Effectiveness of Stretching and Strengthening Exercises in Patients with postural Low Back Pain A Randomized Controlled Trial

Abstract

Background: Low back pain is often associated with imbalances in hip muscle length and newlinestrength. It can result from prolonged over stretching of the innervated soft tissues when poor newlinesitting or standing postures are maintained. These changes in muscular tone create muscle newlineimbalance, which leads to movement dysfunction. newlineObjective: To evaluate the effect of stretching and strengthening exercises (Janda s newlineapproach) with conventional treatment in the subjects with postural low back pain in terms of newlinepain intensity, level of function, index of lumbar lordosis, muscle strength and muscle length. newlineMethod: The study design was a single observer blinded randomized controlled trial. 200 newlinesubject aged between 18 to 55 years, clinically diagnosed with postural low back pain with newlineLCS were included. The subjects were randomly allocated to two groups. Group A (control newlinegroup) was provided with moist pack and core stability exercises and Group B (experimental newlinegroup) was given moist pack and core stability exercises along with stretching of illiopsoas, newlinerectus femoris and erector spinae and strengthening of abdominal and gluteal muscle for 10 newlinesessions. newlineOutcome Measure: Outcome measure were documented using VAS, MODQ on 1 newlineand post intervention and 10 newlineth newlinexii newline newlineABSTRACT newline day post intervention. IL%, MMT of abdominals and gluteal newlinemuscles and flexibility of illiopsoas, rectus femoris and erector spinae on 1 newlineintervention and 10 newline newline newlineth newline day post intervention. newlinest newlinest newline day pre newline day pre newlineResults: After intervention both the group showed a significant improvement for all the newlineoutcome measures on 10 newlineth newlinexiii newline newlineABSTRACT newline day post intervention in terms of VAS, IL%, strength and length of newlinemuscle and MODQ score as compared to base line values. Experimental group improved newlinewith greater change in all parameter at 10 newlinegroup (plt0.05). newlineth newline day post intervention as compared to control newlineConclusion: The present study concluded that stretching and strengthening (Janda s newlineapproach) exercises significantly reduces pain, improves level o