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Ahmed, Hashim
- Effect of Modified Hold-Relax and Active Warm-Up on Hamstring Flexibility
Authors
1 Jamia Hamdard, New Delhi, IN
2 department of Physiotherapy, Shreya Hospital, Shalimar Garden Extension, Ghaziabad, U.P,, IN
3 Department of Physiotherapy, Mata Gujri Charitable Hospital, New Delhi, IN
4 Indian Spinal Injury Center of Rehabilitation, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 52-57Abstract
Objective: The study aimed to find out how long the flexibility lasted after a one time modified hold relax stretching & active warm up and its comparison with modified hold relax technique alone.Design: Pre-test, Post-test comparative study with repeated measures.
Setting: Mata Gujri Fitness center, Kailash colony, New Delhi.
Method: 30 male subjects were randomly assigned to two groups; Group A- Modified Hold Relax: On the 15 subjects a one time modified hold-relax stretching was performed. Group B: 15 male subjects completed an active warm up on treadmill followed by modified hold relax stretching. The pre stretch measurement was taken by Active Knee Extension (AKE) test. After both the interventions the post stretch measurements were taken at following intervals, 0, 6, 12, 18, 24 min, respectively.
Results: A significant improvement in ROM was observed when post stretch measurements were compared to pre test in both groups respectively. However, the flexibility lasted for longer duration that is 12 min in group B when compared to group A that is 6 min.
Conclusion: Both the methods are equally effective to improve the range of motion. But the improved ranges can be maintained for larger duration when active warm up was implemented prior to Modified hold relax stretching.
Keywords
P.N.F, Active Warm up, AKE, Flexibility
References
- Maximal Length and Resistance to Passive Stretch of Short Hamstring Muscles Volume 14 Number 6 December 1991 JOSPT,250-55.
- Magnusson SP, Simonsen EB, Aagaard P, Gleim GW, McHugh MP, and Kjaer M. Viscoelastic response to repeated static stretching in the human hamstring muscle. Scand J Med Sci Sports 5: 342- 347, 1995
- Hopper D, 2005, S Deacon, S Das, A Jain, D Riddell, T Hall, K Briffa ,Dynamic soft tissue mobilization increases hamstring flexibility in healthy male subjects, Br J Sports Med 2005;39:594–598.
- ACSM’s guidelines,1997.Exercise testing and Prescription,Lippincott Wilkins & Williams , 1997 page13- 19.
- Spernoga S.G , Timothy L. Uhl, Brent L. Arnold, and Bruce M. Gansneder Duration of Maintained Hamstring Flexibility After a One-Time, Modified Hold-Relax Stretching Protocol ,J Athl Train. 2001 Jan–Mar; 36(1): 44–48.
- DePino G.M,2000, Duration of Maintained Hamstring Flexibility After Cessation of an Acute Static Stretching Protocol Journal of Athletic Training 2000;35(1):56–59
- Gajdosik R,1983,Hamstring Muscle Tightness Reliability of an Active-Knee-Extension Test Volume 63 / Number 7, July 1983,1085-1088
- Knudson D ,2005, NSCA Guidelines, Warm up & Flexibility , LWW,166-181.
- Bishop, 2003 Warm Up II ,Performance Changes Following Active Warm Up and How to Structure the Warm Up, Sports Med 2003; 33 (7): 483-498
- Bishop D, 2003 Warm Up I ,Potential Mechanisms and the Effects of Passive Warm Up on Exercise Performance, Sports Med 2003; 33 (6): 439-454.
- ACSM Position Stand on The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Adults. Med. Sci. Sports Exerc., Vol. 30, No. 6, pp. 975–991, 1998.
- Draper D.O.2002;The Carry-Over Effects of Diathermy and Stretching in Developing Hamstring Flexibility ,Journal of Athletic Training 2002;37(1):37–4
- Hutton R S 1993 Neuromuscular basis of stretching exercises. In: Komi P V (ed). Strength and power in sport, 1st edn, Vol 1. Blackwell Scienti®c Publications, Oxford, pp 29-38;cross ref- Physical Therapy in Sport (2001) 2, 186-193.
- Etnyre B R, Abraham L D 1986b H-reflex changes during static stretching and two variations of PNF techniques J Athl Train. 2001 Jan–Mar; 36(1): 44–48.
- Tanigawa MC. Comparison of the hold-relax procedure and passive mobilization on increasing muscle length. Phys Ther .1972; 52 (7): 725-35
- Markos P.D.Ipsilateral & contra lateral effects of PNF techniques on hip motion and electromyographic activity. Phys Ther 1979; 59 (11): 1366-1373
- Katz R, Penicaud A, Rossi A. Reciprocal Ia inhibition between elbow flexors and extensors in the human. J Physiol 1991; 437(1): 269-86
- Day BL, Marsden CD, Obeso JA, et al. Reciprocal inhibition between the muscles of the human forearm. J Physiol 1984; 349 (1): 519-34
- Etnyre BR, Abraham LD. Gains in range of ankle dorsiflexion using three popular stretching techniques. Am J Phys Med pas1986; 65 (4): 189-96
- Osternig LR, Roberston RN, Troxel RK, Muscle activation during proprioceptive neuromuscular facilitation (PNF) stretching techniques. Am J Phys Med 1987; 66 (5): 298-307
- Moore MA,1980, Hutton RS. Electromyographic investigation of muscle stretching techniques. Med Sci Sports Exerc 1980; 12(5): 322-9
- Osternig LR,1990, Roberston RN, Troxel RK, et al Differential responses to proprioceptive neuromuscular facilitation (PNF) stretch techniques. Med Sci Sports Exerc 1990; 22 (1): 106-1011
- Garrett, WE. Muscle strain injuries: Clinical and basic aspects. Med. Sci Sports Exerc. 22:436-443. 1990
- Magnusson SP, Simonsen EB, Aagard P, et al. Mechanical and physiological responses to stretching with and without preisometric contraction in human skeletal muscle. Arch Phys Med Rehabil 1996; 77: 373-8
- Magnusson SP. Passive properties of human skeletal muscle during stretching maneuvers. Scand J Med Sci Sports 1998; 8: 65-77
- Halbertsma JP, Goeken LN. Stretching exercises: effect on passive extensibility and stiffness in short hamstrings of healthy subjects. Arch Phys Med Rehabil 1994; 75: 976-81
- CorneliusW.L,1992 ,The Effects of a Warm -up on Acute Hip Joint Flexibility Using a Modified PNF Stretching technique.,1992, Journal of athletic Training . volume 27, number 2,112-114
- McCardle ,Katch and Katch, 2001 , special aids to exercise training and performance ,Exercise physiology, 5 th edition , Lippincott wilkins and Williams, 574-575.
- Efficacy of Electromyography Biofeedback Training on Trunk Stability in Chronic Low Back Pain
Authors
1 Department of Physiotherapy, Taneja Hospital, Preet Vihar, Delhi, IN
2 Faculty of Applied Medical Sciences, Jazan
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 81-86Abstract
Objectives: The purpose of this study was to investigate the effect of trunk stabilization exercise using a gym ball with or without electromyography biofeedback for people with chronic low back pain.Design: Pretest-posttest Experimental - control group design.
Method: 30 subjects were randomly assigned into two groups. Experimental group received trunk stabilization exercise along with the electromyography biofeedback whereas control group received trunk stabilization exercise without electromyography biofeedback. Endurance and Pain was measured at 0 week, 2nd week, 4th week and 6th week.
Results: Trunk stabilization exercise along with Electromyography biofeedback significantly improves the endurance and reduces pain. /
Conclusion: from the result we may conclude that trunk stabilization exercise along with the electromyography biofeedback is more effective than trunk stabilization exercise without electromyography biofeedback in rehabilitation of patient with chronic low back pain.
Keywords
Trunk Stabilization Exercise, Electromyography Biofeedback, Endurance, PainReferences
- Liebenson C Rehabilitation of the spine Baltimore Williams and Wilkins 1996 Churchill Livingstone
- R A McKenzie, the lumbar spine: mechanical diagnosis and therapy spinal publication New Zealand 1983
- Claus Manniche,et al. Clinical trial of intensive muscle training for chronic low back pain. The Lancet, 31 december 1988 volume 332, issue 8626. Pages 1473-1476
- D Gute, C. et al. Regional changes in capillary supply in skeletal muscle of high- intensity endurance trained rats. Journal of applied physiology 1996: 81 (2) 619-626
- Laughlin M H. cardiovascular response to exercise. Advance in physical education 1999; 22:1:5244-5259
- Bente Kiens, et al. Skeletal muscle substrate utilization during submaximal exercises in man. Journal of physiology 1993:469:459-478
- Holloszy J O biochemical adaptation in muscle. Effect of exercise on mitochondrial oxygen uptake and respiratory enzymes activity in skeletal muscle. Journal of biochemical chemistry 1967; 242:2278-2282
- Panjabi MM. The stabilizing system of the spine, part I: function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992; 5: 383-389
- Rozemberg S, low back pain: Deffinition and treatment, Rev Prat,2008, 15; 58:265-72
- Basmajian JV, ed. Biofeedback: Principles and Practice for Clinicians. 2nd ed. Baltimore, MD: Williams and Wilkins; 1983.
- Nielson WR, Weir R. Biopsychosocial approaches to the treatment of chronic pain. Clin J Pain. 2001; 17(4 suppl):S114-127.
- Middaugh SJ, Kee WG. Advances in electromyographic monitoring and biofeedback in the treatment of chronic cervical and low back pain. Adv Clin Rehabil. 1987; 1:137-172.
- Neblett R, Gatchel RJ, Mayer TG. A clinical guide to surface-EMG-assisted stretching as an adjunct to chronic musculoskeletal pain rehabilitation. Appl Psychophysiol Biofeedback. 2003; 28(2):147-610.
- Arokoski JP, Valta T, Airaksinen O et al (2001) Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil 82:1089–1098
- Silfies SP, Maurer P et al (2005) Trunk muscle recruitment patterns in specific chronic low back pain populations. Clin Biomech 20:465–473
- Moffroid MT. Endurance of trunk muscles in persons with chronic low back pain: assessment, performance, and training. Journal of Rehab. Research and Development 2006: vol.34, no.4, oct- 1997, page 440-52.
- Greiwe J S, Holloszy JO et al Exercise induced lipoprotein lipase and GLUT-4 protein in muscle, independent of adrenergic receptor signalling. Journal of applied physiology 2000; 89:1:176-181
- Houmard J, Hickey M et al. Seven days of exercise increase GLUT-4 protein content in human skeletal muscle. Journal of applied physiology 1995; 97:1936-1938
- Moritani T, Davries H A neural factor in hypertrophy in the time course of muscle strength gain. Am. Jr. Of Physi. Med. 1979; 58:115-130
- Barr KP, Griggs M et al. Lumbar stabilization. A review of core concept and current literature. Part 2 American Journal of Phys Med Rehabil. 2007; 86:1:72-78
- Efficacy of Muscle Energy Technique in Combination with Strain-counterstrain Technique on Deactivation of Trigger Point Pain
Authors
1 Department of Physiotherapy, Taneja Hospital, Preet Vihar, Delhi, IN
2 Department of Physiotherapy, Shreya Hospital, Shalimar Garden Extension, Ghaziabad, U.P, IN
3 Faculty of Applied Medical Sciences, Jazan University, KSA, AE
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 118-123Abstract
Objective: To establish the best possible long term effective choice of treatment program for deactivating MTrP's by using the combination of muscle energy technique with strain-counterstrain techniqueDesign: Pretest-Posttest control group design Setting: Outpatient physiotherapy department, Taneja Hospital, Preet Vihar New Delhi.
Patients: Fourty five subjects (only male) with Myofascial Trigger Points Pain. Subjects were randomly placed into three groups: Experimental group A (n=15), Experimental group B (n=15) and a Control group C (n=15).
Intervention: The experimental group A received muscle energy technique in combination with straincounterstrain technique and experimental group B received muscle energy technique alone whereas control group received conventional treatment only.
Main Outcome Measures: Pain pressure threshold was assessed with the pressure threshold meter (PTM). Pain and functional status of the patients were measured by a visual analogue scale (VAS) and the Neck Disability Index scores respectively.
Results: Within group analysis revealed significant improvement in pain pressure threshold, functional status and reduction in pain intensity in all groups. Between group analysis revealed significant difference between group A, group B and group C. Further post hoc analysis revealed significant difference between group A and B, group A and C and group B and C for all variables even after one week of follow up after the termination of intervention.
Conclusion: The combination of muscle energy technique with strain-counterstrain has been shown to produce greater improvement in pain pressure threshold on pressure threshold meter, function status on neck disability index scores and reduction in pain intensity on visual analogue scores even after one week of the termination of intervention. This shows the long term effectiveness of combination of two manual techniques deactivating the myofascial trigger point's pain.
Keywords
Myofascial Trigger Points Pain, Pain Pressure Threshold, Pressure Threshold Meter, Muscle Energy Technique, Strain-Counterstrain TechniqueReferences
- Imamura ST, Fischer AA, Imamura M, Teixeira MJ, et al. Pain management using myofascial approach when other treatment failed. Phys Med Rehabil Clin North Am 1997; 8:179-96.
- Ballantyne, F., Fryer, G., McLaughlin, P., The Effect of Muscle Energy Technique on Hamstring Extensibility: The Mechanism of Altered Flexibility. Journal of Osteopathic Medicine, April 6 (1), 37; 2003.
- Hong CZ, Hsueh TC. Difference in pain relief after trigger point injections in myofascial pain patients with and without fibromyalgia. Arch Phys Med Rehabil 1996; 77:1161-6.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:
- Han SC, Harrison P. Myofascial pain syndrome and trigger-point management. Reg Anesth 1997;22:89-101.
- Ling FW, Slocumb JC. Use of trigger point injections in chronic pelvic pain. Obstet Gynecol Clin North Am 1993;20:809-15.
- Mense S, Schmit RF. Muscle pain: which receptors are responsible for the transmission of noxious stimuli? In: Rose FC, ed. Physiological aspects of clinical neurology. Oxford: Blackwell Scientific Publications, 1977:265-78.
- Hopwood MB, Abram SE. Factors associated with failure of trigger point injections. Clin J Pain 1994; 10:227-34.
- Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985;60:615-23.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:94-173.
- Rachlin ES. Trigger points. In: Rachlin ES, ed. Myofascial pain and fibromyalgia: trigger point management. St. Louis: Mosby, 1994:145-57.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:11-93.
- Sola A E, Bonica JJ, Myofascial pain syndrome: the management of pain. 2 ed, Philadelphia: Lea and Febiger,1990,352-57.
- Hou, C.R., Tsai, L.C., Cheng, K.F., Chung, K.C., Hong, C.Z., 2002. Immediate effects of various therapeutic modalities on cervical myofascial and trigger point pain sensitivity; Archives of Physical Medicine and Rehabilitation 1982,1406-14.
- Meseguer A.A, Ferna´ndez-de-las-Pen˜as C, Navarro-Poza J L,. Immediate effects of the strain/counterstrain technique in local pain evoked by tender points in the upper trapezius muscle; Clinical Chiropractic: 2006 vol. 9, 112-118.
- Jensen, M.P., Turbner, J.A., Romano, J.M., Fisher, L.D., 1999. Comparative reliability and validity of chronic pain intensity measures. Pain 83, 157-162.
- Fischer, A., pressure algometry over normal muscle, standard values, validity and reproducibility of pressure threshold, pain 1987, 30; 115-126.
- Simons, D., Hong, C.-Z., 2002. Endplate potentials are common to mid fiber myofascial trigger points. American Journal of Physical Medicine and Rehabilitation 81, 212-222.
- Jaeger, B., Reeves, J.L., 1986. Quantification of changes in myofascial trigger point sensitivity with the pressure algometer following passive stretch. Pain 27, 203-210.
- Hou, C.R., Tsai, L.C.,2002. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical and Medical Rehabilitation 82, 1406-1414.
- Effect of Muscle Energy Technique and Static Stretching on Hamstring Flexibility in Healthy Male Subjects
Authors
1 Jamia Hamdard University, New Delhi, IN
2 IHM, OGHRC, NOIDA, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 4, No 3 (2010), Pagination: 32-36Abstract
Objective
To compare the effectiveness of Muscle Energy Technique and Static Stretching in improving the hamstring muscle flexibility in healthy male subjects.
Design
Pretest-posttest control group design
Participants
Forty five healthy male subjects were included in this study. Subjects were randomly placed into three groups: Muscle Energy Technique, Static Stretching and Control group.
Setting
Outpatient physiotherapy department, ESI Hospital, Okhla, New Delhi.
Intervention
Muscle Energy Technique group received 5 second isometric contraction followed by 3 second relaxation for four contractions for five consecutive days. Static Stretching group received 10 minutes of static stretching with the help of pulley and weight system for five consecutive days. Control group received only moist heat for 20 minutes for five consecutive days. All the groups were received the home exercise program during one week follow-up.
Result
On comparing the PKE1 between 3 groups i.e. group A, B and C a significant difference was obtained (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=1.00). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.004). On comparing the PKE5 between 3 groups i.e. group A, B and C a significant difference was obtained (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=.156). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.000). Comparison of the final reading i.e PKE12 using one way ANOVA revealed a significant difference between the groups (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=.316). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.000)
Conclusion
The result of this study indicates that both muscle energy technique and static stretching are equally effective as there is no significant difference between the improvements in range of motion between the two groups.