静态拉伸与牵引拉伸对腰痛患者腘绳肌柔韧性的影响随机对照试验

Rashid Hafeez Nasir, Rabia Tabassum, Sahreen Anwar, M. Chaudary, Tahreem Mukhtar, W. Parveen
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引用次数: 1

摘要

背景:腰痛患者通常主诉腘绳肌紧绷,腘绳肌紧绷会改变下肢和脊柱的生物力学。肌肉柔韧性降低会影响个人的功能,也会因过度使用而损害肌肉骨骼系统。目的:目的是比较静态拉伸与牵引拉伸对腰痛患者腘绳肌柔韧性的影响。方法:对44例以背部疼痛、腘绳肌紧绷和大腿后部疼痛/压痛为主诉的受试者进行单盲对照试验。A组采用静态拉伸,B组采用拉伸加牵引(Mulligan)。采用直腿抬高法、90-90测验法和视觉模拟量表计算两组的得分。采用独立t检验衡量两组治疗结果的差异,采用配对样本t检验衡量组内差异。结果:两组患者的疼痛评分及各项指标均有显著改善。当两组进行比较时,牵引拉伸与静态拉伸在缓解背痛患者腘绳肌紧绷方面有显著差异。结论:与静态拉伸相比,牵引拉伸腘绳肌是一种重要的治疗选择,因为参与者在缓解背痛患者腘绳肌紧绷的结果测量中表现出显着差异。*通讯作者:Sahreen Anwar,巴基斯坦费萨拉巴德独立医学院;引用本文:Nasir r.h., R. Tabassum, S. Anwar, M. Chaudhary, T. Mukhtar, W. Parveen, 2021。静态拉伸与牵引拉伸对腰痛患者腘绳肌柔韧性的影响一项随机对照试验。物理治疗与康复科学杂志,1(1):2-8。
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Comparative Effects of Static Stretching versus Stretching with Traction on Hamstrings Flexibility in Patients with Backache; A Randomized Controlled Trial
Abstract Background: Patients with lower backache commonly complain of hamstrings tightness which is responsible for altering biomechanics of the lower limb and spine. Reduced muscular flexibility affects the functional capacity of an individual and also damages the musculoskeletal system as a result of overuse. Objective: The objective is to compare the effects of static stretching versus stretching with traction on hamstrings flexibility in patients with backache. Methods: A single-blinded, controlled trial was conducted on 44 subjects who presented with primary complaints of back pain, hamstrings tightness and pain/tenderness in the back of the thigh. Group A was treated with static stretching and Group B with stretching with traction (Mulligan). Straight leg raise, 90-90 test, and visual analogue scale were used to calculate the scores in the two groups. An independent t-test was calculated to measure the difference between the treatment outcomes of the two groups while paired sample t-test was used to measure the differences within the groups. Results: Both groups showed significant results with both tests and pain scores. When both the groups were compared, stretching with traction showed a significant difference from static stretching in relieving hamstrings tightness in patients with backache. Conclusion: Stretching of hamstrings with traction is found to be a significant treatment option as compared to static stretching as the participants showed a significant difference in outcome measures in relieving hamstrings tightness in patients having backache. *Corresponding Author: Sahreen Anwar, Independent Medical College, Faisalabad, Pakistan; Email: sahreenanwar@yahoo.com Citation: Nasir R.H., R. Tabassum, S. Anwar, M. Chaudhary, T. Mukhtar, W. Parveen. 2021. Comparative effects of static stretching versus stretching with traction on hamstrings flexibility in patients with backache; a randomized controlled trial. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(1):2-8.
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