Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Comparison of the of Effect of Eight Weeks of Corrective Exercises with Delayed on the ‎Movement Patterns of Women with the Lower Cross Syndrome

Document Type : Original Article

Authors
S Rezaei
S.K Mousavi Sadati
A.S Daneshjoo
Department of Physical Education and Sports Sciences, Tehran East Branch, Islamic Azad University, Tehran, Iran
10.22038/jpsr.2023.71792.2490
Abstract
Purpose:
The purpose of this study was to determine the effect of eight weeks of corrective exercises on anterior pelvic tilt, lumbar lordosis and movement patterns of women with lower cross syndrome.
Methods:
30 middle-aged women (20-30 years old) suffering Lower Cross Syndrome were purposefully selected and randomly divided into two groups of exercises (15 subjects) and control (15 subjects). First, the exercises and tests of the present study were explained to the subjects. Functional Movement Screen (FMS), Nine Test, Palpation Meter (PALM) and flexible ruler respectively to check movement patterns, Pelvic Inclination and women's lumbar lordosis were used. The subjects of the training group performed corrective exercises for eight weeks, the control group also did their daily activities, and the exercises were performed under the supervision of a corrective movements specialist. After the completion of the course, all the subjects were re-evaluated in all research variables as in the pre-test. All subjects who participated in this study had a special card for prescribing Corona vaccine. To check the difference between groups and within groups, Covariance and paired t-tests were used via SPSS26 software. The significance level in the present study is less than 0.05.
Results:
The results of the present study show the effect of the corrective exercise program on reducing pelvic tilt (p≤0.001, Pre-test mean: 15.46 ± 1.50, post-test mean: 7.86 ± 1.59), lumbar lordosis (p≤0.001, Pre-test mean: 56.40 ± 4.79, post-test mean: 42.33 ± 1.49), FMS screening test (p≤0.001, Pre-test mean: 13.06 ± 1.53, post-test mean: 18.20 ± 1.26), and Nine test (p≤0.001, Pre-test mean: 17.07 ± 1.97, post-test mean: 22.26 ± 2.43).
Conclusion:
In general, the results of the present study show the effect of selected corrective exercises on reducing the pelvic tilt angle and lumbar lordosis and improving the results of functional screening tests in women with the lower cross syndrome. Based on this, it is recommended to use tensile-resistance corrective training program to reduce the amount of pelvic tilt angle and lordosis and generally prevent back pain in the future.
Keywords
Pelvic tilt
Lordosis
Lower cross syndrome
FMS
NINE test
Women‎
  1. anda V. Muscle function testing: Elsevier; 2013.
  2. Mohammadi A, Golnejad S, Behpour N. Effect of positive and negative stand on the slope angle of 3.7 degrees on the horizontal sacrum and sacral slope in women hyperlordosis. Studies in Medical Sciences 2013; 24(9): 647-51. [Persian]
  3. Sahu P, Phansopkar P. Screening for lower cross syndrome in asymptomatic individuals. J Med Pharm Allied Sci 2021; 10(6): 3894-3898.
  4. Ch A, Shams Majalan A. Comparison of the Effect of Eight Week Training Program Schedule With Two Different Stretching Patterns Strengthening on Changes in the Status of Lower Cross Syndrome. Journal of Sport Biomechanics 2021; 7(1): 108-121.
  5. Alyarnezhad C, Daneshmandi H, Samami N. The comparision of upper cross syndrome in children with visual and hearing impairments with normal counterparts. Research in Sport Medicine and Technology 2018; 16(15): 57-65.
  6. Key J. The Pelvic Crossed Syndromes: A reflection of imbalanced function in the myofascial envelope; a further exploration of Janda's work. Journal of bodywork and movement therapies 2010; 14(3): 299-301.
  7. Das S, Sarkar B, Sharma R, Mondal M, Kumar P, Sahay P. Prevalence of lower crossed syndrome in young adults: A cross sectional study Int J Adv Res 2017; 5(6): 2217-2228.
  8. Herrington L. Assessment of the degree of pelvic tilt within a normal asymptomatic population. Manual therapy 2011; 16(6): 646-648.
  9. Rahnama N, Bambaeichi E, Taghian F, Nazarian AB, Abdollahi M. Effect of 8 weeks regular corrective exercise on spinal columns deformities in girl students. Journal of Isfahan Medical School. 2009; 27(101): 676-686. [Persian]
  10. Farahbod M, Ahmadi-Kahjough M, Sattari M. Investigating the prevalence of head and upper extremity deformities in students with special needs. Arch Rehabil 2016; 16(4): 286-293. [Persian]
  11. Armijo-Olivo S. A new paradigm shift in musculoskeletal rehabilitation: why we should exercise the brain? Brazilian journal of physical therapy 2018; 22(2): 95-96.
  12. Reza E, Oliveira R, Far BS, Molaee F, Nia Samakosh HM. Virtual reality training and pain neuroscience plus motor control on pain, disability, health, and quality of life of women with non-specific chronic back pain. Journal of Novel Physiotherapy and Physical Rehabilitation 2024; 11(1): 001-010.
  13. Lin R, Jou I-M, Yu C-Y. Lumbar lordosis: normal adults. Journal of the Formosan Medical Association= Taiwan yi zhi 1992; 91(3): 329-333.
  14. Lim HS, Roh SY, Lee SM. The relationship between pelvic tilt angle and disability associated with low back pain. Journal of Physical Therapy Science 2013; 25(1): 65-68.
  15. Cook G, Burton L, Torine J. Movement: Functional movement systems: Screening, assessment and corrective strategies. (No Title). 2010.
  16. Frohm A, Heijne A, Kowalski J, Svensson P, Myklebust G. A nine‐test screening battery for athletes: a reliability study. Scandinavian journal of medicine & science in sports 2012; 22(3): 306-315.
  17. Cook G. Movement: Functional movement systems: Screening, assessment. Corrective Strategies (1st ed) Aptos, CA: On Target Publications 2010: 73-106.
  18. Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Brazilian journal of physical therapy 2017;21(6):391-399.
  19. Youdas JW, Suman VJ, Garrett TR. Reliability of measurements of lumbar spine sagittal mobility obtained with the flexible curve. Journal of Orthopaedic & Sports Physical Therapy. 1995;21(1):13-20.
  20. Koehle MS, Saffer BY, Sinnen NM, MacInnis MJ. Factor structure and internal validity of the functional movement screen in adults. The Journal of Strength & Conditioning Research 2016; 30(2): 540-546.
  21. Flodström F, Heijne A, Batt ME, Frohm A. The nine test screening battery-normative values on a group of recreational athletes. International journal of sports physical therapy 2016; 11(6): 936-944.
  22. Keselman HJ, Huberty CJ, Lix LM, Olejnik S, Cribbie RA, Donahue B, et al. Statistical practices of educational researchers: An analysis of their ANOVA, MANOVA, and ANCOVA analyses. Review of educational research 1998; 68(3): 350-386.
  23. Rahimi M, Sadeghiyan M, Samadi H. The six weeks effect of selected core stabilization exercises on lumbar curvature and functional movement screening test in women with lower crossed syndrome in Covid Pandemic 19. Anesthesiology and Pain 2022; 13(3): 96-108. [Persian]
  24. Waryasz GR. Exercise strategies to prevent the development of the anterior pelvic tilt: Implications for possible prevention of sports hernias and osteitis pubis. Strength & Conditioning Journal 2010; 32(4): 56-65.
  25. Cynn H-S, Oh J-S, Kwon O-Y, Yi C-H. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Archives of physical medicine and rehabilitation 2006; 87(11): 1454-1458.
  26. Letafatkar A, Daneshmandi H, Hadadnezhad M, Abdolvahhabi Z. Advanced corrective exercises (from theory to practice). Tehran: Avaye Zohoor. 2014. [Persian]
  27. Schache AG, Blanch PD, Murphy AT. Relation of anterior pelvic tilt during running to clinical and kinematic measures of hip extension. British journal of sports medicine. 2000; 34(4): 279-283.
  28. Alyarnezhad C, Shams Majalan A. Comparison of the Effect of Eight Week Training Program Schedule With Two Different Stretching Patterns Strengthening on Changes in the Status of Lower Cross Syndrome. Journal of Sport Biomechanics 2021; 7(2): 108-121. [Persian]
  29. Yoo W-g. Comparison of shoulder muscles activation for shoulder abduction between forward shoulder posture and asymptomatic persons. Journal of physical therapy science 2013; 25(7): 815-816.
  30. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain: Lippincott Williams & Wilkins Baltimore, MD; 2005.
  31. Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. The Journal of Strength & Conditioning Research 2011; 25(1): 252-261.
  32. Mitchell UH, Johnson AW, Adamson B. Relationship between functional movement screen scores, core strength, posture, and body mass index in school children in Moldova. The Journal of Strength & Conditioning Research 2015;2 9(5): 1172-1179.
  33. Shahabi M, Minoonejad H, Karimizadeh Ardakan M. Does the Nine-test Screening Battery Predict Lumbar Hyperlordosis in Adolescent Boys? Physical Treatments-Specific Physical Therapy Journal 2021; 11(1): 63-74. [Persian]
  34. Wright MD, Portas MD, Evans VJ, Weston M. The effectiveness of 4 weeks of fundamental movement training on functional movement screen and physiological performance in physically active children. The Journal of Strength & Conditioning Research 2015; 29(1): 254-261.
Journal of Paramedical Sciences & Rehabilitation
Volume 12, Issue 3
Autumn 2023
Pages 22-36