Effect of Global Postural Reeducation Exercise on Pain and Hip Muscle Flexibility in Patients with Chronic Low Back Pain and Movement Control Dysfunction

Abstract

Introduction: Patients with non-specific low back pain (NSLBP) and movement control dysfunction demonstrate alternation in hip muscles flexibility and spinal movement patterns. Therapeutic modalities that augment hip muscles flexibility could help these patients. The aim of this study was to investigate the effect of global postural reeducation (GPR) on pain and hip muscle flexibility in patients with NSLBP and movement control dysfunction. Materials and Methods: A total of 27 men with a mean age of 31.21±2.5147 years, height of 166.44±6.11 cm, and weight of 64.21±5.25 kg participated in this study. The visual analogue scale (VAS) was used to evaluate pain. The flexibility of hip muscles (rectus femoris, tensor fasciae latae, external rotators and hamstring) was measured using universal goniometer. All data were assessed at baseline and after the intervention. The Shapiro-Wilk test and paired t test were used for statistical analysis at significance level of P=0.05. Results: Our results revealed a decline in pain (P<0.004) and an increase in the flexibility of the hamstring muscles in the right (P<0.003) and left (P<0.003) legs. There were no statistically significant differences in the flexibility of rectus femoris muscle, external rotators, and tensor fasciae latae. Conclusion: The results suggest that GPR had a significant effect on the level of pain. Further, it affected the flexibility of hamstring muscles in legs. Using GPR is recommended for pain relief and improving the flexibility of hamstring muscles in patients with NSLBP.

Hip Muscle Flexibility After Six Weeks of Lumbar Stabilization and Global Postural Reeducation Exercises in Men With Movement Control Dysfunction: A Randomized Clinical Trial

“…In the GPR method, stretch is done in the opposite direction and there are no possible compensations while performing a decompression action (16,25). Our study findings about the improvement of hip muscle flexibility were consistent with the results reported by Sheikhi, who indicated that GPR exercises significantly increased hamstring muscle flexibility in patients with chronic NSLBP and MCI (29). The insignificant effects of both training protocols on the improvement of other hip muscles flexibility observed in this study may have been attributed to the short duration of the exercise program.…”

Comparison of the Effect and Durability of Lumbar Stabilization and Global Postural Reeducation Exercises on Movement Control, Pain and Disability in Men with Lumbar Movement Control Dysfunction

“…34 The results of a study by Sheikhi indicated that GPR exercises significantly reduced pain in patients with chronic NSLBP with movement control dysfunction. 35 In line with the results of other studies, the present study has shown that performing stability exercises leads to a reduction in pain and disability in people with chronic LBP 36 and reduces the recurrence of LBP. 37 It seems that the basis of LSE is to adapt to the proprioception sense that receives stimuli in high-risk situations.…”

The effects of global postural re-education on sleep quality and stress in university women lecturers: a randomized controlled trial

“…In this sense, from a methodological point of view, this study is aligned with the recommendations of intervention with GPR used in different studies such as Amorim et al ( 50 ), Brooks et al ( 51 ), and Kloek et al ( 52 ). However, we can contrast the results with other studies focused on older people, children, or special populations and using interventions of different durations ranging from 6 weeks ( 53 ) to 12 weeks ( 54 ). Therefore, it would be interesting to expand GPR studies focusing on physiological and cognitive variables such as sleep quality and stress to determine the best protocols.…”