Comparative Effects of Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation Stretching in the Management of Lower Cross Syndrome MET vs PNF in Lower Cross Syndrome
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Abstract
Background: Lower Cross Syndrome (LCS) results from muscle imbalance due to poor posture, causing tightness in lumbar and hip flexor muscles alongside weakness in abdominal and gluteal muscles. It leads to lumbar hyperlordosis, chronic low back pain, and functional disability.
Objective: This study aimed to compare the effectiveness of Muscle Energy Techniques (METs) and Proprioceptive Neuromuscular Facilitation (PNF) stretching in the management of LCS.
Methods: A randomized clinical trial was conducted with 60 participants, aged 18-45, diagnosed with LCS. Participants were divided into two groups: METs (n=30) and PNF stretching (n=30). Interventions were performed thrice a week for four weeks. Outcome measures included pain (NPRS), disability (Oswestry Low Back Pain Disability Questionnaire), hip extension range (goniometer), and anterior pelvic tilt. Statistical analysis was done using SPSS version 25, with non-parametric tests due to non-normal data distribution (p<0.05).
Results: The METs group showed greater improvement in post-treatment Oswestry scores (mean rank 19.30, p<0.001) and NPRS (mean rank 16.53, p<0.001), compared to the PNF group. Hip extension range and anterior pelvic tilt also improved significantly in the METs group (p<0.001).
Conclusion: METs were more effective than PNF stretching in managing LCS, significantly reducing pain and disability while improving range of motion.
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References
Khan N, Nouman M, Iqbal MA, Anwar K, Sajjad AG, Hussain SA. Comparing The Effect of Stretching and Muscle Energy Technique In The Management of Lower Cross Syndrome. Pak J Med Sci. 2022;16(07):31.
Mehta TB, Sharma A. Treatment Strategies for Lower Cross Syndrome. Int J Phys Med Rehabil. 2020;8(2):150-8.
Zaprawa K, Filipowicz P. Lower Crossed Syndrome (LCS). Adv Med Sci. 2018;3(1):13-5.
Khali MJ, Yani F, ST S, Fis M, Anniza M, Ft S, et al. Pengaruh Pemberian Core Stability Exercise Dan William Flexion Exercise Terhadap Lower Cross Syndrome Pada Penjahit: Narrative Review. J Health Sci. 2020;5(3):104-9.
Sahu P, Phansopkar P, Kumar K. Screening For Lower Cross Syndrome In Asymptomatic Individuals - A Study Protocol. Int J Forensic Med. 2021;15(1):257-61.
Shin SS, Yoo WG. Inter-Tester Reliability Of Lumbar Lordosis Posture Classification Using A Novel Screening Device. J Manipulative Physiol Ther. 2021;44(1):35-41.
Soholt C. Lower Crossed Syndrome In A Runner: Can It Be Improved Through The Combination Of A Modified Single-Leg Squat And A Half Kneeling Hip Flexor Stretch? Azusa Pacific University; 2019.
Janda V, Frank C, Liebenson C. Evaluation Of Muscular Imbalance. Phys Med Rehabil Clin N Am. 1996;6:97-112.
Prevalence F, Prevalence LT. Postural And Structural Adaptations In Hockey Players. Sports Med. 2019;7(2):75-81.
Esakowitz A. The Effect Of Muscle Energy Technique Versus Chiropractic Adjustive Therapy In The Treatment Of Chronic Low Back Pain With Lower Cross Syndrome. University of Johannesburg; 2014.
Gupta S, Jaiswal P, Chhabra D. A Comparative Study Between Post-Isometric Relaxation And Isometric Exercises In Non-Specific Neck Pain. J Orthop Sports Phys Ther. 2008;4(2):88-94.
Speicher T. Clinical Guide To Positional Release Therapy. Human Kinetics; 2016.
Bruno PJ. The Importance Of Diagnostic Test Parameters In The Interpretation Of Clinical Test Findings: The Prone Hip Extension Test As An Example. J Chiropr Med. 2011;55(2):69-75.
Das S, Sarkar B, Sharma R, Mondal M, Kumar P, Sahay P. Prevalence Of Lower Cross Syndrome In Young Adults: A Cross Sectional Study. Int J Adv Res. 2017;5(6):2217-28.
Sequeira S, Gurudut P, Kage V. Exploring Effects Of Egoscue Versus Lumbar Stabilisation Exercises For Lower Crossed Syndrome On Postural Stability And Hyperlordotic Posture Correction. Clin Exp Physiol. 2023;1-12.
Alyarnezhad C, Shams A. Comparison Of The Effect Of An Eight-Week Training Program With Two Different Stretching Patterns On Changes In The Status Of Lower Cross Syndrome. J Sports Biomech. 2021;7(1):108-21.