Comparison Of The Effect Of Active Release Technique Versus Proprioceptive Neuromuscular Facilitation Stretching (Modified Hold-Relax) On Hamstring Flexibility In Patients Having Chronic Low Back Pain.
Comparison Of The Effect Of Active Release Technique V/S Proprioceptive Neuromuscular Facilitation Stretching
Keywords:
Chronic low back pain, Hamstrings flexibility, Active release technique, proprioceptive neuromuscular facilitation stretchingAbstract
Background and Objectives: Low back pain(LBP) is the leading cause of occupational injury and disability.The hamstring tightness was found to be one of the leading causes for development of LBP. Active Release Technique(ART)&PNF(Proprioceptive neuromuscular facilitation) stretchingboth the methods work on different physiological principles to increase the hamstrings flexibility. Hence objective of the study was to compare the effect of ART and PNF on hamstrings flexibility, Pain and functional disability in patients having LBP. Methodology: 30 subjects were taken in the study and divided in to 2 groups, 15 in each group.Measurement of the severity of pain by using VAS, degree of hamstrings tightness by active knee extension test and functional disability by modifies oswestry disability index was done. Group A was given modified hold relax PNF stretch and Group B was given ART for 10 sessions. Results: There was significant difference forMean of AKE (t=2.31, p=0.028), pain at activity (t=52.00, p=0.012) and functional disability (U=-2.224, p=0.026) between both groups. Conclusion: Both the techniques Modified hold-relax PNF stretch and ART improve hamstrings flexibility and reduce pain and disability over time but PNF (modified hold relax) was more effective than ART. [Mistry G NJIRM 2015; 6(5):66-70]
References
2. Papageorgiou AC, Croft PR, Thomas E, Silman AJ,Macfarlane GJ. Influence of previous pain experience on the episode incidence of low back pain: results from the South Manchester Back Pain Study. Pain 1996;66:181–5.
3. Spitzer WO, Leblanc FE, Dupuis M. Scientific approach to the assessment and management of activity-related spinal disorders. Spine 1987;12:S4–59.
4. Khan MY, Siddiqui MA: Prevalence of low back pain in computer users. Pak J Med Sci; 2005;21(2):159-163.
5. Carlos AF, Waleria CR. Dietary re-education, exercise program, Performance and body indexes associated with risk factors in overweight/obese women. J Int Sco Sports Nutr. 2005; 2(2):45-53
6. Nagarwal AK,Zutshi K,Ram CS, Zafar R. Improvement of hamstring flexibility: A comparison between two PNF stretching techniques. International journal of sports science and engineering 2010; vol. 4:25-33.
7. Kathy D, Kirby K, Dallan F, Svuba C. Active Release Technique versus Proprioceptive Neuromuscular Facilitation: comparison of hamstrings flexibility. April1, 2007, vol 2(1):403-10.
8. Vijay K, Ratnam R et. Immediate effect of Active Release Technique versus Mulligan bent leg raise in subjects with hamstrings tightness: A randomized Clinical trials. Int J Physiother Res 2014;Vol.2(1):97-100.
9. Spernoga SG, Uhi TL, Arnold BL,Ghansheder BM. Duration of maintained hamstrings flexibility after a one time modified hold-relax stretching protocol. J. Athl Train 2001;2001:36:44-48.
10. Bonnar BP, Deivert RG, Gould TE. The relationship between isometric contraction durations during hold-relax stretching and improvement of hamstring flexibility. J. Sports Med. Phys Fitness. 2004;44:258-261.
11. Zakaria A, Rao G. Efficacy of PNF Stretching Techniques on Hamstring Tightness in Young Male Adult Population. World Journal of Medical Sciences 7 (1): 23-26, 2012.
12. Ferber R, Osternig L, Gravelle D. Effect of PNF stretch technique on knee flexor muscle EMG activity in older adults. J Electromyoger kinesiol 2002; 12(5): 391-7. 13. George JW, Tunstall AC,Tepe RE, Skaggs CD. The effects of active release technique on hamstring flexibility: a pilot study. Journ of manipulative physical therapy 2006 Mar- Apr; 29(3):224-7.
14. Jessica K, Frattini C, DiNicola A. ART vs. Graston and Their Effects on Hamstring Flexibility. Journal of the Canadian Chiropractic Association, 2006: 249-54.
15. Shlesha S, Vijay K. Comparative effect of Active Release Technique and Rolfing soft tissue manipulation in normal subjects with hamstrings tightness. Indian Journal of Physiotherapy & Occupational Therapy, 2013,7(2): 207-210.
16. House RW, Schlobohm ER, Clewis JD. A comparative study of active release technique versus proprioceptive neuromuscular facilitation on hamstrings flexibility measured by Active knee extension test. Journal of orthopaedic and sports physiotherapy,2005;10(3):343-349.
17. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative management. Phys.Ther. 1995; 75:470-489.
18. Da Silva DÃaz R, Gómez-Conesa A. Shortened hamstring syndrome. Fisioterapia 2005; 30.p. 186-193.
19. Koley S, Kaur J, Sandhu JS. Biological risk indicators for non-specific low back pain in young adults of Amritsar, Punjab, India. Journal of Life Sciences.2010b; 2(1): 43-48.
20. Bellew S, Ford H, Shere E. The relationship between hamstring flexibility and pelvic rotation around the hip during forward bending. The Plymouth Student Journal of Health and Social Work.2010; 2: 19-29.
21. Esola MA, McClure PW, Fitzgerald GK and Siegler S. Analysis of Lumbar Spine and Hip Motion During Forward Bending in Subjects With and Without a History of Low Back Pain, Spine.1996;21(1): 71-78.
