Authors :
Murugan D; Nandhini. K
Volume/Issue :
Volume 9 - 2024, Issue 8 - August
Google Scholar :
https://tinyurl.com/4dxf6w4d
DOI :
https://doi.org/10.38124/ijisrt/24aug219
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Regular carrying of heavy loads over a extended period of time could be an important causative factor in the
development of kyphotic deformity. There is an evidence that exposure to combinations of physical workplace strains such
as overhead related working, heavy weight lifting and forceful work , working in an uncomfortable posture increases the
risk of shoulder pain. Bruegger`s postural exercise promotes stability and relax tight muscles that tighten due to postural
stress. Muscle tension is dramatically reduced in postural relief position. Prone trunk extension strengthening exercise are
important in maintaining the good alignment of the posture. This exercise strengthens the thoracic extensor muscles
against the gravity in a concentric and eccentric pattern hence this study is to compare the effect of Bruegger’s postural
exercise and prone trunk extension exercise for heavy lifting workers with kyphotic posture and shoulder pain.
Methods:
The study design was a comparative study. 30 heavy weight lifting workers full filled inclusion and exclusion criteria
were included in this study. They were allocated divided into two groups. Group A performed by Bruegger’s postural
exercise and Group B prone trunk extension exercise, 3 sessions per week for 4 weeks. The outcome measure, SPADI
(Shoulder pain and disability index) and occiput wall distance test.
Results:
Data analysis was completed by using unpaired “t” test and paired “t” test for the between group and within the
group analysis respectively. The statistical analysis done with unpaired ‟t‟ test within the Group A & Group B analysis
shows significance (p<0.05). It have been concluded that Group B shows improvement than Group A for correcting
posture and reducing shoulder pain.
conclusion:
The study conclude that (GROUP-A) Bruegger’s postural exercise and (GROUP-B) prone trunk extension exercise
and shows significant , when comparing both groups (GROUP-B) prone trunk extension exercise shows more
improvement than Bruegger’s postural exercise (GROUP-A) for heavy weight lifting workers with kyphotic posture and
the shoulder pain.
Keywords :
SPADI – Shoulder Pain and Disability Index (SPADI), Occiput Wall Distance Test, Bruegger’s Postural Exercise, Prone Trunk Tension Exercise.
References :
- KRISHNENDU SARKAR et al.., : the prevalence of musculoskeletal disorder among the manual material workers of central market area Kolkata , India .2016;2347-3215 vol4(3):16-24.
- CHRISTROPHER EDET EKPENYONG et al.., : associations between worker characteristics , workplace factors and work related musculoskeletal disorders ; A Cross – sectional study of male construction workers in Nigeria – International journal of occupational safety and ergonomics 2014 , vol. 20, no. 3,447-462.
- WON -GYU YOO: Effects of thoracic posture correction exercises on scapular position. J Phys. Ther. Sci. 2018 Mar; 30(3):411-412.
- LEON M. STRAKER et al.., : relationships between prolonged neck / shoulder pain and sitting spinal posture in male and female adolescents - manual therapy June 2009 vol 14, issue 3.
- J. BEACH et al.., : Factors affecting work – related shoulder pain , occupational medicine 2012;62:451-454.
- Cole AK, McGrath ml, HARRINGTON SE, et al. scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. J Athl Train. 2013; 48(1):12-24.
- https;/docplayer.net/4015732-bruggers postural – relief-exercise.html.
- S.R.KAMAT et al..,: The ergonomics body posture on repetitive and heavy lifting activities of workers in aerospace manufacturing warehouse – April 2007.
- DANIELLE AWM VAN DER WINDT et al..,: occupational risk factors for shoulder pain, a systematic review, occupational and environmental medicine 57(7),433-442,2000.
- KYLE TIEFEL: the efficacy of treatment for upper crossed syndrome and the involvement of chiropractic, 2012.
- BALZINI L, VANNUCCHI L, BENVENUTI F et al..,: clinical characteristics of flexed posture in elderly women. J Am Geriatric soc. 2003:51(10):1419 – 1426.
- BANIBRATA DAS : prevalence of work related musculoskeletal disorders among the brick field workers of west Bengal, India 2014.
- KEBAETSE MCCLURE P, PRATT NA et al.., :Thoracic position effect on shoulder range of motion, strength, and three dimensional scapular kinematics. Arch phys. Med. rehabil. 1999; 80 (8):945 – 950.
- SHIN JUN PAR et al..,: effects of thoracic mobilization and extension exercise on thoracic alignment and shoulder function in patients with sub acromial impingement syndrome : A Randomized controlled pilot study. Healthcare (Basel).2020 Sep; 8(3):316.
- https;//www.stretching-exercise-guide.com.
- JAZMIN KAN: the effects of brugger’s postural exercise in addition to conservative physical therapy for shoulder impingement, Azusa pacific university, 2018.
- H MIRANDA et al., : A Prospective study of work related factors and physical exercise as predictors of shoulder pain. 2001.
- A-REUM SHIN et al.., : will prone trunk extension affect scapular and thoracic kinematics and muscle activities during scapular posterior tilting exercise in subjects with round shoulder and flexed posture. 2018.
- PEEYOOSHA GURUDUT : comparison of bruegger’s postural exercise with elastic resistance band and deep cervical flexor training with pressure biofeedback unit in asymptomatic subjects with forward head posture : a randomized controlled trial, journal of orthopedic disorders reports 2019 v ol.2 no.1.
- PARK, KYUNG – HEE et al.., : selective recruitment of the thoracic erector spinae during prone trunk – extension exercise, journal of back and musculoskeletal rehabilitation ,2015 vol.28, no.4 pp.789-795.
- KYUNG – HEE PARK et al.., : Difference in selective muscle activity of thoracic erector spinae during prone trunk extension exercise in subjects with slouched thoracic posture . Vol 7, may 2015 pages 479 – 484.
- FOAD SEIDI et al..,: comprehensive corrective exercise program improves alignment muscle activation and movement pattern of men with upper crossed syndrome: randomized controlled trial.2010.
- DR.CH LINAKER et al..,: shoulder disorder and occupation – best pract. Clin. pheumaatol .2015 June : 29 (3): 405 – 423.
- ARPASSANAN WIYANAD et al.., : Appropriate occiput wall distance to screen for a risk of kyphosis , march 10 , 2017.
- JOY C MACDERMID et al.., ; The shoulder pain and disability index demonstrate factor, construct and longitudinal validity , feb 10 , 2006
Background:
Regular carrying of heavy loads over a extended period of time could be an important causative factor in the
development of kyphotic deformity. There is an evidence that exposure to combinations of physical workplace strains such
as overhead related working, heavy weight lifting and forceful work , working in an uncomfortable posture increases the
risk of shoulder pain. Bruegger`s postural exercise promotes stability and relax tight muscles that tighten due to postural
stress. Muscle tension is dramatically reduced in postural relief position. Prone trunk extension strengthening exercise are
important in maintaining the good alignment of the posture. This exercise strengthens the thoracic extensor muscles
against the gravity in a concentric and eccentric pattern hence this study is to compare the effect of Bruegger’s postural
exercise and prone trunk extension exercise for heavy lifting workers with kyphotic posture and shoulder pain.
Methods:
The study design was a comparative study. 30 heavy weight lifting workers full filled inclusion and exclusion criteria
were included in this study. They were allocated divided into two groups. Group A performed by Bruegger’s postural
exercise and Group B prone trunk extension exercise, 3 sessions per week for 4 weeks. The outcome measure, SPADI
(Shoulder pain and disability index) and occiput wall distance test.
Results:
Data analysis was completed by using unpaired “t” test and paired “t” test for the between group and within the
group analysis respectively. The statistical analysis done with unpaired ‟t‟ test within the Group A & Group B analysis
shows significance (p<0.05). It have been concluded that Group B shows improvement than Group A for correcting
posture and reducing shoulder pain.
conclusion:
The study conclude that (GROUP-A) Bruegger’s postural exercise and (GROUP-B) prone trunk extension exercise
and shows significant , when comparing both groups (GROUP-B) prone trunk extension exercise shows more
improvement than Bruegger’s postural exercise (GROUP-A) for heavy weight lifting workers with kyphotic posture and
the shoulder pain.
Keywords :
SPADI – Shoulder Pain and Disability Index (SPADI), Occiput Wall Distance Test, Bruegger’s Postural Exercise, Prone Trunk Tension Exercise.