Dynamic stretching of tensor fascia lata and its impact on lumbopelvic rhythm in individuals with chronic low back pain

Marwa Wed Eladham, Shima A. Mohammad Zadeh, Tamer Shousha

Marwa Wed Eladham, Shima A. Mohammad Zadeh, Tamer Shousha – Dynamic stretching of tensor fascia lata and its impact on lumbopelvic rhythm in individuals with chronic low back pain – Fizjoterapia Polska 2024; 24(2); 327-330

DOI: https://doi.org/10.56984/8ZG56084AE

Abstract
Low back pain (LBP) is a prevalent global health issue with significant implications for individuals’ daily lives. Although the cause of LBP remains unclear, changes in lum-bopelvic structures due to musculoskeletal issues are considered a key factor. Chronic LBP, persisting beyond three months, is influenced by individual and psychological fac-tors. Muscles around the spine, including the tensor fascia lata (TFL), play a crucial role in maintaining spinal stability and joint functions. Prolonged shortening of the TFL can lead to an anterior pelvic tilt and abnormal spine alignment, causing pain in the lumbar and pelvic regions. Stretching this muscle is essential to alleviate low back pain by en-hancing hip and pelvic range of motion. Trunk movement, occurring within the sagittal plane, is influenced by the lumbar spine and pelvic region. The evaluation of lumbopelvic rhythm (LPR) in trunk movement has been extensively investigated, suggesting that changes in LPR may indicate modifications in neuromuscular control of trunk movement. Exercises, particularly stretching exercises, play a crucial role in LBP treatment, with dy-namic stretching of the TFL showing potential benefits. Studies on dynamic stretching indicate improvements in joint range of motion, muscle strength, power, and sprint time. However, the specific impact of dynamic stretching targeting the TFL on lumbopelvic movement patterns in individuals with LBP remains unknown. The authors suggest that dynamic stretching of the TFL may provide pain relief, increase range of motion, and positively impact the ability of LBP sufferers to resume their regular lives.
Keywords
LBP, TFL, stretching, LPR
Pobierz/Download/下載/Cкачиваете Download the article for free in English

Comparison of the effectiveness Tepurak therapy with deep tissue massage and stretching in treating non-specific low back pain injuries

Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga


Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga – Comparison of the effectiveness Tepurak therapy with deep tissue massage and stretching in treating non-specific low back pain injuries
. Fizjoterapia Polska 2023; 23(3); 210-220

DOI: https://doi.org/10.56984/8ZG143A4A

Abstract
This study aimed to determine: (1) The effectiveness of Tepurak therapy (press, hit, motion) in treating non-specific Low Back Pain (LBP) injuries. (2) The effectiveness of a combined Deep Tissue Massage with stretching (DTMS) in treating non-specific LBP injuries. (3) A comparison of the effectiveness between Tepurak therapy and the combination of Deep Tissue Massage with stretching in treating non-specific LBP injuries.
Recovery indicators included pain level and range of motion (ROM). This pre-experimental research used two distinct sample groups with different treatments. The sample comprised 42 individuals with non-specific LBP injuries, who were randomly divided into two groups of 21. Group A underwent Tepurak therapy (press, hit, motion), while Group B received combined Deep Tissue Massage and stretching (DTMS). Each treatment session lasted 30 minutes.
Pain levels were measured using the Visual Analogue Scale (VAS), while ROM was assessed with the modified Schober Test and the Fingertip-to-Floor instruments. The data analysis employed various tests, including the Paired t-test, Wilcoxon, independent t-test, and Mann-Whitney.
The findings revealed that Tepurak therapy reduced pain and significantly enhanced ROM (p < 0.05). Similarly, the Deep Tissue Massage combined with stretching notably diminished pain and improved ROM (p < 0.05). Comparing the pretest and posttest data between Tepurak therapy and the Deep Tissue Massage with stretching on pain and ROM indicators yielded a p-value > 0.05. This suggests that there was no significant difference in the effectiveness of the two therapy types.
Based on this study, it’s recommended that either Tepurak therapy or the combination of Deep Tissue Massage with stretching can be employed to treat individuals with non-specific LBP. The choice should depend on the specific situation and conditions, taking into account the pros and cons of each therapy type.
Keywords:
tepurak, deep tissue massage, stretching, non-specific low back pain
Pobierz/Download/下載/Cкачиваете Download the article in English for free