PowerPoint Presentation

They use their knowledge and skills to help patients regain movement and to improve a broad range of other physical problems associated with different 'systems' of the body. In particular they treat the following conditions:  Neurological (brain and nervous system such as movement problems)  Musculoskeletal (soft tissues, joints and bones, such as back pain, neck pain, shoulder pain and sports injuries)  Cardiovascular and Respiratory (heart and lungs and associated physiology)

TOPIC: COMPARING THE EFFECT OF TRADITIONAL AND THE NASM CORRECTIVE EXERCISES TRAINING PROTOCOLS ON THE CORRECTION OF HYPER-LORDOSIS IN FEMALE STUDENTS (quasi-experimental study).

Contents :. introduction Literature review Aims and objectives Strength hypothesis Material and methodology Data collection procedure results conclusion Limitation Discussion References.

Introduction:. Definition: Lumbar hyper-lordosis is an abnormal increase in the curvature of the spine in the lower back. Excessive curvature can cause lower back pain and numbness. The lumbar region is where the spine curves inward (ventral) right above the buttocks. The lumbar arch is one of the most important components of the spine, and if it is abnormal, it can disrupt the body's balance while trying to stand..

The presence of lumbar hyper-lordosis is caused by tightness/shortening of hip flexor muscles (iliopsoas) and trunk extensor muscles (erector spinae). Poor standing posture, osteoporosis, neuromuscular disorders, disc infection, and spinal abnormalities are all risk factors. The effects of poor physical health are so widespread that they have multiple negative effects on the physical, psychological, economic, and social aspects. Prolonged postures can cause changes in length, strength, and muscle stiffness. Individuals' postural abnormalities are caused by inappropriate body movements or long-term unfavorable postures. People with high lordosis angle of lumbar lordosis are more prone to back pain and joint aches. Various treatment guidelines have been suggested to decrease the angle at which the vertebrae are placed in relation to the pelvis. The use of corrective exercises can help resolve certain physical abnormalities such as scoliosis and spinal curvature. Traditional exercises are strength-building exercises that primarily rely on the principle of resistance training. Traditional strength training focuses on a single muscle group at a time. Bicep curls can help to strengthen the upper arm by using hand weights instead of traditional exercise barbells..

Knee back stretches assist in stretching and releasing back muscles accountable for hyper-lordosis. These exercises help in locating good posture without anterior pelvic tilt. The objective is to strengthen the muscles that counterbalance the tight, tense muscles of the anterior body while stretching the tight muscles. NASM has introduced a new protocol for rehabilitative workouts that involves four steps of inhibiting, lengthening, activating, and integrating approaches. Instead of just lengthening the shortened or stiff muscle, this protocol recommends that inhibitory exercises are performed first, followed by lengthening exercises and activating and integrating workouts. Strengthening the gluteus, abdominal muscles, and hamstrings helps to correct the pelvis, which reduces the risk of hyper-lordosis. The goal is to stretch the strained muscles while strengthening the muscles that limit the anterior body's tight, strained muscles. We will eventually have a completely balanced spine. Stretching and releasing your lower back muscles might aid to relax the muscles that produce hyper-lordosis. Knee to Chest Stretches, Pelvic Tilt exercises, and planks can all assist with strengthening. Traditional exercises have been used in the majority of studies in the field of anomaly correction methods..

Literature review:. NASM exercises can enhance individuals' balance and help athletes by improving lumbar pelvic-hip complex muscle function. Proper alignment and functioning of all components (and segments of each component) results in ideal length-tension relationships, force-couple relationships, accurate arthrokinematics, and neuromuscular control.( Badihi andMAHDAVINEJAD 2020).

The National Academy of Sports Medicine (NASM) in the United States recently established a new correction technique that includes four stages: inhibition, stretch, activation, and coherence. Most studies on anomaly treatment techniques have used traditional workouts, whereas innovative exercise methods have not been thoroughly investigated. No study has attempted to compare the impact of NASM corrective exercises and traditional exercises on the treatment of lumbar lordosis in high school females in Iran. (Okhli, Hojjati et al. 2019).

AIMS AND OBJECTIVES:. 1. To measure the effect of traditional corrective exercise on lumbar lordosis 2. To measure the effect of NASM corrective protocol exercise on lumbar lordosis 3. To compare the effect of traditional and NASM corrective exercices on lumbar lordosis.

HYPOTHESIS:. Null Hypothesis (1H0) = There is no effect of traditional corrective exercises in the correction of lumbar lordosis among the participants. Alternate Hypothesis (1Ha) = There is the effect of traditional corrective exercises in the correction of lumbar lordosis among the participants. Null Hypothesis (2H0) = There is no effect of NASM corrective exercises in the correction of lumbar lordosis among the participants. Alternate Hypothesis (2Ha) = There is the effect of NASM corrective exercises in the correction of lumbar lordosis among the participants..

MATERIALS AND METHODOLOGY:. Study design : Quasi-experimental study Sample size: 20(Females) Setting/Target Population: Sampling technique: Data measurement tools: Data analysis: Convenient Sampling Goniometer weight machine Measuring tape Visual analogous scale(VAS) self-made questionare . Data will be analyzed using SPSS version 16. Female students of the department of physical therapy, Government College University Faisalabad..

Criteria:. Inclusion criteria:. Exclusion criteria:.

DATA COLLECTION PROCEDURE:. This will be a quasi-experimental study in which convenient sampling will be used after meeting the inclusion and exclusion criteria Subjects will be assigned to both experimental groups measurement of post-value of the angle of lumber arch using the same instrument and same position used in pre-session pre-values of lumber hyper-lordosis will be taken from both groups using goniometers the angle of the lumbar arch will be measured while the participants will be in the standing position the experimental group1 and group2 will receive 4 weeks of traditional and NASM exercises protocol respectively followed.

Results:. Frequency distribution of Pain before NASM:.

Post Treatment 30 days Pain 1 Valid NE s sing Total no pain(O) Mild (1-2) Total Sy stan Frequ alcy 10 10 20 Pac alt 25.0 100.0 Vali d Percent 100.0 Cum ul äiv e Percent 100.0.

Frequency distribution of Lordotic angle before NASM:.

Frequency distribution of lordotic angle after final 30 days NASM:.

Frequency distribution of pain before traditional corrective exercises:.

Frequency distribution of pain after traditional corrective exercises :.

Frequency distribution of Lordotic angle before traditional corrective exercises:.

Frequency distribution of lordotic angle after final 30 days of traditional corrective exercises:.

Paired T-test of Pain before and after NASM protocol:.

Paired T-test of lordotic angle before NASM and after 30 days of NASM:.

Paired T-test of Pain before and after Traditional corrective exercise protocol:.

Paired T-test of lordotic angle before Traditional corrective exercise and after 30 days of traditional corrective exercise:.

Conclusion:. This study concludes that the NASM exercise protocol is more effective in contrast to the traditional corrective exercise protocol in the treatment of hyper-lordotic young healthy female students. the value of P(level of significance) of pain after paired T-test of the pain before NASM protocol and pain after NASM protocol which is 0.001 with the mean value of .90000 and SD .56765. the value of P(level of significance) of the lordotic angle after paired T-test of the lordotic angle before NASM protocol and lordotic angle after 15 days of NASM protocol which is 0.037 with the mean value of .40000 and SD .51640. the value of P(level of significance) of the lordotic angle after paired T-test of the lordotic angle before NASM protocol and lordotic angle after 30 days(complete) of NASM protocol which is 0.000 with the mean value of 1.90000 and SD .73786. the value of P(level of significance) of pain after the T-test of the pain before traditional corrective exercise protocol and pain after traditional corrective exercise protocol which is 0.168 with the mean value of .20000 and SD .42164 the value of P(level of significance) of the lordotic angle after paired T-test the lordotic angle before traditional exercise protocol and lordotic angle after 15 days of traditional corrective exercise protocol which is 0.343 with the mean value of .10000 and SD .31623. the value of P(level of significance) of the lordotic angle after paired T-test of the lordotic angle before traditional exercises protocol and lordotic angle after 30(complete) days of traditional corrective exercise protocol which is 0.299 with the mean value of .25000 and SD .71686..

Limitation:. Difficulty collecting information related to study. Some participants were not cooperative. Some participants left after one or two follow-ups. It was a little bit difficult to convince them for following the treatment plan during their daily routine..

Discussion:. This is a comparative study in which data was collected from the Government college university Faisalabad t o observe the assessment of traditional corrective exercises and NASM exercise protocol in hyper-lordosis. A goniometer was used to collect the data. A self-made questionnaire, weight machine(weight), measuring tape(height), and Visual Analogue Scale(pain) were used for the assessment of 10 NASM and 10 traditional corrective exercise participants. This study includes the variables such as age, gender, pain before NASM, pain after NASM, lordotic angle before NASM, lordotic angle after 15 days NASM, lordotic angle after 30 days NASM, pain before traditional exercise protocol, pain after traditional exercise protocol, lordotic angle before traditional exercise protocol, lordotic angle after 15 days of traditional exercise protocol and lordotic angle after 30 days of the traditional exercise protocol. Lordotic angle or ROM was measured through a goniometer in both groups. All the participants show different values of the angles. The pain was measured by the Visual Analogue Scale and angles were measured by a goniometer of both groups as pre-values. There was mild and moderate pain before NASM and pain were highly improved after NASM protocol. The lordotic angles were significantly improved in NASM group participants. On the other hand, there was no significant improvement in pain values as well as lordotic angles after the traditional corrective exercise protocol. Paired T-test and frequency distribution is used in the tabulation to compare the effects of NASM and traditional exercise protocol in both groups..

REFERENCES:. • littis. "What to know about hyperlordosis . ." from https://www.medicalnewstoday.com/articles/321959 . Sahebozamani, M., et al. (2011). "Comparison of the couple force ratio's of pelvic lumbar girdle in Hyperlordosis & healthy Male." Procedia-Social and Behavioral Sciences 15 : 2353-2356. sirat (2021). "Sirat, A. S. B. (2021). Effect of interferential therapy to decrease lumbar Hyperlordosis : a systemic review 3(2 March)." Sahrmann, S. (2010). Movement system impairment syndromes of the extremities, cervical and thoracic spines-e- book,Elsevier Health Sciences. Mashhadi, M., et al. (2012). "Effect of combined training exercises on the thoracic kyphosis and lumbar lordosis of mentally retarded adolescents." Journal of Research in Rehabilitation Sciences 8 (1): 192-201. Dan Brennan, M. (2020). "Best exercises for Hyperlordosis ." from https://www.webmd.com/back-pain/best-exerciseshyperlordosis . STULL, K. (2019). " nasms corrective exercise." from https://blog.nasm.org/ces/a-guide-to-nasms-corrective-exercisecontinuum ..

• Badihi , M. and R. MAHDAVINEJAD (2020). "Effects of eigHT -week selective corrective exercises program on the correction of lumbar lordosis and improving the balance in female karate athletes in Isfahan." • YAZICI, A. G. and M. MOHAMMADI (2017). "The effect of corrective exercises on the thoracic kyphosis and lumbar lordosis of boy students." Turkish Journal of Sport and Exercise 19 (2): 177-181. • Okhli, H., et al. (2019). "Comparing the Effect of the Corrective Exercises of America’s National Academy of Sports Medicine and Pilates on the Correction of Lordosis among Female High School Students in Golestan Province in 2018." International Journal of School Health 6 (4): 1-6. • Kharzoghi , M. B. and S. A. Hosseini "Comparative on the Effectiveness of a Combined Exercise Approach (NASM) on the Musculoskeletal Disorders and Physical Fitness Parameters of Male Students." • Ghorbani , L. and G. Ghasemi (2008). "Effects of eight weeks corrective exercises on lumbar lordosis." Journal of research in rehabilitation sciences 3 (2). • Afroundeh , R. and R. Saidzanozi (2017). "Comparison of the effect of pilate and traditional corrective exercises on lumbar lordosis in female students." Scientific Journal of Rehabilitation Medicine 6 (3): 84-94..

.