Investigating the Effects Janda's and Sahrmann's Correcting Exercise Approaches on Trunk Muscles Function in Young Girls with Lower Crossed Syndrome

Document Type : Original research papers

Authors

1 Department of Sport Sciences, Faculty of Humanities, Shahrekord University, Shahrekord, Iran

2 Department of Sport Science, Faculty of Humanities, Shahrekord university, Shahrekord, Iran

3 Department of Sport Science, Faculty of Humanities, Shahrekord University, Shahrekord, Iran

Abstract

One of syndromes that arising from muscle imbalances in the sagittal plane is lower crossed syndrome, and characterized by "crossed pattern" of postural dysfunction and lumbopelvic motion. The aim of this study is investigating the effects Janda's and Sahrmann's correcting exercise approaches on trunk muscles function in young girls with lower crossed syndrome. The present study was semi-experimental research with a pre-test and post-test design and a control group. The statistical sample of this research was 45 non-athletic young girls’ students from 18 to 30 years old in the dormitories of Shahrekord University. They were randomly divided into three groups of 15 subjects of Janda's and Sahrmann's training group and the control group. The muscle function was evaluated with sit and reach test, McGill protocol, and Plank test. The training program consisted of eight weeks and three sessions per week. Data analysis was done using SPSS version 27 software and a one-way ANOVA test at a significance level of 0.05. One-way ANOVA showed statistically significant difference among the groups for all variables after trainings (P≤ 0.01). The LSD post hoc test revealed that significant differences are between the control group and both training group in all variables (P≤ 0.01), also at sir and reach test and right-side plank test between Janda's approach and Sahrmann's approach corrective exercise groups (P≤ 0.04). Although stretching and strengthening trainings could be affect and retreat the muscular functions in musculoskeletal abnormalities like that lower crossed syndrome, further neuromuscular and sensorimotor trainings should be considered for better rehabilitation because of changes in muscles coordination and balance in abnormalities

Keywords

Main Subjects


  1. Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 2. J Bodyw Mov Ther. 2008;12(2):105-20. https://doi.org/10.1016/j.jbmt.2007.04.006
  2. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach. Champaign: Human Kinetics. 2009:27-30. http://dx.doi.org/10.5040/9781718211445
  3. Kendall F, McCreary E, Patricia P. Muscles: Testing and Function. Medicine and Science in Sports and Exercise. 1994;26(8):1070. https://journals.lww.com/00005768-199408000-00023
  4. Khan N, Nouman M, Iqbal MA, Anwar K, Sajjad AG, Hussain SA. Comparing the effect of stretching and muscle energy technique in the management of lower cross syndrome. Pakistan Journal of Medical & Health Sciences. 2022;16(07):31-. https://doi.org/10.53350/pjmhs2216731
  5. Zaprawa K, Filipowicz P. Lower crossed syndrome (LSD). Adv Sci Med. 2018;3(1):13-5. https://doi.org/10.5281/zenodo.1442578
  6. Rajalaxmi V, Nandhini G, Senthilnathan VC, Mohan G, Yuvarani G, Tharani G. Efficacy of Janda’s approach versus bruegger’s exercise in pelvic cross syndrome and its impact on quality of life. International Journal of Research in Pharmaceutical Sciences. 2020;11(2):1701-6. http://dx.doi.org/10.26452/ijrps.v11i2.2071
  7. Sahu P, Phansopkar P. Screening for lower cross syndrome in asymptomatic individuals. J Med Pharm Allied Sci. 2021;10(6):3894-8. http://dx.doi.org/10.22270/jmpas.V10I6.1266
  8. 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(1):108-21. http://doi.org/10.32598/biomechanics.7.2.3
  9. Wallden M. The middle crossed syndrome-New insights into core function. Journal of Bodywork and Movement Therapies. 2014;18(4):616-20. https://doi.org/10.1016/j.jbmt.2014.09.002
  10. Kale S, Jadhav A, Yadav T, Bathia K. Effect of Stretching and Strengthening Exercises (Janda’s Approach) in School Going Children with Lower Crossed Syndrome. Indian Journal of Public Health Research & Development. 2020;11(5):466-71. https://doi.org/10.37506/ijphrd.v11i5.9369
  11. Gomiero AB, Kayo A, Abraão M, Peccin MS, Grande AJ, Trevisani VF. Sensory-motor training versus resistance training among patients with knee osteoarthritis: randomized single-blind controlled trial. Sao Paulo Med J. 2018;136(1):44-50. https://doi.org/10.1590/1516-3180.2017.0174100917
  12. McCaskey MA, Wirth B, Schuster-Amft C, de Bruin ED. Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial. PLOS ONE. 2018;13(3):e0193358. https://doi.org/10.1371/journal.pone.0193358
  13. McCaskey MA, Schuster-Amft C, Wirth B, de Bruin ED. Effects of postural specific sensorimotor training in patients with chronic low back pain: study protocol for randomised controlled trial. Trials. 2015;16(1):571. https://doi.org/10.1186/s13063-015-1104-4
  14. Kim JE, Seo TB, Kim YP. The effect of a Janda-based stretching program range of motion, muscular strength, and pain in middle-aged women with self-reported muscular skeletal symptoms. J Exerc Rehabil. 2019;15(1):123-8. https://doi.org/10.12965/jer.1836606.303
  15. Ghorbani M, Alizadeh MH, Shahbazi M, Minoonejad H. Effects of Kinesthetic Imagery, Active and Combined Exercises on the Electromyographic Pattern of Hip Hyperextension and Tests of Relation with Lumbar Hyperlordosis. Journal of Rehabilitation Sciences & Research. 2021;8(1):1-11. https://doi.org/10.30476/jrsr.2021.85503.1078
  16. 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):2217-28. https://dx.doi.org/10.21474/IJAR01/4662
  17. Hoeger WWK, Hopkins DR, Button S, Palmer TA. Comparing the Sit and Reach with the Modified Sit and Reach in Measuring Flexibility in Adolescents. Pediatr Exerc Sci. 1990;2(2):156-62. https://doi.org/10.1123/pes.2.2.156
  18. Laurson KR, Baptista F, Mahar MT, Welk GJ, Janz KF. Designing health-referenced standards for the plank test of core muscular endurance. Measurement in Physical Education and Exercise Science. 2022;26(4):344-51. https://doi.org/10.1080/1091367X.2021.2016409
  19. Nuhmani S. Correlation between Core Stability and Upper-Extremity Performance in Male Collegiate Athletes. Medicina. 2022;58(8):982. https://doi.org/10.3390/medicina58080982
  20. Inani SB, Selkar SP. Effect of core stabilization exercises versus conventional exercises on pain and functional status in patients with non-specific low back pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation. 2013;26(1):37-43. https://doi.org/10.3233/BMR-2012-0348
  21. Sahrmann S. Diagnosis and treatment of movement impairment syndromes: Pageburst retail: Elsevier Mosby; 2001.
  22. Kage V, Putti B. Effectiveness of stretching and strengthening exercises (Janda's approach) in subjects with postural backache: A randomized controlled trial. Int J Physiother Res. 2015;3(6):1301-6. http://dx.doi.org/10.16965/ijpr.2015.195
  23. Chakraborty J, Kumar P, Sarkar B. Comparative study of motor control exercises and global core stabilization exercises on pain, rom and function in subjects with chronic nonspecific low back pain-A randomized clinical trial. International Journal of Health Sciences & Research. 2019;9(8):116-23.
  24. Sitges C, Velasco-Roldán O, Crespí J, García-Dopico N, Segur-Ferrer J, González-Roldán AM, et al. Acute Effects of a Brief Physical Exercise Intervention on Somatosensory Perception, Lumbar Strength, and Flexibility in Patients with Nonspecific Chronic Low-Back Pain. Journal of Pain Research. 2021;14(null):487-500. https://doi.org/10.2147/JPR.S274134
  25. Ahmad I, Noohu MM, Verma S, Singla D, Hussain ME. Effect of sensorimotor training on balance measures and proprioception among middle and older age adults with diabetic peripheral neuropathy. Gait & Posture. 2019;74:114-20. https://doi.org/10.1016/j.gaitpost.2019.08.018
  26. Gheitasi M, Khaledi A, Daneshjoo A. The effect of combined core stability and sensory-motor exercises on Pain, Performance and movement fear in retired male athletes with non-specific chronic low back pain. Anesthesiology and Pain. 2020;11(1):38-48. https://sid.ir/paper/397679/en
  27. Junker D, Stöggl T. The Training Effects of Foam Rolling on Core Strength Endurance, Balance, Muscle Performance and Range of Motion: A Randomized Controlled Trial. J Sports Sci Med. 2019;18(2):229-38.
  28. Aly SM. Trunk muscles’ response to core stability exercises in patients with chronic low back pain: a randomized controlled trial. Int J Physiother Res. 2017;5(1):1836-45. https://dx.doi.org/10.16965/ijpr.2016.201
  29. Mendiguchia J. Gonzalez De la Flor A, Mendez-Villanueva A, Morin JB, Edouard P, Garrues MA. Training-induced changes in anterior pelvic tilt: potential implications for hamstring strain injuries management. J Sports Sci. 2021;39(7):760-7. https://doi.org/10.1080/02640414.2020.1845439
  30. Toprak Şeyda Ç, Özer Derya K. An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students: a randomized controlled study. Turkish journal of medical sciences. 2017;47(2):504-13. https://doi.org/10.3906/sag-1511-155
  31. Sindwani D, Kaur M. A comparison of core muscle endurance of females with fibromyalgia versus healthy females: An observational study. Revista Colombiana de Reumatología. 2024;31(4):473-9. https://doi.org/10.1016/j.rcreu.2023.10.001
  32. Tank SN, Shukla Y. Effect of Janda’s Approach on Pain and Function in Patients with Non-Specific Low Back Pain-An Interventional Study. Int J Sci Healthc Res. 2020;5(1):216-21. https://doi.org/10.4444/IJSHR.1003/404
  33. Clark M, Lucett S, Sutton BG. National Academy of Sports M. NASM essentials of corrective exercise training. First edition revised ed. United States: Burlington, MA : Jones & Bartlett Learning; 2014.