Effects of Muscle Energy Technique and Postural Correction Exercises in Lordotic Females Wearing High Heels
Condition: Lordosis; Low Back Pain
MeSH terms: Lordosis; Swayback; Low Back Pain
Study type: Interventional

Summary: 
      The key purpose was to determine the effects of Muscle Energy Technique (MET) and Postural
      Correction Exercises on low back pain in females wearing high heels.

      To determine the effects of muscle energy technique & postural correction exercises in
      reducing pain, anterior pelvic tilt angle and increasing lumbar range of motion in subjects
      with chronic low back pain due to lordotic posture in females wearing high heels.
    

Detailed description: 
      Body segments can be defined as the suitable posture positions. Body segments are placed in a
      way that center of gravity of each segment lies vertically. By this appropriate alignment,
      instead of excessive muscular activity, stability can be achieved by the body by the use of
      bone structures and ligament. Hence, in this way body structures experience the decreased
      tension. Besides the cosmetic effects of high heels, high heels results in increased risk of
      fall, fracture of bones particularly bones lower extremity, and also the change in normal
      kinematics of lower limb especially knee joint, and altered weight bearing on medial and
      longitudinal arches of foot. High heels change the line of gravity and posture of the body.
      Use of high heels change the posture which is compensated by the changes in different
      segments of the body like increased planter flexion of ankle as well as the displacements of
      the trunk and posterior pelvic tilting. The whole body mechanics gets affected in females
      wearing high heels. The center of gravity get disturbed with the use of high heel shoes. In
      body alignment, pelvis is known to have key importance. Any alteration in neutral position of
      pelvis leads to the compensatory altered movements in different regions, while, the segment
      which is considered to be the most effect is lumber spine.
    

Intervention name(s): Muscle Energy Technique; Postural Correction Exercises
Intervention type(s): Other; Other
Intervention description(s): Post isometric relaxation technique MET was applied in two muscle groups; Lumbar Extensors (Erector Spinae) and Hip Flexors (Iliopsoas). The muscle was positioned in position and patient was asked to apply 20% force isometrically and hold the isometric contractions for 7-10 seconds. Then the patient was asked to relax for about seconds. On exhalation, therapist takes muscle to new restriction barrier. Hold this position for 30 seconds at the end barrier as an end-stretch with 3 repetitions.; : Postural Correction Exercises was applied to one group. Exercises performed included stretching and strengthening exercises. Hip flexors and back extensors were stretched while hip extensors and abdominals were strengthened. Seated hip flexion used to stretch back extensors while lunge position used to stretch hip flexors. The abdominals were strengthened by using curl up exercises while hip extensors were strengthened by resisted contractions in prone lying.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Lordosis; METs; Postural Correction Exercise