IJPR.2018.189

Type of Article:  Original Research

Volume 6; Issue 6 (December 2018)

Page No.: 2940-2947

DOI: https://dx.doi.org/10.16965/ijpr.2018.189

EFFECT OF HAMSTRING STRETCH PELVIC CONTROL ON PAIN, DISABILITY AND WORK ABILITY INDEX IN DENTIST WITH MECHANICAL LOW BACK PAIN

Pooja Shrivastava, Priyanka Rishi *, Mohit Gulati.

Affiliation to Faculty of Physiotherapy, SGT University, Gurugram, Haryana, India.

Address for Correspondence: Dr. Priyanka Rishi. PT, Affiliation to Faculty of Physiotherapy, SGT University, Gurugram, Haryana, India. E-Mail: prnk.rishi@gmail.com

ABSTRACT

Background: Dentist sits in a chair and leans forward towards the patient, lumbar curve flattens and the bony infrastructure provides very little support to the spine. Sitting in chair forces the hamstrings to become inactive and places them in a shortened position. Repetitive, prolonged sitting eventually leads to hamstring muscles that adapt to a new shortened length, and the result is Hamstring tightness which induces posterior pelvic tilt and decreased lumbar lordosis, which can result in low back pain.

Objective: We investigated effects of hamstring stretch with pelvic control on pain, disability and work ability in Dentist with mechanical low back pain.

Methods: Thirty Dentist from Dental professional were randomly assigned to pelvic control hamstring stretching (Group A) (n = 15) and Supine hamstring stretching (Group B) (n = 15). All interventions were conducted 3 days per week for 6 weeks, and included in the hamstring stretching and lumbopelvic muscle strengthening.

Outcomes: Outcomes were evaluated through Numeric pain rating scale (NPRS) for Pain, Oswestry disability index (ODI) for Disability, and Work ability index (WAI) for Work ability.

Results: The paired t-test was used to compare within group differences and unpaired t-test was used to compare the between group differences. All statistical analyses were performed using SPSS statistical software version 21.Significant differences found between Group A and  group B in all three variables.(p<0.05).between pre and posttest of subjects. According to the results of the present research, it could be concluded that for reducing pain, disability and improving work ability in dentists pelvic control hamstring stretch and lumbopelvic strengthening exercises are recommended.

Conclusions: The pelvic control hamstring stretch exercise would be more helpful in back pain reduction and improvement of work ability in Dentist with mechanical low back pain.

Key words: Hamstring stretch, pelvic control, low back pain, dentist, disability.

REFERENCES

  1. M Hayes, D Cockrell, DR Smith. A systematic review of musculoskeletal disorders among dental professionals.Int J Dent Hyg. 2009;7(3):159–165.
  2. Valachi and K. Valachi, “Mechanisms leading to musculoskeletal disorders in dentistry,” Journal of the American Dental Association, 2003;134:1344-1350.
  3. Hamill and K. Knutzen, Biomechanical basis of human movement, 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2003.
  4. Makhsous, F. Lin, J. Bankard, R. W. Hendrix, M. Hepler, and J. Press, “Biomechanical effects of sitting with adjustable ischial and lumbar support on occupational low back pain: evaluation of sitting load and back muscle activity,” BMC Musculoskelet Disord, 2009;10:17.
  5. Valachi and K. Valachi, “Preventing musculoskeletal disorders in clinical dentistry: strategies to address the mechanisms leading to musculoskeletal disorders,” Journal of the American Dental Association 2003;134:1604-12.
  6. D. Drake and J. P. Callaghan, “Do flexion/extension postures affect the in vivo passive lumbar spine response to applied axial twist moments?,” ClinBiomech (Bristol, Avon), 2008;23:510-9.
  7. Caffaro RR, França FJR, Burke TN, Magalhães MO, Ramos ,LAV, Marques AP. Postural control in individuals with and without non-specific chronic low back pain: A preliminary case – control study. Eur Spine J. 2014; 23(4): 807-813.
  8. Kang M-H, Jung D-H, An D-H, Yoo W-G, Oh J-S. Acute effects of hamstring-stretching exercises on the kinematics of the lumbar spine and hip during stoop lifting. J Back Muscu-loskeletRehabil. 2013; 26(3): 329-336.
  9. Fritz JM, Cleland JA, Childs JD. Subgrouping patients with low back pain: evolution of a classification approach to physical therapy. Journal of Orthopaedic& Sports Physical Therapy. 2007; 37(6): 290-302.
  10. Muyor JM, López-Miñarro PA, Casimiro AJ. Effect of stretching program in an industrial workplace on hamstring flexibility and sagittal spinal posture of adult women workers: A randomized controlled trial. J Back MusculoskeletRehabilitaion 2012; 25(3): 161.
  11. Kang M-H, Jung D-H, An D-H, Yoo W-G, Oh J-S. Acute effects of hamstring-stretching exercises on the kinematics of the lumbar spine and hip during stoop lifting. J Back Muscu- 417 loskeletRehabil. 2013; 26(3): 329-336.
  12. López-Miñarro P, Muyor J, Belmonte F, Alacid F. Acute effects of hamstring stretching on sagittal spinal curvatures and pelvic tilt. J Hum Kinet.2012; 31: 69-78 pelvic tilt.J Hum Kinet.2012; 31: 69-78.
  13. Carregaro RL, Coury HJCG. Does reduced hamstring flexibility affect trunk and pelvic movement strategies during manual handling? Int J Ind Ergon. 2009; 39(1): 115-120.
  14. Hyun-Il Hana, Ho-Suk Choia and Won-Seob Shina. Effects of Hamstring stretch with pelvic control on pain and work ability in standing workers. Journal of Back and Musculoskeletal Rehabilitation -1 (2016) 1–7.
  15. Riziq Allah Gaowgzeh, Mohamed Faisal Chevidikunnan, Amer Al Saif, Salwa El-Gendy, Gamal Karrouf, and Samira Al SenanyPrevalence of and risk factors for low back pain among dentists.2015; 27(9): 2803–2806.
  16. Yasuchika Aoki, ,ShiroSugiura,  Koichi Nakagawa, Arata Nakajima, Hiroshi Takahashi,  Seiji Ohtori,  Kazuhisa Takahashi,  and Satoru Nishikawa . Evaluation of Nonspecific Low Back Pain Using a New Detailed Visual Analogue Scale for Patients in Motion, Standing, and Sitting: Characterizing Nonspecific Low Back Pain in Elderly Patients. 2012; 2012: 68-49.
  17. Vijay & Ide M .Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study. 2009; 241–245.
  18. Bethge M, Mattukat K, Fauser D, Mau W. Rehabilitation access and effectiveness for persons with back pain: the protocol of a cohort study. 2017;18(1):22.
  19. SayliPaldhikar ,SampradaBhatkar , SnehalGhodey.Incidence And Study of Occupational Factors Associated With Low Back Pain In Dentists. 2012; PP 08-12.
  20. David prakashkumaretal.Use of hot and cold fomentation in treating pain and other problems. journal of health.2009.18(1):22.
  21. Laura C Decoster, Rebecca L Scanlon, Kevin D Horn, and Joshua Cleland. Standing and Supine Hamstring Stretching Are Equally Effective. 2004; 39(4): 330–334.
  22. Ohnson EN, Thomas JS. Effect of Hamstring flexibility on hip and lumbar spine joint excursions during forward-reaching tasks in participants with and without low back pain.Arch Phys Med Rehabil.2010; 91:1140–1142.
  23. Wen-Dien Chang, Hung-Yu Lin, and Ping-Tung Lai, Core strength training for patients with chronic low back pain. 2015; 27(3): 619–622.
  24. C Pîrvu,. I Pătraşcu, D Pîrvu, and C Ionescu. The dentist’s operating posture – ergonomic aspects. 2014; 7(2): 177–182.
  25. Spadoni GF, Stratford PW, et al. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sport Phys Ther. 2004; 34(4):187-93.
  26. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25(22):2940-52.
  27. Ilmarinen J. The work ability index (WAI). Occupational Medicine.2007; 57(2).
  28. Richardson C, Jull G, Richardson BA: Dysfunction of the deep abdominal muscles exists in low back pain patients. In: Proceedings of the International Congress: World Confederation of Physical Therapy. Washington: World Confederation of Physical Therapy. 1995;4:932–936.
  29. Van den Berg T, Elders L, de Zwart B, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: A systematic review. Occup Environ Med. 2008;91:1140–1142.
  30. Sullivan, M.K., Dejulia, J.J. and Worrell, T.W.: Effect of pelvic position and stretching method on Hamstring muscle flexibility. Med Sci Sports Exerc. 1992;24:1383-1389.
  31. Amr Almaz Abdel-aziem*, Amira HussinDraz**, Dalia Mohammed Mosaad. The Effect of Standing, Supine and Dynamic Stretching on Hamstring Muscles Flexibility; Bull. Fac. Ph. Th. Cairo Univ., 2010;15(1).
  32. Muyor JM, López-Miñarro PA, Casimiro AJ. Effect of stretching program in an industrial workplace on Hamstring flexibility and sagittal spinal posture of adult women workers:A randomized controlled trial. J Back MusculoskeletRehabil. 2012; 25(3): 161.
  33. Rafeemanesh E, Jafari Z, Kashani FO, Rahimpour F. A study on job postures and musculoskeletal illnesses in dentists. Int J Occup Med Environ Health. 2013; 26:615-20.
  34. Gardner-Morse MG ,etal.The effects of abdominal muscle coactivation on lumbar spine stability.2002; 30: 139–148.
  35. Yamalik N: Musculoskeletal disorders (MSDs) and dental practice Part 2. Risk factors for dentistry, magnitude of the problem, prevention, and dental ergonomics. Int Dent J. 2007; 57: 45–54.

Cite this article: Pooja Shrivastava, Priyanka Rishi, Mohit Gulati. EFFECT OF HAMSTRING STRETCH PELVIC CONTROL ON PAIN, DISABILITY AND WORK ABILITY INDEX IN DENTIST WITH MECHANICAL LOW BACK PAIN. Int J Physiother Res 2018;6(6):2940-2947. DOI: 10.16965/ijpr.2018.189