The effectiveness of an eight week exercise program on lumbopelvic stability of women with lumbar hyperlordosis deformity

Document Type : Research Paper

Authors

1 University of Tehran

2 tehran university

Abstract

Background and Aim: Currently exercise prescription is one of the most common correction procedures for lumbar hyperlordosis deformity. Nevertheless, despite the lumbopelvic stability dysfunction in individuals with increased lordosis, less attention has been paid to the issue in the prescribed exercises. The purpose of this study was to investigate the effectiveness of an eight week exercise program including stretching, resisting with emphasis on endurance and stability exercises on lumbopelvic stability of women with lumbar hyperlordosis deformity.
Materials and Methods: 30 female students aged between 18 and 25 with lumbar curvature angle greater than or equals to 54 degrees were selected purposefully. Afterwards they were randomly divided in two experimental and control groups of 15 subjects. The experimental subjects participated in an eight week exercise program. Lumbopelvic stability was measured by McGill stability tests in pre- and post-test. Data were analysed by using descriptive and inferential statistical methods.
Results: Results indicated that the lumbopelvic stability index for experimental group was increased significantly (p=0.001). Furthermore, the effectiveness of provided exercise program in increasing lumbopelvic stability which was measured based on Cohen's d method, was very large. (Effect size=3.16)
Conclusion: It might be considered that individuals with lumbar hyperlordosis face with lumbopelvic stability dysfunction. According to the mentioned results a desired effectiveness on increasing rate of lumbopelvic stability is achievable by presenting a purposeful exercise program. Therefore using such program is recommended to patients with similar deformity.

Keywords

Main Subjects


Akbarfahimi, N., Jadidi, B., Shahi, Z., & Jadidi,, H. A. (2009). “The impact of exercise therapy on the musculoskeletal abnormalities of blind boy students of 12-18 years old at Tehran Mohebbi blind school”. Journal of Semnan University of medical sciences, 10(4), 307-313. (In Persian)
Alizadeh, M. H. (2000). “The effect of an exercise program on lumbar lordosis of hyperlordosis individuals”. Olympics, 8(15), 1-12. (In Persian)
Bogduk, N. (2005). Clinical Anatomy of the Lumbar Spine and Sacrum: Churchill Livingstone.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences: L. Erlbaum Associates.
Daneshmandi, H., Sardar, M. A., & Taghizadeh, M. (2006). “The effect of a motor program on lumbar lordosis”. Journal of research in sport sciences, 3(8), 91-105. (In Persian)
Elhamalawy, F. A. (2011). “A newly developed exercise program for treatment of mechanical low back pain associated with accentuated lumbar lordosis”. Journal of American Science, 7(8),  58-70.
Ghorbani, L., & Ghasemi, G. A. (2008). The effect of eight weeks corrective exercises on lumbar lordosis. Research in rehabilitation sciences, 3(2), 59-70. (In Persian)
González-Gálvez, N., Gea-García, G. M., & Marcos-Pardo, P. J. (2019). "Effects of exercise programs on kyphosis and lordosis angle: A systematic review and meta-analysis". PloS one, 14(4), e0216180.‏
Hodges, P. W., Cholewicki, J., & van Dieen, J. H. (2013). “Spinal Control: The Rehabilitation of Back Pain: State of the art and science”: Elsevier Health Sciences.[1]
Hopkins, W.G. (2000). A new view of statistics: Non-parametric models. Available at: www.sportsci.org/resource/stats/nonparms.html. Accessed Jul 22, 2014.
Hrysomallis, C., & Goodman, C. (2001). “A review of resistance exercise and posture realignment”. Journal of Strength and Conditioning Research, 15(3), 385-390.
Jentzsch, T., Geiger, J., König, M. A., & Werner, C. M. (2017). “Hyperlordosis is associated with facet joint pathology at the lower lumbar spine”. Clinical spine surgery, 30(3), 129-135.
Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M. M. , Romani, W. A. (2005). Muscles: Testing and Function with Posture and Pain: Lippincott Williams & Wilkins.
Khalkhali, M., Ghasemi, M., Mirzaie, F., & Parandeh, H. (2009). Effect of lumbar stability exercises on lumbosacral proprioception in healthy young women. Pajouhandeh, 4(1), 21-26. (In Persian)
Kratěnová, J., ŽEjglicová, K., Malý, M., & Filipová, V. (2007). “Prevalence and risk factors of poor posture in school children in the Czech Republic”. Journal of school health, 77(3), 131-137.
Liebenson, C. (2007). Rehabilitation of the Spine: A Practitioner's Manual: Lippincott Williams & Wilkins.
Levine, D., Walker, J. R., & Tillman, L. J. (1997). “The effect of abdominal muscle strengthening on pelvic tilt and lumbar lordosis”. Physiotherapy Theory and Practice, 13(3), 217-226.
McGill, S. (2007). “Low Back Disorders: Evidence-based Prevention and Rehabilitation”: Human Kinetics.
McGill, S. M., Childs, A., & Liebenson, C. (1999). “Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database”. Archives of Physical Medicine and Rehabilitation, 80(8), 941-944.
Oghdaei, M. (2000). The effect of William exercises on lumbar lordosis in women aged between 19 and 27. Olympics, 8(1), 115-126. (In Persian)
Olafsson, Y., Saraste, H., & Al-Dabbagh, Z. (1999). “Brace treatment in neuromuscular spine deformity”. Journal of Pediatric Orthopaedics, 19(3), 376-379.
Page, P., Frank, C.C., & Lardner, R.  (2010). “Assessment and Treatment of Muscle Imbalance: The Janda Approach”: Human Kinetics.
Rahimi, G. H., & Hassanpour, M. (2007). The effect of an 8-week corrective exercise on curved lumbar in female students aged between 19 and 25. Harakat, 30, 69-86. (In Persian)
Rahnama, N., Bambaeichi, E., Taghian, F., Nazarian, A. B., & Abdollahi, M. (2010). Effect of eight weeks regular corrective exercise on spinal column deformities in girl students. Journal of Isfahan medical school, 27(101), 677-687. (In Persian)
Rajabi, R., Seidi, F., & Mohamadi, F. (2008). “Which method is accurate when using the flexible ruler to measure the lumbar curvature angle? deep point or mid point of arch”. World Applied Sciences Journal, 4(6), 849-852
Rezaeei, V., & Ghofrani, M. (2012). “The effect of pilates exercises on the lumbar hyperlordosis degree in 15-18 years old girl students”. Annals of Biological Research, 3(6), 2667-2672.
Rezvankhah, N. (2012). “The effect of eight weeks corrective exercise on increased lumbar lordosis of school girls before and after puberty”, M.Sc. thesis, University of Tehran.
Richardson, C., Hodges, P. W., & Hides, J. (2004). “Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain”: Churchill Livingstone.
Scannell, J. P., & McGill, S. M. (2003). “Lumbar posture—should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living”. Physical Therapy, 83(10), 907-917.
Schamberger, W. (2002). “The Malalignment Syndrome: Implications for Medicine and Sport”: Churchill Livingstone.
Seidi, F., Rajabi, R., Ebrahimi, T., Alizadeh, M. H., & Minoonejad, H. (2014). “The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle”. Journal of back and musculoskeletal rehabilitation, 27, 7-16.
Seidi, F., Rajabi, R., Ebrahimi, T., Tavani, A., & Moussavi, S. (2009). “The Iranian flexible ruler reliability and validity in lumbar lordosis measurement”. World Journal of Sport Sciences, 2(2), 95-9.
Vaughn, D. W., & Brown, E. W. (2007). “The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles”. Journal of Back and Musculoskeletal Rehabilitation, 20(4),  155-165.
Vialle, R., Khouri, N., Glorion, C., . Lechevallier, J., & Morin, C. (2007). “Lumbar hyperlordosis of neuromuscular origin: pathophysiology and surgical strategy for correction”. International orthopaedics, 31(4), 513-523.
Youzbashi, L. (2008). “The effects of pilates exercises on lumbar hyperlordosis of non-athlete women”, M.Sc. thesis, University of Tehran.
 
 
[1]. Neutra