Senthil Purushothaman, Sudhakar S, Porcelvan S, Francis T G Tilak, Rathnamala D, Radhakrishnan R
Research Scholar, School of Physiotherapy, Vel's University, Chennai, Tamil Nadu, India.
Assistant Professor, Department of Arthroscopy and Sports Medicine, Sri Ramachandra University, Chennai, Tamil Nadu, India.
J Clin Diagn Res. 2017 Jul;11(7):YC01-YC04. doi: 10.7860/JCDR/2017/26520.10229. Epub 2017 Jul 1.
The postural adaptation is very common now a days in school going children, office desk oriented job, computer users and frequent mobile users, and in all major industrial workers. Several studies have documented a high incidence of postural abnormalities in a given population; however, methods of postural measurement were poorly defined. The implication of postural pro software to analyse the postural imbalance of upper body dysfunction is very rare and literature studies says that the kinematic changes in particular segment will produce pain/discomfort and thereby lesser productivity of subjects.
To evaluate the postural changes in subjects with upper body dysfunction after a corrective exercise strategy using postural analysis software and pectoralis minor muscle length testing.
After explaining the procedure and benefits, informed consent was taken from the participating subjects (age 25-55 years). Subjects with upper body dysfunction were randomly allocated into two groups (each group 30 subjects). The Group-A received the corrective exercise strategy and Group-B received the conventional exercise for eight weeks of study duration (15 reps each exercise, total duration of 40 min; four days/week. Pre and Post posture analysis were analysed using posture pro software along with flexibility of pectoralis minor was assessed using ruler scale method.
After interpretation of data, both the group showed the postural alteration and pectoralis minor muscle length changes, p-value (p<0.01) of both group showed highly significant changes. But comparing the both groups, the subjects who received the corrective exercise strategy shown more percentage of improvement in posture alteration (56.25%), pectoralis minor muscle length changes (68.69%) than the conventional exercise received subjects in posture alteration (24.86%) and pectoralis minor muscle length changes (21.9%).
Altered postural changes and pectoralis minor muscle flexibility before and after the corrective exercise strategy evaluated by postural analysis software method shown to be a significant tool in clinical practice, which is easier and reproducible method.
如今,姿势适应在学龄儿童、办公室伏案工作者、电脑使用者、频繁使用手机者以及所有主要产业工人中非常普遍。多项研究记录了特定人群中姿势异常的高发生率;然而,姿势测量方法的定义并不完善。使用姿势分析软件来分析上身功能障碍的姿势失衡的情况非常少见,并且文献研究表明特定节段的运动学变化会产生疼痛/不适,从而降低受试者的生产力。
使用姿势分析软件和胸小肌长度测试,评估采用矫正运动策略后上身功能障碍受试者的姿势变化。
在向参与研究的受试者(年龄25 - 55岁)解释了程序和益处后,获得了他们的知情同意。将上身功能障碍的受试者随机分为两组(每组30名受试者)。A组接受矫正运动策略,B组接受常规运动,为期八周的研究期(每次运动15次重复,总时长40分钟;每周四天)。使用姿势专业软件分析姿势前后变化,并使用直尺测量法评估胸小肌的柔韧性。
数据解读后发现,两组均显示出姿势改变和胸小肌长度变化,两组的p值(p < 0.01)均显示出高度显著的变化。但比较两组时,接受矫正运动策略的受试者在姿势改变(56.25%)和胸小肌长度变化(68.69%)方面的改善百分比高于接受常规运动的受试者在姿势改变(24.86%)和胸小肌长度变化(21.9%)方面的改善。
通过姿势分析软件方法评估,矫正运动策略前后姿势改变和胸小肌柔韧性变化在临床实践中是一种重要工具,是一种更简便且可重复的方法。