Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial.

Q2 Health Professions
Aarti Welling, Ashwin Patil, Pragati Gunjal, Priyanka Naik, Rani Hubli
{"title":"Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial.","authors":"Aarti Welling, Ashwin Patil, Pragati Gunjal, Priyanka Naik, Rani Hubli","doi":"10.3822/ijtmb.v17i2.957","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Lumbar hyperlordosis is the most prevalent musculoskeletal postural deformity. Maintenance of normal limits of lumbar lordosis is necessary for obtaining an ideal posture. Literature suggests that poor posture results in fascial restriction in which the fascia reorganizes in response to tension. Gross myofascial release (MFR) combined with posterior pelvic tilting exercises proved to be beneficial in improving the lumbar range of motion. Three-dimensional (3D) MFR is a novel approach toward reducing fascial restrictions. However, the literature determining the effects of 3D MFR is still emerging.</p><p><strong>Aim: </strong>To determine the effect of 3D MFR on a lumbar lordosis angle and lumbar range of motion, in individuals with asymptomatic hyperlordosis.</p><p><strong>Method: </strong>Participants (n = 30) with hyperlordosis were randomly assigned to either the experimental group receiving 3D MFR (n = 15) or the control group (n = 15) that received sham 3D MFR for six sessions (3 alternate days for 2 weeks). The outcomes were assessed at day 1 and day 6. Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.</p><p><strong>Results: </strong>There was significant decrease (p = 0.0001) in the lumbar lordosis angle, increase in the lumbar flexion (p = 0.0001), and decrease in the extension (p = 0.0011) range of motion in the experimental group when compared to the control group.</p><p><strong>Conclusion: </strong>Lumbar lordosis decreased and the lumbar range of motion increased in the experimental group only with 3D MFR and not with sham 3D MFR. Hence, 3D MFR is an effective method in the correction of lumbar hyperlordosis and improving the lumbar range.Clinical Trial Registry of India (CTRI) trial number <b>CTRI/2023/03/050340.</b></p>","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131939/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3822/ijtmb.v17i2.957","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Lumbar hyperlordosis is the most prevalent musculoskeletal postural deformity. Maintenance of normal limits of lumbar lordosis is necessary for obtaining an ideal posture. Literature suggests that poor posture results in fascial restriction in which the fascia reorganizes in response to tension. Gross myofascial release (MFR) combined with posterior pelvic tilting exercises proved to be beneficial in improving the lumbar range of motion. Three-dimensional (3D) MFR is a novel approach toward reducing fascial restrictions. However, the literature determining the effects of 3D MFR is still emerging.

Aim: To determine the effect of 3D MFR on a lumbar lordosis angle and lumbar range of motion, in individuals with asymptomatic hyperlordosis.

Method: Participants (n = 30) with hyperlordosis were randomly assigned to either the experimental group receiving 3D MFR (n = 15) or the control group (n = 15) that received sham 3D MFR for six sessions (3 alternate days for 2 weeks). The outcomes were assessed at day 1 and day 6. Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.

Results: There was significant decrease (p = 0.0001) in the lumbar lordosis angle, increase in the lumbar flexion (p = 0.0001), and decrease in the extension (p = 0.0011) range of motion in the experimental group when compared to the control group.

Conclusion: Lumbar lordosis decreased and the lumbar range of motion increased in the experimental group only with 3D MFR and not with sham 3D MFR. Hence, 3D MFR is an effective method in the correction of lumbar hyperlordosis and improving the lumbar range.Clinical Trial Registry of India (CTRI) trial number CTRI/2023/03/050340.

三维肌筋膜松解术对无症状脊柱后凸患者腰椎后凸的疗效:安慰剂随机对照试验》。
背景:腰椎前凸是最常见的肌肉骨骼姿势畸形。保持腰椎前凸的正常范围是获得理想姿势的必要条件。文献表明,不良姿势会导致筋膜受限,筋膜会因紧张而重组。事实证明,粗大肌筋膜松解术(MFR)结合骨盆后倾练习有助于改善腰部的活动范围。三维(3D)肌筋膜松解术是减少筋膜束缚的一种新方法。目的:确定三维 MFR 对无症状腰椎间盘突出症患者腰椎前凸角度和腰椎活动范围的影响:方法:将患有脊柱过度伸展症的参与者(n = 30)随机分配到接受三维 MFR 的实验组(n = 15)或接受假三维 MFR 的对照组(n = 15),实验组接受六次治疗(隔日 3 次,为期两周)。结果在第 1 天和第 6 天进行评估。腰椎活动范围采用改良的舒伯氏试验进行评估,腰椎前凸角度采用X射线和屈曲曲线进行测量:结果:与对照组相比,实验组的腰椎前凸角明显减少(p = 0.0001),腰椎屈曲增加(p = 0.0001),腰椎伸展减少(p = 0.0011):结论:实验组腰椎前凸减少,腰椎活动范围增大,只有使用三维肌肉阻断术的实验组腰椎前凸减少,而使用假三维肌肉阻断术的实验组腰椎活动范围没有增大。因此,三维MFR是矫正腰椎前凸和改善腰椎活动范围的有效方法。印度临床试验注册中心(CTRI)的试验编号为CTRI/2023/03/050340。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.30
自引率
0.00%
发文量
16
审稿时长
22 weeks
期刊介绍: The IJTMB is a peer-reviewed journal focusing on the research (methodological, physiological, and clinical) and professional development of therapeutic massage and bodywork and its providers, encompassing all allied health providers whose services include manually applied therapeutic massage and bodywork. The Journal provides a professional forum for editorial input; scientifically-based articles of a research, educational, and practice-oriented nature; readers’ commentaries on journal content and related professional matters; and pertinent news and announcements.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信