Effect of Postural Correction Exercises in Postnatal Kyphosis
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Abstract
Aim: To determine the efficacy of postural correction exercises in postnatal kyphosis.
Materials and Methodology: This study was conducted among women with postural kyphosis, age group of 20-40 years. . Subjects who participated were diagnosed by the physiotherapist. They were chosen based on inclusion and exclusion criteria and organised. The proper detailed postural assessment was taken which included an occiput to wall distance test and a Manual muscle test. A total of 40 subjects were selected. The treatment protocol was 6-8 weeks. At the end of 8th week protocol post treatment assessment were again taken. P value and paired t value were used to analyze statistical analysis and the result was concluded.
Result: p- value and paired t-value was used to analyse the effect of postural correction exercises in postnatal kyphosis. There was significant result seen in patients with postural kyphosis. There was a significant difference in outcome variables OWD, and MMT.
Conclusion: In this present study, there is a significant difference in occiput to wall distance and muscle power between pre and post-intervention there was a significant decrease in occiput to wall distance and an increase in the muscle power. The structured exercise program designed, has been effective for improving posture in postnatal women.
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References
Horak FB. Postural orientation and equilibrium. Handbook of Physiology, Section 12: Exercise. 1996:255-92.
Britnell SJ, Cole JV, Isherwood L, Stan MM, Britnell N, Burgi S, Candido G, Watson L. Postural health in women: the role of physiotherapy. Journal of obstetrics and gynaecology Canada. 2005 May 1;27(5):493-500.
Jensen RK, Doucet S, Treitz T. Changes in segment mass and mass distribution during pregnancy. Journal of biomechanics. 1996 Feb 1;29(2):251-6.
Whitcome KK, Shapiro LJ, Lieberman DE. Fetal load and the evolution of lumbar lordosis in bipedal hominins. Nature. 2007 Dec;450(7172):1075-8.
Opala-Berdzik A, Bacik B, Cieslinska-Swider J, Plewa M, Gajewska M. The influence of pregnancy on the location of the center of gravity in standing position. J Hum Kinet. 2010 Dec 1;26:5-11.
Lile J, Perkins J, Hammer RL, Loubert PV. Diagnostic and management strategies for pregnant women with back pain: once a serious cause of the pregnant patient's back pain is ruled out, conservative measures may help to relieve the discomfort. JAAPA-Journal of the American Academy of Physicians Assistants. 2003 Dec 1;16(12):31-9.
Moore K, Dumas GA, Reid JG. Postural changes associated with pregnancy and their relationship with low-back pain. Clinical Biomechanics. 1990 Aug 1;5(3):169-74.
Opala-Berdzik A, Błaszczyk JW, Bacik B, Cieślińska-Świder J, Świder D, Sobota G, Markiewicz A. Static postural stability in women during and after pregnancy: a prospective longitudinal study. PloS one. 2015 Jun 8;10(6):e0124207.
Dumas GA, Reid JG, Wolfe LA, Griffin MP, McGrath MJ. Exercise, posture, and back pain during pregnancy: Part 1. Exercise and posture. Clinical Biomechanics. 1995 Mar 1;10(2):98-103.
Dumas GA, Reid JG, Wolfe LA, Griffin MP, McGrath MJ. Exercise, posture, and back pain during pregnancy: Part 2. Exercise and back pain. Clinical Biomechanics. 1995 Mar 1;10(2):104-9.
Hanfy HM, Awad MA, Allah AH. Effect of exercise on postural kyphosis in female after puberty. Indian Journal of Physiotherapy and Occupational Therapy. 2012 Jul 1;6(3):190.
Borg-Stein J, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and postpartum. Physical medicine and rehabilitation clinics of North America. 2007 Aug 1;18(3):459-76.
To WW, Wong MW. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta obstetricia et gynecologica Scandinavica. 2003 Jan 1;82(12):1086-91.
Gaudet C. The association of acute and chronic postpartum pain with postpartum depression in a nationally representative sample of Canadian women. University of Ottawa (Canada); 2011.
Webb DA, Bloch JR, Coyne JC, Chung EK, Bennett IM, Culhane JF. Postpartum physical symptoms in new mothers: Their relationship to functional limitations and emotional well‐being. Birth. 2008 Sep;35(3):179-87.
Gutke A, Josefsson A, Öberg B. Pelvic girdle pain and lumbar pain in relation to postpartum depressive symptoms. Spine. 2007 Jun 1;32(13):1430-6.
McGovern P, Dowd B, Gjerdingen D, Gross CR, Kenney S, Ukestad L, McCaffrey D, Lundberg U. Postpartum health of employed mothers 5 weeks after childbirth. The Annals of Family Medicine. 2006 Mar 1;4(2):159-67.
Cooper PJ, Tomlinson M, Swartz L, Woolgar M, Murray L, Molteno C. Post-partum depression and the mother-infant relationship in a South African peri-urban settlement. The British Journal of Psychiatry. 1999 Dec;175(6):554-8.
Moraes IG, Pinheiro RT, Silva RA, Horta BL, Sousa PL, Faria AD. Prevalence of postpartum depression and associated factors. Revista de Saúde Pública. 2006;40:65-70.
Cantilino A, Zambaldi CF, Albuquerque TL, Paes JA, Montenegro AC, Sougey EB. Postpartum depression in Recife-Brazil: prevalence and association with bio-socio-demographic factors. Jornal Brasileiro de Psiquiatria. 2010;59(1):1-9.
Pawar G, Wetzker C, Gjerdingen D. Prevalence of depressive symptoms in the immediate postpartum period. J Am Board Fam Med. 2011;24:258-61.
Morari-Cassol EG. Amamentação e desconforto músculo-esquelético da mulher.
Moraes IG, Pinheiro RT, Silva RA, Horta BL, Sousa PL, Faria AD. Prevalence of postpartum depression and associated factors. Revista de Saúde Pública. 2006;40:65-70.
Cantilino A, Zambaldi CF, Albuquerque TL, Paes JA, Montenegro AC, Sougey EB. Postpartum depression in Recife-Brazil: prevalence and association with bio-socio-demographic factors. Jornal Brasileiro de Psiquiatria. 2010;59(1):1-9.
Abou‐Saleh MT, Ghubash R. The prevalence of early postpartum psychiatric morbidity in Dubai: a transcultural perspective. Acta Psychiatrica Scandinavica. 1997 May;95(5):428-32.
Opala-Berdzik A, Błaszczyk JW, Bacik B, Cieślińska-Świder J, Świder D, Sobota G, Markiewicz A. Static postural stability in women during and after pregnancy: a prospective longitudinal study. PloS one. 2015 Jun 8;10(6):e0124207.
Kendall FP, McCreary EK. Muscles, testing and function. Williams & Wilkins; 1983.
Kendall FP, McCreary EK, Provance PG. Muscles, testing and function Baltimore: Williams and Wilkins.
Wiyanad A, Thaweewannakij T, Wattanapan P, Sooksuan T, Mato L, Amatachaya P, Amatachaya S. Appropriate Occiput-wall Distance to Screen for a Risk of Kyphosis. InThe National and International Graduate Research Conference 2017.