Journal of Rehabilitation Sciences & Research

Original Articles

The Effect of Eight Weeks of NASM Training and Kinetic Chain Training on Pelvic Tilt, Lordosis, and Hip Joint ROM in Individuals with LCS

Leila Ghadirian marnani; hooman fatahi; mehrnoosh esmaeilian; Saeid Rostami

Articles in Press, Corrected Proof, Available Online from 11 June 2024

Abstract

Introduction: Lower crossed syndrome is a common condition with muscle imbalances and reduced flexibility. The aim of this semi-experimental pre-test and post-test study was to compare ... Read More Introduction: Lower crossed syndrome is a common condition with muscle imbalances and reduced flexibility. The aim of this semi-experimental pre-test and post-test study was to compare the effects of NASM and kinetic chain exercises on lordosis, pelvic tilt, and hip joint ROM in individuals with LCS .Methods: This study employed a semi-experimental design in the field of sports. Thirty participants were purposefully and conveniently selected and randomly divided into three groups: NASM, kinetic chain, and control group. The NASM and kinetic chain groups underwent an 8-week training program consisting of 3 sessions per week. Lumbar lordosis angle was measured using a flexible ruler, pelvic tilt angle was measured using a tilt meter, and hip joint ROM was measured using a goniometer, before and after the 8-week training program. To analyze the data, the statistical method of analysis of variance with repeated measures was used and the level of significance was considered to be P ≥ 0.05. Data were analyzed using SPSS version 26 softwareResults: the results showed that both NASM and kinetic chain exercises significantly decreased lumbar lordosis (P=0.000 for both) and anterior tilt of the pelvis (P=0.000 for both) and significantly increased hip joint ROM in flexion and extension (P=0.000 for both). Follow-up tests showed that the NASM exercises had a greater effect on reducing lumbar lordosis, anterior tilt of the pelvis, and increasing the ROM of hip flexion compared to kinetic chain exercises, while the kinetic chain exercises had a greater effect on increasing the ROM of hip extension compared to NASM exercises.Conclusion: In conclusion NASM and kinetic chain exercises can be used by corrective exercise experts to improve the symptoms of LCS. NASM exercises are particularly effective in reducing lumbar lordosis and anterior tilt of the pelvis, as well as increasing the ROM of hip flexion, while kinetic chain exercises should be used to increase the ROM of hip extension.

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Original Articles

Comparing the effectiveness of modified Iranian and rigid Minerva braces in cervical and thoracic spine movements

Alireza Khalili; hossein asiyaeimehr; Mohammad taghi Karimi; Amirhossein Zare

Articles in Press, Corrected Proof, Available Online from 11 June 2024

Abstract

Background: To facilitate the fusion of the injury site For nonoperative treatment or after surgery, various braces are available to immobilize an unstable cervical spine. The most ... Read More

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Original Articles

Assessing the Impact of Closed and Open Kinetic Chain Hydrotherapy on Lumbo-Pelvic Stability, Pain Intensity, Kinesiophobia, Rate of Loading, and Vertical Ground Reaction Force in Men with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial

hossien ashoury; Ali Yalfani; mahdi arjipour

Articles in Press, Corrected Proof, Available Online from 11 June 2024

Abstract

Background: Chronic Non-Specific low back pain (CNSLBP) is recognized as one of the leading causes of work absenteeism and increased reliance on health insurance and healthcare services. ... Read More Background: Chronic Non-Specific low back pain (CNSLBP) is recognized as one of the leading causes of work absenteeism and increased reliance on health insurance and healthcare services. Despite the widespread impact of this condition, there remains a scarcity of research investigating the effects of open and closed kinetic chain (O/CKC) exercises conducted in water on improving CNSLBP. Therefore, this study aimed to assessing the impact of closed and open kinetic chain hydrotherapy on lumbo-pelvic stability, pain intensity, kinesiophobia, rate of loading, and vertical ground reaction force in in men with non-specific chronic low back pain.Methods: The double-blind randomized controlled trial was designed with a pre-post-test in men aged 40-60 (48.10 ± 5.97) with CNSLBP. Patients were randomly assigned to two hydrotherapy groups CKCE and OKCE and the control group in this clinical trial. Pain intensity, kinesiophobia, Lumbo-Pelvic Stability (LPS), Rate of Loading (ROL) and Vertical Ground Reaction Force (vGRF) were measured with the visual analog scale, Tampa kinesiophobia scale, biofeedback pressure, and plantar pressures device. The intervention groups performed prescribed exercises for eight weeks and three sessions per week. The analysis of covariance was used to compare the group differences.Results: In the comparison within the OKCE and CKCE groups, significant differences were observed in the pre- and post-intervention measurements (p<0.05). Moreover, there were statistically significant differences in pain (p=0.001) and kinesiophobia scores (p=0.001) with a large effect size. Additionally, noteworthy differences were noted in vGRF (P=0.003), ROL (P=0.012), and LPS variables (p=0.022).Conclusion: The study results indicate that utilizing hydrotherapy exercises involving open and closed kinetic chains is beneficial in the rehabilitation of individuals with CNSLBP. We suggest that healthcare professionals, including doctors, physiotherapists, and occupational therapists, include these exercises in their comprehensive rehabilitation programs for such patients.

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Volume & Issue: Articles in Press / Corrected Proof

The Effect of Eight Weeks of NASM Training and Kinetic Chain Training on Pelvic Tilt, Lordosis, and Hip Joint ROM in Individuals with LCS

Abstract

Comparing the effectiveness of modified Iranian and rigid Minerva braces in cervical and thoracic spine movements

Abstract

Assessing the Impact of Closed and Open Kinetic Chain Hydrotherapy on Lumbo-Pelvic Stability, Pain Intensity, Kinesiophobia, Rate of Loading, and Vertical Ground Reaction Force in Men with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial

Abstract