Arun B* -  Principal KG College of Physiotherapy (Affiliated to The TN Dr MGR Medical University, Chennai) KG ISL Campus Saravanampatti 641035 Coimbatore, India
Suganya M -  Final Year MPT, KG College of Physiotherapy, KG ISL Campus, Coimbatore. Tamil Nadu, India, India
Adarsh Ashok -  Final Year MPT, KG College of Physiotherapy, KG ISL Campus, Coimbatore. Tamil Nadu, India, India

DOI : 10.24269/ijhs.v3i2.1698

Hyperlordosis is excessive curvature of lumbar spine, caused by incorrect posture, muscle weakness, obesity and pregnancy. Management for Hyperlordosis was not shown to be effective. The Aim of the study is to identify the effect of myofascial release therapy, posterior pelvic tilting and abdominal exercises in Hyperlordosis. Single blinded randomized controlled trial involves 69 participants who randomly divided into three groups, MFRG is myofascial release therapy group, PPTG is posterior pelvic tilting group & ABEG is abdominal exercise group. Outcomes measured are lordotic angle by Flexible ruler (FR) and Range of motion by Modified Schobers test (MST). Result shows that there was significant difference between the groups. Tukey HSD analysis showed that Q statistics for the FR between MFRG vs PPTG is 13,71 (p<0,01%) and MST is 20,34 (p<0,01%), FR between PPTG vs ABEG is 5,16 (p<0,01%) and MST is 15,35 (p<0,01%), FR between MFRG vs ABEG is 8,55 (p<0,01%) and MST is 4,99 (p<0,01%).PPTG group has showed marked differences when compared with the other two groups (MFRG and ABEG). ABEG also showed significant differences when compared with MFRG. Conclusion of this study was there is a significant difference obtains in the lordotic angle and range of motion in PPTG).
Myofascial release therapy, Posterior pelvic tilting, Abdominal exercises, Flexible ruler, modified schobers test
  1. Alvim FC, Peixoto JG, Vicente EJ, Chagas PS, Fonseca DS (2010). Influence of the extensor portion of the gluteus maximus muscle on pelvic tilt before and after the performance of a fatigue protocol. Revista Brasileira de Fisioterapia. 14/3: 206–213.
  2. Arun B, Mohan Gandhi V, Arun Kumar CS.(2014). Role of Myofascial Release Therapy on Pain and Lumbar Range of Motion in Mechanical Back Pain: An Exploratory Investigation of Desk Job Workers. Ibnosina J Med BS. 6(2):75-80.
  3. Barnes JF (2008). Myofascial release: the missing link in traditional treatment. In: Davis CM. Complementary Therapies in Rehabilitation: Evidence for Efficacy in Therapy, Prevention, and Wellness . 3rd ed. Thorofare, NJ: Slack Incorporated.89–112.
  4. Bhadauria EA, Gurudut P (2017), Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. Journal of Exercise Rehabilitation. 3(4):477-485
  5. Bindra S, Sinha AK, Benjamin AI (2015). Epidemiology of low back pain in Indi¬an population: a review. Int J Appl Basic Med Res. 5:166-179.
  6. Fatemi, Rouholah, Marziyeh Javid, and Ebrahim Moslehi Najafabadi.(2015) "Effects of William training on lumbosacral muscles function, lumbar curve and pain." Journal of back and musculoskeletal rehabilitation. 28.3: 591-597.
  7. Fernández-De-Las-Peñas, C., Sohrbeck-Campo, M., Fernández- Carnero, J. and Miangolarra- Page, J.( 2005) Manual therapies in the myofascial trigger point treatment: a systematic review. Journal of Bodywork and Movement Therapies 9: 27-34.
  8. Greenman, P.(2003) Principles of Manual Medicine. Philadelphia, PA: Lippincott, Williams, and Wilkins.
  9. Hubley-Kozey CL, Vezina MJ (2002). Muscle activation during exercises to improve trunk stability in men with low back pain. Arch Phys Med Rehabil. 83(8):1100–1108
  10. Levangie KP, Norkin CC (2005), Joint Structure and Function. A Comprehensive analysis. 4th edition. FA Davis. Philadelphia.
  11. Levie D, Walker JR, Tillman LJ (1997), The effect of abdominal muscle strengthening on pelvic tilt and lumbar lordosis. Physiotherapy Theory and Practice. 13; 217-226.
  12. Minicozzi SJ, Russell BS, Ray KJ, Struebing AY, Owens EF (2016). Low Back Pain Response to Pelvic Tilt Position: An Observational Study of Chiropractic Patients. Journal of Chiropractic Medicine.15, 27–3
  13. O’Connell JA (2003). Bioelectric responsiveness of fascia: a model for understanding the effects of manipulation. Tech Orthop.18(1):67–73.
  14. Paoloni J (2009). Review of myofascial release as effective massage therapy technique; Athletic Therapy Today.Sep;14(5):30-34
  15. Saratchandran R, Desai S. (2013). Myofascial release as an adjunct to conventional occupational therapy in mechanical low back pain. The Indian Journal of Occupational Therapy. 45(2). 3-7.
  16. Seidi F, Rajabi R, Ebrahimi TI, Tavanai AR, Moussavi SJ, (2009) The Iranian Flexible Ruler Reliability and Validity in Lumbar Lordosis Measurements World Journal of Sport Sciences. 2 (2): 95-99.
  17. Vezina MJ, Hubley-Kozey CL. (2008). Muscle activation in therapeutic exercises to improve trunk stability. Arch Phys Med Rehabil.81:1370–9.
  18. Waddell, G.(2004) The back pain revolution. 2nd edn. London: Churchill Livingstone.
  19. Workman JC, Docherty D, Parfrey KC, Behm DG. (2008). Influence of pelvis position on the activation of abdominal and hip flexor muscles. Journal of Strength and Conditioning Research. 22(5).1563-1569.
  20. Yamato TP, Maher CG, Saragiotto BT, Hancock MJ, Ostelo RWJG, Cabral CMN, Menezes Costa LC, Costa OP (2015). Pilates for low back pain (Review)Cochrane Database of Systematic Reviews, Issue 7.
  21. Yoo, W. G. (2014). Effect of the individual strengthening exercises for posterior pelvic tilt muscles on back pain, pelvic angle, and lumbar ROM of a LBP patient with excessive lordosis: a case study. Journal of physical therapy science, 26(2), 319-320.

Full Text:
Article Info
Submitted: 2019-05-14
Published: 2019-09-16
Section: Artikel
Article Statistics: 828 540
Citation :