Effect of Muscle Energy Technique on Anterior Pelvic Tilt in Lumbar Spondylosis Patients
Background: Muscle Energy Techniques (MET) have
been widely used by manual therapists over the past years, but still
limited research validated its use and there was limited evidence to
substantiate the theories used to explain its effects. Objective: To
investigate the effect of Muscle Energy Technique (MET) on anterior
pelvic tilt in patients with lumbar spondylosis. Design: Randomized
controlled trial. Subjects: Thirty patients with anterior pelvic tilt from
both sexes were involved, aged between 35 to 50 years old and they
were divided into MET and control groups with 15 patients in each.
Methods: All patients received 3sessions/week for 4 weeks where the
study group received MET, Ultrasound and Infrared, and the control
group received U.S and I.R only. Pelvic angle was measured by
palpation meter, pain severity by the visual analogue scale and
functional disabilities by the Oswestry disability index. Results: Both
groups showed significant improvement in all measured variables.
The MET group was significantly better than the control group in
pelvic angle, pain severity, and functional disability as p-value were
(0.001, 0.0001, 0.0001) respectively. Conclusion and implication: the
study group fulfilled greater improvement in all measured variables
than the control group which implies that application of MET in
combination with U.S and I.R were more effective in improving
pelvic tilting angle, pain severity and functional disabilities than
using electrotherapy only.
[1] S. McGill, “Low back disorders. Evidence-based prevention and
rehabilitation,” Human Kinetics, Champaign, IL, 2002. p. 94-95.
[2] C.M. Norris, M. Matthews, “Correlation between hamstring muscle
length and pelvic tilt range during forward bending in healthy
individuals,” Journal of Bodywork and Movement Therapies, 10, 2006,
pp.122–126.
[3] K Laws, “Physics and the art of dance, Understanding movement,”
Oxford University Press, 2002.
[4] M.C Cheung, “Low-back pain, sciatica, cervical and lumbar
spondylosis,” Spine, 10, 2010, pp. 958-960.
[5] L.S. Choon-Sung, “Diagnostics Dynamic Sagittal Imbalance of the
Spine in Degenerative Flat Back,” 26 (18), 2001, pp. 2029-2035.
[6] V. Janda,” On the concept of postural muscles and posture in man,” Aus
J Physioth, 29, 1983, pp.83-84.
[7] F. Ballantyne, G Fryer, P McLaughlin, “The effect of muscle energy
technique on hamstring extensibility: the mechanism of altered
flexibility,” Journal of Osteopathic Medicine, 6(2), 2003, pp.59-63.
[8] E. Wilson, O. Payton, L. Donegan-Shoaf, K. Deck, “Muscle energy
technique in patients with acute low back pain. A pilot clinical trial,”
Journal of Orthopaedics and Sports Physiotherapy, 33(9), 2003, pp.502-
512.
[9] L. Chaitow, “An introduction to muscle energy technique. 2nd Ed,
Churchill living stone,” 2001, pp.1-17.
[10] M. R. Petrone, J. Guinn, T.G. Sutlive, T.W. Flynn, M.P. Garber, “The
accuracy of the palpation meter (PALM) for measuring pelvic crest
height difference and leg length discrepancy,” Journal of orthopaedic &
sports physical Therapy, 33 (6), 2003, pp. 319-325.
[11] J. Rainville, C. Hartigan, E. Martinez, “Exercise as a treatment for
chronic low back pain,” The Spine Journal, (4) 2004, pp.106–115.
[12] A. Clee, “Study to investigate whether combined muscle energy
technique (MET) to piriformis is more effective at increasing internal
hip rotation range-of-motion than MET or inhibition alone,” (Masc.
thesis) the British school of osteopathy, 2008, pp.14-17.
[13] G. Fryer, “Muscle energy concepts - a need for change,” Journal of
osteopathic medicine, 3(2), 2000, pp.54-59.
[14] R. J. Shlenk, A. MacDiarmid J. Rousselle, “The effects of muscle energy
technique on lumbar range of motion,” Journal of Manual &
Manipulative Therapy, 5(4), 1997, pp.179-83.
[15] R. Shlenk, K. Adelman, J. Rousselle, “The effects of muscle energy
technique on cervical range of motion,” Journal of manual &
manipulative therapy, 2(4), 1994149-155. [16] N. M. Selkow, T. L. Grindstaff, K. M. Cross, K. Pugh, J. Hertel, S.
Saliba, “Short-term effect of muscle energy technique on pain in
individuals with non-Specific lumbopelvic pain: a pilot study,” The
Journal of Manual & Manipulative Therapy. 17(1), 2009, pp. E14-E18.
[17] L. Niemisto, T. L. Suopanki, P. Rissanen, K. A. Lindgren, S. Sarna, H.
Hurri, “A aandomized trial of combined manipulation, stabilizing
exercises, and physician consultation compared to physician
consultation alone for chronic low back pain,” Spine, 28 (19), 2003, pp.
2185–2191.
[18] M. Handel, T. Horstmann, H.H. Dickhuth, R.W.Gulch, “Effects of
contract-relax stretching training on muscle performance in athletes,”
Eur J App PhysiolOccup Physiol, 76(5), 1997, pp. 400-408.
[19] K. Pillay, The relative effectiveness of muscle energy technique as
opposed to specific passive mobilization in the treatment of acute and
sub-acute mechanical low back pain. Thesis (m.tech.chiropractice) dept.
of chiropractice, Durban institute of technology, 2005.
[20] A. Long, R. Donelson, T. Fung, “Does it Matter Which Exercise? A
Randomized Control Trial of Exercise for Low Back Pain,” Spine, 29
(23), 2004, pp. 2593-2602.
[1] S. McGill, “Low back disorders. Evidence-based prevention and
rehabilitation,” Human Kinetics, Champaign, IL, 2002. p. 94-95.
[2] C.M. Norris, M. Matthews, “Correlation between hamstring muscle
length and pelvic tilt range during forward bending in healthy
individuals,” Journal of Bodywork and Movement Therapies, 10, 2006,
pp.122–126.
[3] K Laws, “Physics and the art of dance, Understanding movement,”
Oxford University Press, 2002.
[4] M.C Cheung, “Low-back pain, sciatica, cervical and lumbar
spondylosis,” Spine, 10, 2010, pp. 958-960.
[5] L.S. Choon-Sung, “Diagnostics Dynamic Sagittal Imbalance of the
Spine in Degenerative Flat Back,” 26 (18), 2001, pp. 2029-2035.
[6] V. Janda,” On the concept of postural muscles and posture in man,” Aus
J Physioth, 29, 1983, pp.83-84.
[7] F. Ballantyne, G Fryer, P McLaughlin, “The effect of muscle energy
technique on hamstring extensibility: the mechanism of altered
flexibility,” Journal of Osteopathic Medicine, 6(2), 2003, pp.59-63.
[8] E. Wilson, O. Payton, L. Donegan-Shoaf, K. Deck, “Muscle energy
technique in patients with acute low back pain. A pilot clinical trial,”
Journal of Orthopaedics and Sports Physiotherapy, 33(9), 2003, pp.502-
512.
[9] L. Chaitow, “An introduction to muscle energy technique. 2nd Ed,
Churchill living stone,” 2001, pp.1-17.
[10] M. R. Petrone, J. Guinn, T.G. Sutlive, T.W. Flynn, M.P. Garber, “The
accuracy of the palpation meter (PALM) for measuring pelvic crest
height difference and leg length discrepancy,” Journal of orthopaedic &
sports physical Therapy, 33 (6), 2003, pp. 319-325.
[11] J. Rainville, C. Hartigan, E. Martinez, “Exercise as a treatment for
chronic low back pain,” The Spine Journal, (4) 2004, pp.106–115.
[12] A. Clee, “Study to investigate whether combined muscle energy
technique (MET) to piriformis is more effective at increasing internal
hip rotation range-of-motion than MET or inhibition alone,” (Masc.
thesis) the British school of osteopathy, 2008, pp.14-17.
[13] G. Fryer, “Muscle energy concepts - a need for change,” Journal of
osteopathic medicine, 3(2), 2000, pp.54-59.
[14] R. J. Shlenk, A. MacDiarmid J. Rousselle, “The effects of muscle energy
technique on lumbar range of motion,” Journal of Manual &
Manipulative Therapy, 5(4), 1997, pp.179-83.
[15] R. Shlenk, K. Adelman, J. Rousselle, “The effects of muscle energy
technique on cervical range of motion,” Journal of manual &
manipulative therapy, 2(4), 1994149-155. [16] N. M. Selkow, T. L. Grindstaff, K. M. Cross, K. Pugh, J. Hertel, S.
Saliba, “Short-term effect of muscle energy technique on pain in
individuals with non-Specific lumbopelvic pain: a pilot study,” The
Journal of Manual & Manipulative Therapy. 17(1), 2009, pp. E14-E18.
[17] L. Niemisto, T. L. Suopanki, P. Rissanen, K. A. Lindgren, S. Sarna, H.
Hurri, “A aandomized trial of combined manipulation, stabilizing
exercises, and physician consultation compared to physician
consultation alone for chronic low back pain,” Spine, 28 (19), 2003, pp.
2185–2191.
[18] M. Handel, T. Horstmann, H.H. Dickhuth, R.W.Gulch, “Effects of
contract-relax stretching training on muscle performance in athletes,”
Eur J App PhysiolOccup Physiol, 76(5), 1997, pp. 400-408.
[19] K. Pillay, The relative effectiveness of muscle energy technique as
opposed to specific passive mobilization in the treatment of acute and
sub-acute mechanical low back pain. Thesis (m.tech.chiropractice) dept.
of chiropractice, Durban institute of technology, 2005.
[20] A. Long, R. Donelson, T. Fung, “Does it Matter Which Exercise? A
Randomized Control Trial of Exercise for Low Back Pain,” Spine, 29
(23), 2004, pp. 2593-2602.
@article{"International Journal of Medical, Medicine and Health Sciences:70665", author = "Enas Elsayed Abutaleb and Mohamed Taher Eldesoky and Shahenda Abd El Rasol", title = "Effect of Muscle Energy Technique on Anterior Pelvic Tilt in Lumbar Spondylosis Patients", abstract = "Background: Muscle Energy Techniques (MET) have
been widely used by manual therapists over the past years, but still
limited research validated its use and there was limited evidence to
substantiate the theories used to explain its effects. Objective: To
investigate the effect of Muscle Energy Technique (MET) on anterior
pelvic tilt in patients with lumbar spondylosis. Design: Randomized
controlled trial. Subjects: Thirty patients with anterior pelvic tilt from
both sexes were involved, aged between 35 to 50 years old and they
were divided into MET and control groups with 15 patients in each.
Methods: All patients received 3sessions/week for 4 weeks where the
study group received MET, Ultrasound and Infrared, and the control
group received U.S and I.R only. Pelvic angle was measured by
palpation meter, pain severity by the visual analogue scale and
functional disabilities by the Oswestry disability index. Results: Both
groups showed significant improvement in all measured variables.
The MET group was significantly better than the control group in
pelvic angle, pain severity, and functional disability as p-value were
(0.001, 0.0001, 0.0001) respectively. Conclusion and implication: the
study group fulfilled greater improvement in all measured variables
than the control group which implies that application of MET in
combination with U.S and I.R were more effective in improving
pelvic tilting angle, pain severity and functional disabilities than
using electrotherapy only.", keywords = "Anterior pelvic tilt, lumbar spondylosis, muscle
energy technique exercise, palpation meter.", volume = "9", number = "8", pages = "651-5", }