statistically, the pain of subjects treated with post-isometric relaxation (Group A: Pre =6.10 ±1.52, Post =2.00±0.667) improved more than those to whom treatment of static-stretching was given (Group B: Pre =5.63±1.50, Post =4.00±1.069). For both group A (Pre =29.60 ± 9.70, Post =10.20 ±5.22) and group B (Pre=27.63± 8.20, Post= 21.88 ±8.45), the mean neck disability index improved. In contrast, the pre-and post-results were statistically significant (group A p-value =0.000 and group B p-value =0.002).

Conclusion: Post isometric Relaxation and static stretching were beneficial in treating Upper Cross Syndrome. However, in comparison, post-isometric relaxation was observed to be beneficial in decreasing neck pain and functional disability among pregnant females with upper cross syndrome.

Author Biographies

  • Hafiza Neelum Muneeb, Riphah International University, Lahore, Pakistan

    Senior Lecturer, Riphah College of Rehabilitation Sciences

  • Kinza Mazhar, Riphah International University, Lahore, Pakistan

    Undergraduate Student, Riphah College of Rehabilitation Sciences

  • Rabia Iqbal, Riphah International University, Lahore, Pakistan

    Undergraduate Student, Riphah College of Rehabilitation Sciences

  • Maira Imran, Riphah International University, Lahore, Pakistan

    Undergraduate Student, Riphah College of Rehabilitation Sciences

References

Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26.

Park S-H, Lee M-M. Effects of lower trapezius strengthening exercises on Pain, dysfunction, posture alignment, muscle thickness and contraction rate in patients with neck pain; randomized controlled trial. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e920208-1.

GBD 2021 Neck Pain Collaborators. Global, regional, and national burden of neck pain, 1990-2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2024;6(3):e142-e155.

Ray-Griffith SL, Morrison B, Stowe ZN. Chronic pain prevalence and exposures during pregnancy. Pain Research and Management. 2019;2019.

Mao-Jiang Y, Xian Q, Bhetuwal A, Bing L, Xiao-Xue X. CT-guided joint cavity release for postpartum sacroiliac joint pain management: an evaluation of its efficacy, safety, and clinical outcomes. Front Med (Lausanne). 2024;11:1417673.

Zhang J, Pang T, Yao J, Li A, Dong L, Wang Y, Wang Y. Clinical application of myofascial therapy in the treatment of postpartum pain-related functional disorders: A review. Medicine (Baltimore). 2024 Oct 4;103(40):e39869.

Gunarathna SP, Wickramasinghe ND, Agampodi TC, Prasanna IR, Agampodi SB. Assessment of the productivity loss due to leading maternal ill-health conditions: a follow-up study of a prospective pregnancy cohort in rural Sri Lanka. BMJ Open. 2024;14(10):e082798.

Purnamasari KD. Nyeri punggung bawah pada ibu hamil trimester II dan III. Journal of Midwifery and Public Health. 2019;1(1):9-15

Fiat F, Merghes PE, Scurtu AD, Almajan Guta B, Dehelean CA, Varan N, Bernad E. The Main Changes in Pregnancy-Therapeutic Approach to Musculoskeletal Pain. Medicina (Kaunas). 2022;58(8):1115.

Petronilla OC, Chinecherem EP, Sunday ES. Breast size, thoracic kyphosis, and thoracic spine pain: a correlational survey of Nigerian postpartum mothers. BMC Musculoskelet Disord. 2024;25(1):934.

Chang MC, Choo YJ, Hong K, Boudier-Revéret M, Yang S. Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare (Basel). 2023;11(16):2328.

Menezes AH, Traynelis VC. Pediatric cervical kyphosis in the MRI era (1984-2008) with long-term follow up: literature review. Childs Nerv Syst. 2022;38(2):361-77.

Dunn G, Egger MJ, Shaw JM, Yang J, Bardsley T, Powers E, et al. Trajectories of lower back, upper back, and pelvic girdle pain during pregnancy and early postpartum in primiparous women. Women's Health. 2019;15:1745506519842757.

Deng S, Bennett KJ. Exploring low back and pelvic pain challenges: Administrative insights into prevalence during pregnancy among 2016-2021 South Carolina Medicaid beneficiaries. Womens Health (Lond). 2024;20:17455057241267097.

Utami IT, Astrilia A, Agustina R. The Effect of Yoga Exercise on Back Pain Reduction of Pregnant Women. Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2022;7(S1):103–6.

Kim KH, Seo HJ, Abdi S, Huh B. All about pain pharmacology: what pain physicians should know. Korean J Pain. 2020;33(2):108-20.

Cupler ZA, Daniels CJ, Anderson DR, Anderson MT, Napuli JG, Tritt ME. The chiropractor's role in primary, secondary, and tertiary prevention of suicide: a clinical guide. J Can Chiropr Assoc. 2021;65(2):137-55.

Cevik R, Pala OO. Effects of upper thoracic Mulligan mobilization on pain, range of motion and function in patients with mechanical neck pain: A randomized placebo-controlled trial. PLoS One. 2024;19(10):e0311206.

Dinnes J, Sharma P, Berhane S, van Wyk SS, Nyaaba N, Domen J,et al. Rapid, point-of-care antigen tests for diagnosis of SARS-CoV-2 infection. Cochrane Database Syst Rev. 2022;7(7):CD013705.

kordis C, Liaskou C, Papagiakoumou E, Sotiropoulos S, Plavoukou T, et al. Intra-rater and Inter-rater Reliability of the Commander Pressure Algometer in Greek Patients With Chronic Neck Pain. Cureus. 2024;16(8):e66350.

Hassan HI, Kaka B, Bello F, Fatoye F, Ibrahim AA. Comparative effectiveness of low-level laser therapy versus muscle energy technique among diabetic patients with frozen shoulder: a study protocol for a parallel group randomised controlled trial. J Orthop Surg Res. 2024;19(1):272.

Bhosale P, Kolke Pt S. Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial. J Man Manip Ther. 2023;31(5):340-8.

Shin HJ, Kim SH, Hahm SC, Cho HY. Thermotherapy plus neck stabilization exercise for chronic nonspecific neck pain in elderly: a single-blinded randomized controlled trial. International Journal of Environmental Research and Public Health. 2020;17(15):5572.

Elhosary EA, Ewidea MM. Efficacy of kinesio tape on neck pain and functional disability in pregnant women: a randomized controlled trial. Clin. Exp. Obstet. Gynecol. 2021;48(1): 175-78

Jawade S, Chitale N, Padmawar S, Phansopkar P. Effect of the Reciprocal Inhibition Technique on Pain, Range of Motion, and Functional Activities in a Patient With Upper Trapezitis: A Case Report. Cureus. 2023;15(11):e48127.

Abd-Eltawab AE, Ameer MA. Effect of Kinesio taping versus mechanical cervical traction combined with physiotherapy program on chronic neck pain in young female university students. Hong Kong Physiother J. 2024;44(1):69-78.

Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022;23(1):567.

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Published

2025-01-10

How to Cite

EFFECTIVENESS OF POST-ISOMETRIC RELAXATION VERSUS STATIC STRETCHING ON PAIN AND FUNCTIONAL DISABILITY IN PREGNANT WOMEN WITH UPPER CROSS SYNDROME. (2025). Pakistan Journal of Rehabilitation, 14(1), 71-79. https://ojs.zu.edu.pk/pjr/article/view/1852