Tag: Muscle energy technique

Raumenų energijos technikos prieš miofascialinį atpalaidavimą paauglių mergaičių skoliozėje: atsitiktinės kontroliuojamos tyrimas

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha

 

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha – Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(1); 54-59

DOI: https://doi.org/10.56984/8ZG2EF864D

Santrauka
Įvadas. Paauglių idiopatinė skoliozė (PIS) yra sudėtinga 3D struktūrinė stuburo būklė, pasireiškianti vaikams nuo 10 metų iki kaulų brendimo. Tyrimo tikslas buvo ištirti raumenų energijos technikos ir/arba miofascialinio atpalaidavimo poveikį paauglių idiopatinei skoliozei didelėje imtyje. Taip pat siekta palyginti raumenų energijos technikas prieš miofascialinį atpalaidavimą idiopatinėje skoliozėje.
Metodai. Šiame tyrime dalyvavo 50 mergaičių su idiopatine nekostine struktūrine krūtinės ląstos skolioze. Jos buvo atsitiktinai padalintos į dvi vienodo dydžio grupes (kiekvienoje po 25 asmenis). Per tris mėnesius grupė A (raumenų energijos technikos grupė), kuri gavo mokslinių pratimų požiūrį į skoliozę papildomai raumenų energijos technikai; ir grupė B (miofascialinio atpalaidavimo grupė), kuri gavo tą patį mokslinių pratimų požiūrį į skoliozę, vykdytą grupėje A, papildomai miofascialiniam atpalaidavimui. Pagrindinis rezultatas buvo stovintis radiologinis įvertinimas pagal koroninį Cobb kampą.
Rezultatai. Remiantis šio tyrimo radiniais, raumenų energijos technikos grupėje prieš ir po gydymo Cobb kampo vidurkių reikšmėse buvo nustatyti labai reikšmingi skirtumai. Lyginant miofascialinio atpalaidavimo grupės Cobb kampo vidurkines reikšmes prieš ir po gydymo, buvo nustatytas reikšmingas pokytis.
Išvados. Po trijų mėnesių gydymo abiejų grupių būklė gerokai pagerėjo, raumenų energijos technikos grupė ženkliai pralenkė miofascialinio atpalaidavimo grupę. Taigi, raumenų energijos technika buvo veiksmingesnė mažinant nenormalų krūtinės ląstos išlinkimą paauglių idiopatinėje skoliozėje.
Tyrimo registracija. Tyrimas buvo užregistruotas Clinicaltrials.gov su identifikatoriumi NCT05120089.
Raktiniai žodžiai
miofascialinis atpalaidavimas, raumenų energijos technika, skoliozė
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Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy – Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 208-214

Abstract
Background. Mechanical neck pain (MNP) is one of the most common disorders that originates from poor postural habits and bad ergonomics. Forward head posture (FHP) was highly correlated to MNP. Muscle energy technique (MET) and stretching are easy widespread therapeutic techniques that are known for their effects in improving tissue extensibility, relieving pain and promoting function.
Objective. A randomized controlled trial was designed to compare the effect of MET versus static stretching in terms of FHP, pain and disability in patients with MNP.
Methods. Thirty participants (3 males and 27 females, 18-30 years old) were randomly allocated into one of 3 groups: group (A) received MET+ hydrocollator pack+ postural education, group (B) received stretching and strengthening exercises+ hydrocollator pack+ postural education, group (C) control group received hydrocollator pack+ postural education, 3 sessions /week for 4 weeks. Evaluation was done pre-treatment, post-treatment and after 6-weeks of follow-up. Results: There were significant improvement (p<0.05) in all tested variables in all groups post-treatment except disability in control group. There was significant improvement of pain in all groups, disability in experimental groups and FHP in stretching group only at the follow-up. There were no significant differences between groups in all measured variables.
Conclusion. MET has equal effect to that of static stretching regarding pain and function even after 6-weeks of follow-up. Stretching showed better improvement in FHP correction that persists. Postural education is effective in pain management and seems to have a role in preserving long-term outcome.
Key words:
Forward Head Posture, Mechanical Neck Pain, Muscle Energy Technique, Static stretching, Visual Analogue Scale, Neck Disability Index, Craniovertebral angle
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Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis

Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis – Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 50-56

Abstract
Purpose. This study aimed to evaluate and compare the impact of muscle energy technique and core stability exercises on lumbar lordosis angle, pelvic inclination angle, and lumbar range of motion (ROM) in adults with asymptomatic hyperlordosis. Materials and methods. Sixty subjects with documented lumbar hyper-lordosis, aged 18-30, had a lumbar lordosis angle > 58.5 ° with a body mass index of ˂ 29.9 kg/m2, were assigned randomly into three groups. Group (A) underwent muscle energy technique in addition to postural correction exercises, group (B) received core stability exercises along with postural correction exercises, while group (C) got a postural correction exercise only. The intervention was administered for 12 weeks, three days a week. Plain X-ray and double inclinometers were used respectively for the assessment of lumbar lordosis and pelvic inclination angles and lumbar flexion and extension ROM. Results. All groups reported a substantial decrement in both lumbar lordotic and pelvic inclination angles as well as a marked increment in lumbar flexion and extension ROM following intervention relative to baseline. Differences between groups were noteworthy with respect to lumbar lordotic angle, pelvic angle of inclination and lumbar flexion ROM with significant enhancements in favor of group A and B compared to group C, however, there was no difference between groups regarding lumbar extension ROM. Conclusions. Both muscle energy technique and core stability exercises are equally effective in correcting hyperlordosis and pelvic tilting, as well as in increasing lumbar flexion and extension ROM through improving lumbopelvic stability and pelvic symmetry in adults with asymptomatic hyperlordosis.

Key words:
Muscle energy technique, core stability exercises, hyperlordosis

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Effect of Manual therapy over conventional treatment among chronic degenerative joint disease of the knee – A Prospective Comparative study

A D Gopalswami, S.Senthil Kumar, S. Venkatesan

A D Gopalswami, S.Senthil Kumar, S. Venkatesan – Effect of Manual therapy over conventional treatment among chronic degenerative joint disease of the knee – A Prospective Comparative study. Fizjoterapia Polska 2019; 19(3); 82-90

Abstract
Background. Degenerative Joint Disease (DJD) of knee is a musculoskeletal disorder that affects about 22% to 39% of population in India. The physical impairments among DJD patients poses a significant challenge to clinicians in order to manage and restore their functional capabilities. The disease has been well managed with conventional physiotherapy and exercises. The potential benefits of such physiotherapy lasted for short term.
Aim. Thus, the primary aim was to find the efficacy of less explored methods of treating muscular deficits such as Muscle Energy Techniques (MET) and structured exercise program. The primary objectives of the study were to analyze the effectiveness of MET and joint mobilization in relieving pain severity, improving knee joint ROM and muscle strength.
Material and methods. One hundred patients diagnosed to have tibiofemoral joint degeneration with a grade 2 or 3 on Kellgren and Lawrence scale, were allocated in to Experimental Group (EG) and Comparative Group (CG). EG had received manual therapy in the form of joint mobilization, MET, strengthening exercises and patient education whereas CG had received the referred treatment program (Interferential therapy) along with strengthening exercises and patient education for a period of two weeks.
Results. The analyses of outcome variables for Pain (VAS), knee joint Range of Motion (ROM), Muscle Power and Isometric muscle strength of Quadriceps and Hamstrings was done. Choice of statistical tests (Wilcoxon signed rank test and Mann Whitney U test) was used based on the type of variables.
Conclusions. In a disease specific program, inclusion of manual therapy as a part of treatment regimen would be an effective management for knee osteoarthritis patients. Such an intervention may possibly delay or reduce the need for joint replacement.

Key words:
Degenerative Joint Disease, Manual therapy, Muscle energy technique, Exercise program

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