International Journal of Physiotherapy and Research

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Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 6 | Page No. 1301-1306

Date of Publication: 11-12-2015

DOI: 10.16965/ijpr.2015.195

EFFECTIVENESS OF STRETCHING AND STRENGTHENING EXERCISES (JANDA'S APPROACH) IN SUBJECTS WITH POSTURAL BACKACHE: A RANDOMIZED CONTROLLED TRIAL

Vijay Kage *1, B.B. Putti 2.
 
*1 Associate Professor, Department of Orthopedic Physiotherapy, KLE University's Institute of Physiotherapy, Belagavi, Karnataka, India.
2 Professor, Department of Orthopedics, KLE'S University, JNMC, Belagavi. Karnataka, India.

Corresponding author: Dr. Vijay Kage, PT., Associate Professor, Department of Orthopedic physiotherapy, KLE University's Institute of Physiotherapy, JNMC University, Belagavi. Karnataka, India.
E-Mail: vijaykage@yahoo.in

Abstract:

Background: Chronic low back pain is often associated with imbalances in hip muscle length and strength. Low back pain could result from prolonged overstretching of the innervated soft tissues when poor sitting or standing postures were maintained. These changes in muscular tone create a muscle imbalance, which leads to movement dysfunction.
Objectives: To investigate the effect of Stretching and Strengthening exercises (Janda’s Approach) in subjects with Postural Back Ache.
Study D­esign: Randomized Controlled Trial
Intervention: 40 participants were divided into two groups; Group A was the control group and Group B was the Janda’s Approach group. Group A was given Shortwave Diathermy with Core Stability exercises and Group B was given SWD with Core Stability exercises followed by Janda’s Approach Exercises.
Outcome Measure: Pain Intensity, Severity of Spinal Malalignment and Muscle Strength and Flexibility were measured using Visual Analogue Scale (VAS), Index of Lumbar Lordosis, Manual Muscle Testing of abdominals and gluteals and Tests for flexibility of iliopsoas, rectus femoris and erector spinae respectively.
Results: The results showed a significant difference between both groups in terms of VAS, index of lumbar lordosis, manual muscle testing of abdominals,  gluteals and tests for flexibility of iliopsoas, rectus femoris and erector spinae..
Conclusion: The results concluded that stretching and strengthening exercises are beneficial in reducing pain, normalizing the lumbar lordosis curvature, increasing strength of abdominals and gluteals and increasing flexibility of rectus femoris, iliopsoas and erector spinae.
KEY WORDS: Postural Back Ache, Janda’s Approach, Stretching Exercises and Strengthening Exercises.

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Vijay Kage, B.B. Putti. EFFECTIVENESS OF STRETCHING AND STRENGTHENING EXERCISES (JANDA'S APPROACH) IN SUBJECTS WITH POSTURAL BACKACHE: A RANDOMIZED CONTROLLED TRIAL. Int J Physiother Res 2015;3(6):1301-1306. DOI: 10.16965/ijpr.2015.195

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