Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies (MRIIRS), Faridabad, 121001, India.
School of Allied Health Sciences, Manav Rachna International Institute of Research and Studies (MRIIRS), Faridabad, 121001, India.
Sci Rep. 2024 May 27;14(1):12144. doi: 10.1038/s41598-024-62881-8.
Pain in the lower back is a major concern in today's era due to prolonged sitting in two-wheeler riders, mainly due to hamstring tightness. It also creates physical disability and impairment in activities of daily living. The study aimed to compare the efficacy of muscle energy technique (MET) and self-myofascial release (SMFR) using the foam roller on hamstring flexibility, dynamic balance, and physical disability amongst two-wheeler riders with chronic low back pain (LBP). Participants were randomized into two intervention groups, MET and SMFR using the envelope method, with each group having 20 participants. Hamstring flexibility and range of motion for knee extension and the lower back were assessed using the active knee extension test (AKE-L and AKE-R) and sit and reach test (SRT), while the dynamic balance was assessed by the star excursion balance test (SEBT) and physical disability by Roland-Morris Disability Questionnaire, (RMDQ). Measurements were taken at baseline and after 4 weeks of intervention. This study demonstrated that both SMFR using a foam roller and MET are effective in enhancing hamstring muscle flexibility, (SRT-F(1, 38) = 299.5, p < 0.001; AKE-R-F(1, 38) = 99.53, p < 0.001; AKE-L-F(1, 38) = 89.67, p < 0.001). Additionally, these techniques significantly improved dynamic balance in various directions, including anterior (ANT), anteromedial (AMED), medial (MED), posteromedial (PMED), posterior (POST), posterolateral (PLAT), lateral (LAT), and anterolateral (ALAT) directions (p < 0.01). Furthermore, there was a significant reduction in physical disability (RMDQ-F(1, 38) = 1307, p < 0.001), among two-wheeler riders suffering from chronic LBP. Compared to MET, SMFR using foam rollers was found to be more effective in enhancing hamstring flexibility, improving balance, and decreasing disability level on the RMDQ after 4 weeks.
由于久坐于两轮车,当下人群的腰背疼痛问题较为突出,主要是由于腘绳肌紧张所致。腰背疼痛还会导致身体残疾,影响日常生活活动能力。本研究旨在比较肌筋膜触发点技术(MET)和使用泡沫轴的自我肌筋膜松解(SMFR)对慢性下腰痛(LBP)两轮车骑手的腘绳肌灵活性、动态平衡和身体残疾的疗效。参与者通过信封法随机分为 MET 和 SMFR 两组,每组 20 人。通过主动膝关节伸展测试(AKE-L 和 AKE-R)和坐立前伸测试(SRT)评估腘绳肌伸展度和膝关节活动度,通过星移平衡测试(SEBT)评估动态平衡,通过罗伦兹-莫里斯残疾问卷(RMDQ)评估身体残疾。测量在基线和干预 4 周后进行。本研究表明,使用泡沫轴的 SMFR 和 MET 均能有效增强腘绳肌的灵活性(SRT-F(1, 38) = 299.5,p < 0.001;AKE-R-F(1, 38) = 99.53,p < 0.001;AKE-L-F(1, 38) = 89.67,p < 0.001)。此外,这些技术还显著改善了各个方向的动态平衡,包括前(ANT)、前内侧(AMED)、内侧(MED)、后内侧(PMED)、后(POST)、后外侧(PLAT)、外侧(LAT)和前外侧(ALAT)方向(p < 0.01)。此外,慢性 LBP 两轮车骑手的身体残疾(RMDQ-F(1, 38) = 1307,p < 0.001)显著降低。与 MET 相比,4 周后,使用泡沫轴的 SMFR 在增强腘绳肌柔韧性、改善平衡和降低 RMDQ 残疾程度方面更为有效。