Combined Effectiveness of Static Stretching With and Without Post-Isometric Relaxation (PIR) in Managing Pain, Range of Motion and Functional Status Among Upper Cross Syndrome Patients
Combined Effectiveness of Static Stretching
DOI:
https://doi.org/10.54393/pjhs.v4i10.1137Keywords:
Post Isometric Relaxation, Static Stretching, Upper Cross Syndrome, Pain, Visual Analogue scaleAbstract
Tightness of cervical muscles especially upper trapezius and levator scapulae leads to the limitation of cervical ranges and develop a painful condition named as Upper cross syndrome. Objective: The aim was to determine the effect of Static Stretching along with and without Post Isometric Relaxation (PIR) in managing pain, ranges and disability among the patient with Upper Cross Syndrome. Methods: A hospital-based study was carried out following convenience sampling. Study included 22 patients of 18-50 years suffering with Upper Cross Syndrome divided into two groups. Group A (n=11) managed by Post Isometric Relaxation with Group B (n=11) through Static Stretching. Visual Analogue scale (VAS), Neck Disability Index (NDI) and Goniometer were used for assessment of outcomes. The data was analyzed by suing SPSS version 25.0 in which within and between group analysis were done by using parametric test with p-value< 0.05. Results: The results showed VAS and NDI were significantly improved by PIR with 2.27± 1.27 and SS was 4.00± 1.94 and post-NDI value was 24.90±2.21 and 25.09± 2.84 respectively. Similarly; the post ranges of PIR showed statistically significant results in improving cervical ranges as compared to Static stretching with p-value <0.05 Conclusions: The study concluded that combination of Static Stretching and PIR is significantly effective in improving pain, ranges and functional status among Upper cross Syndrome patient along with rapid recovery rate having p-value <0.05.
References
Mubashir M. A cross-sectional survey on prevalence of upper cross syndrome and its correlation to WRMSDS in working physiotherapists. Pakistan Journal of Rehabilitation. 2021 Mar; 10(1): 42-50. doi: 10.36283/pjr.zu.10.1/008. DOI: https://doi.org/10.36283/pjr.zu.10.1/008
Risalda P, Phansopkar P, Naqvi WM. Effectiveness of active release technique verses conventional physiotherapy in management of upper cross syndrome. Indian Journal of Forensic Medicine & Toxicology. 2021 Jan;15(1): 246-50.
Azam H, Fatima N, Asjad A, Ashraf I, Asif T, Rehman F. Comparative Effects of Comprehensive Corrective Exercises Versus Muscle Energy Techniques in Patients with Upper Cross Syndrome: A Randomized Controlled Trial: Corrective Exercises Vs Muscle Energy Techniques in Patients with Upper Cross Syndrome. Pakistan BioMedical Journal. 2022 Jul; 5(7):173-7. doi: 10.54393/pbmj.v5i7.671. DOI: https://doi.org/10.54393/pbmj.v5i7.671
Hosseini SM, Rahnama N, Barati AH. Comparing the effects of ten weeks of regular corrective exercise and corrective exercise with whole body vibration apparatus on upper cross syndrome. Studies in Sport Medicine. 2017 Jan; 8(20): 89-106.
Vaishnavi G, Kumar SD, Kumar GM, Kirupa K, Tharani G, Giftson TE, et al., A study to analyse the effect of Mckenzie’s method of exercise to treat upper cross syndrome associated with cervicogenic headache. Biomedicine. 2021 Dec; 41(4): 855-8. doi: 10.51248/.v41i4.499. DOI: https://doi.org/10.51248/.v41i4.499
Zia A, Shah F, Asim HM, Nawaz MS, Akram S. Association of jaw dysfunction with Upper cross syndrome in subjects with Temporomandibular Joint Disorder. Rawal Medical Journal. 2021 Aug; 46(3): 612-5.
Rayjade A, Yadav T, Chintamani R, Joshi N. Comparative effectiveness of Kinesio taping and Ift in upper cross syndrome-A randomized clinical trial. Indian Journal of Forensic Medicine & Toxicology. 2020 Jul; 14(3): 127-32.
Zad SS, Patil P. Effectiveness of Janda’s approach in upper cross syndrome in medical students. Annals of the Romanian Society for Cell Biology. 2021 Jul; 25(6): 17385-99.
El Laithy MH, Fouda KZ. Effect of post isometric relaxation technique in the treatment of mechanical neck pain. Physical Therapy and Rehabilitation. 2018; 5(1): 20-5. doi: 10.7243/2055-2386-5-20. DOI: https://doi.org/10.7243/2055-2386-5-20
Gillani S, Rehman S, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. Journal of the Pakistan Medical Association. 2020 Mar; 70(3): 394-8. doi: 10.5455/JPMA.300417. DOI: https://doi.org/10.5455/JPMA.300417
Joshi R, Poojary N. The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture—a Randomized Controlled Trail. International journal of therapeutic massage & bodywork. 2022 Jun; 15(2): 14-21. doi: 10.3822/ijtmb.v15i2.673. DOI: https://doi.org/10.3822/ijtmb.v15i2.673
Ali S, Ahmad S, Jalal Y, Shah B. Effectiveness of Stretching Exercises Versus Muscle Energy Techniques in the Management of Upper Cross Syndrome. Journal Riphah College of Rehabilitation Sciences. 2017 Mar; 5(1): 12-6.
Paquin JP, Tousignant-Laflamme Y, Dumas JP. Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: A pilot study. Journal of Manual & Manipulative Therapy. 2021 Jul; 29(4): 244-54. doi: 10.1080/10669817.2020.1864960. DOI: https://doi.org/10.1080/10669817.2020.1864960
Begum MR, Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. Journal of Medical Case Reports and Reviews. 2019 Nov; 2(11): 394-402.
Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P, Terwee CB. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. The Journal of Pain. 2019 Mar; 20(3): 245-63. doi: 10.1016/j.jpain.2018.07.009. DOI: https://doi.org/10.1016/j.jpain.2018.07.009
Mahajan R, Kataria C, Bansal K. Comparative effectiveness of muscle energy technique and static stretching for treatment of subacute mechanical neck pain. Int J Health Rehabil Sci. 2012 Jul; 1(1): 16-21. doi: 10.5455/ijhrs.00000004. DOI: https://doi.org/10.5455/ijhrs.00000004
Park DJ, Park SY. Long-term effects of diagonal active stretching versus static stretching for cervical neuromuscular dysfunction, disability and pain: An 8 weeks follow-up study. Journal of Back and Musculoskeletal Rehabilitation. 2019 Jan; 32(3): 403-10. doi: 10.3233/BMR-171107. DOI: https://doi.org/10.3233/BMR-171107
Shende G, Deshmukh MP, Phansopkar P. Efficacy of passive stretching vs muscle energy technique in Postoperative Elbow stiffness. Journal of Medical Pharmaceutical and Allied Sciences. 2022; 11(4): 5012-6. doi: 10.55522/jmpas.V11I4.1262. DOI: https://doi.org/10.55522/jmpas.V11I4.1262
Chaudhary S, Patel T, Makwana A, Patel M. Improvement of iliopsoas flexibility: a comparative effectiveness between post isometric relaxation and static stretching. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN 0973-5674). 2020 Jul; 14(3): 213-8.
Shellock FG, Prentice WE. Warming-up and stretching for improved physical performance and prevention of sports-related injuries. Sports medicine. 1985 Jul; 2: 267-78. doi: 10.2165/00007256-198502040-00004. DOI: https://doi.org/10.2165/00007256-198502040-00004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments