IJPR.2024.134

Type of Article:  Original Research

Volume 12; Issue 5 (October 2024)

Page No.: 4798-4805

DOI: https://dx.doi.org/10.16965/ijpr.2024.134

Study the Immediate Effects of “Primal Reflex Release Technique™” Versus “Neural Tissue Mobilization” on Hip Flexor Tightness in Individuals with a Sedentary Lifestyle

Muskan Jain 1, Manish Kumar Jha *2, Vamakshi Vijay 3.

1 MPT, Neurology, Department of Physiotherapy, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

*2 Faculty, Neurology, Department of Physiotherapy, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

3 MPT, Neurology, Department of Physiotherapy, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

Corresponding Author: Dr. Manish Kumar Jha, Faculty, Neurology, Department of Physiotherapy, Swami Rama Himalayan University, Dehradun, Uttarakhand, India-248016. Phone no.- 8130785861 E-Mail: mkjha@srhu.edu.in

ABSTRACT

Background: An inactive life can lead to various problems, such as tightness of muscles, decreased joint mobility, and decreased pliability, which can hinder daily activities. Prolonged sitting puts a lot of force on the muscles, increasing the risk of injury. Studies have shown that many people with desk jobs have tight iliopsoas muscles, resulting in lower strength, restricted hip movement, increased pelvic tilt, and excessive lower back curvature.

Objective: This study investigates the immediate effectiveness of PRRT™ and NTM on hip flexor tightness in individuals with a sedentary lifestyle. The goal is to determine the most effective treatment approach to alleviate hip flexor tightness, thereby reducing associated risks and improving the quality of life for sedentary individuals.

Study Design:  Double-blinded Comparative Study

Study Settings: In and around the Himalayan Institute of Medical Sciences, Dehradun

Participants: 60 individuals with a sedentary lifestyle having tight hip flexors in the age group 18-45.

Outcome measures: Hip Flexion Angle measured while performing Modified Thomas Test, Hip Extension Range.

Result: A significant improvement is seen in hip flexion angle (p-value <0.001) and prone hip extension range (p-value <0.001) in both Groups A and B. However, on analysing and comparing the post-intervention results of both groups, no major difference was found in the outcome variables (p-value>0.05).

Conclusion: This study concluded that both techniques are equally effective in reducing hip flexor tightness with a sedentary lifestyle and can mitigate associated risks and enhance the quality of life for sedentary individuals.

Keywords: Hip Flexors, Iliopsoas, PRRT, Neural Tissue Mobilization, Sedentary Lifestyle, Tightness.

REFERENCES

[1]. Marijančić V, Grubić Kezele T, Peharec S, Dragaš-Zubalj N, Pavičić Žeželj S, Starčević-Klasan G. Relationship between Physical Activity and Sedentary Behavior, Spinal Curvatures, Endurance and Balance of the Trunk Muscles-Extended Physical Health Analysis in Young Adults. International journal of environmental research and public health. 2023 Oct 18;20(20):6938.
https://doi.org/10.3390/ijerph20206938
[2]. Kett AR, Milani TL, Sichting F. Sitting for too long, moving too little: Regular muscle contractions can reduce muscle stiffness during prolonged periods of chair-sitting. Frontiers in sports and active living. 2021 Nov 3;3:760533.
https://doi.org/10.3389/fspor.2021.760533
[3]. Kadam R, Riya Sony, Pathak. Prevalence of Hip Flexor Tightness in Young Adults. International Journal for Multidisciplinary Research. 2023 Sep 20;5(5).
https://doi.org/10.36948/ijfmr.2023.v05i05.6541
[4]. Alghadir AH, Khalid S, Iqbal ZA. Work-related musculoskeletal disorders among information technology professionals in Riyadh, Saudi Arabia. Medycyna Pracy. Workers’ Health and Safety. 2022 Dec 6;73(5):397-406.
https://doi.org/10.13075/mp.5893.01281
[5]. Avrahami D, Potvin JR. The clinical and biomechanical effects of fascial-muscular lengthening therapy on tight hip flexor patients with and without low back pain. J Can Chiropr Assoc. 2014 Dec;58(4):444-55. PMID: 25550670; PMCID: PMC4262809.
[6]. Lakkadsha TM, Kovela RK, Saifee SS, Lalwani SS, Kovela Sr RK, Saifee S, Lalwani S. Efficacy of single stretching session of iliopsoas using proprioceptive neuromuscular facilitation versus muscle energy technique on low back pain in patients with lumbar hyper-lordosis. Cureus. 2022 Aug 12;14(8).
https://doi.org/10.7759/cureus.27916
[7]. 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 22;14(3):213-8.
[8]. Pradip B, Sudhir B, Nidhi B. Prevalence of tightness in hip muscles in middle aged Indian men engaging in prolonged desk jobs: A descriptive study. Int. J. Phys. Educ. Sports Health. 2018;5(2):15-21.
[9]. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. FA Davis; 2016 Nov 18.
[10]. Anloague PA, Chorny WS, Childs KE, Frankovich M, Graham C. The Relationship between Femoral Nerve Tension and Hip Flexor Muscle Length. J Nov Physiother. 2015;5(244):2
[11]. National Library of Medicine. Health Risks of an Inactive Lifestyle [Internet]. medlineplus.gov. 2017. Available from: https://medlineplus.gov/healthrisksofaninactivelifestyle.html#:~:text=A%20sedentary%20or%20inactive%20lifestyle
[12]. Sedentary lifestyle [Internet]. Wikipedia. 2024 [cited 2024 Jun 20]. Available from: https://en.m.wikipedia.org/wiki/Sedentary_lifestyle#:~:text=A%20sedentary%20lifestyle%20contributes%20to
[13]. Kadam R, Riya Sony, Pathak. Prevalence of Hip Flexor Tightness in Young Adults. International Journal for Multidisciplinary Research. 2023 Sep 20;5(5).
https://doi.org/10.36948/ijfmr.2023.v05i05.6541
[14]. Kim B, Kang T, Kim D. Effect of Proprioceptive Neuromuscular Facilitation Stretching on Pain, Hip Joint Range of Motion, and Functional Disability in Patients with Chronic Low Back Pain. Physical Therapy Rehabilitation Science. 2021 Jun 30;10(2):225-34.
https://doi.org/10.14474/ptrs.2021.10.2.225
[15]. Lee JY, Yoon HI. The comparison of iliopsoas tightness between low back pain patients and healthy subjects. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2006;12(2):11-20.
[16]. de Matos Pinheiro I, Góes AL. Immediate effects of stretching in different positions. Physiotherapy in Movement. 2010;23(4).
[17]. Albertin ES, Walters M, May J, Baker RT, Nasypany A, Cheatham S. An exploratory case series analysis of the use of Primal Reflex Release Technique™ to improve signs and symptoms of hamstring strain. International Journal of Sports Physical Therapy. 2020 Apr;15(2):263
https://doi.org/10.26603/ijspt20200263
[18]. Park J, Cha J, Kim H, Asakawa Y. Immediate effects of a neurodynamic sciatic nerve sliding technique on hamstring flexibility and postural balance in healthy adults. Physical therapy rehabilitation science. 2014 Jun 31;3(1):38-42.
https://doi.org/10.14474/ptrs.2014.3.1.38
[19]. Gajjar R, Patel A, Patel G: An Immediate Effect of Neurodynamic Mobilization of Femoral Nerve Vs Post Isometric Relaxation on Flexibility for Desk Worker With iliopsoas Muscle Tightness-A Pilot Study. Archives of Physiotherapy and Global Researches 2023; 26(2): 25-30.
https://doi.org/10.5604/01.3001.0054.4378
[20]. Albertin ES, Walters M, May J, Baker RT, Nasypany A, Cheatham S. An exploratory case series analysis of the use of Primal Reflex Release Technique™ to improve signs and symptoms of hamstring strain. International Journal of Sports Physical Therapy. 2020 Apr;15(2):263
https://doi.org/10.26603/ijspt20200263
[21]. Butler DS, Coppieters MW. Neurodynamics in a broader perspective. Manual therapy. 2007 Feb 1;12(1):e7-8.
https://doi.org/10.1016/j.math.2007.01.001

Cite this article: Muskan Jain, Manish Kumar Jha, Vamakshi Vijay. Study the Immediate Effects of “Primal Reflex Release Technique™” Versus “Neural Tissue Mobilization” on Hip Flexor Tightness in Individuals with a Sedentary Lifestyle. Int J Physiother Res 2024;12(5):4798-4805. DOI: 10.16965/ijpr.2024.134