Effect

ABSTRACT
BACKGROUND- Anterolisthesis presents with tightness of hamstring muscle which is a major contributing factor for low back pain and disability. Sub occipital myofascial release decreases tension in the fascia and helps to amend the muscle imbalance.
Purpose- The purpose of the study is to find out the effect of suboccipital myofascial release on hamstring tightness along with pain and disability associated with Anterolisthesis
Methods- Patients (32) who were already diagnosed by orthopaedician with Grade 1 and 2 anterolisthesis were randomized and divided into suboccipital myofascial release group and conventional group on the basis of inclusion and exclusion criteria. Sequentially Numbered Opaque Sealed Envelope method was used for random allocation. Modified Oswestry disability Index(MODI) was used to measure the patients functional disability, muscle tightness was measured by Popliteal Angle( PA). Numeric Pain Rating Scale was used for to measure the intensity of pain. The experimental group received suboccipital myofascial release along with core strengthening exercises for 4 times a week for 4 weeks. The Control group received conventional physiotherapy with included hydrocollator pack for 15 minutes and passive static stretching of muscles for 5 repititions with 30 secs hold. Pre and post assesments were taken for all the outcome measures and the assessments were taken at baseline, 2 weeks and after 4 weeks.
Resuls- Both the groups showed improvement, however for NPRS Experimental group showed clinical and statistical difference whereas control group showed only a statistical difference. The improvements showed in Experimental group was better as compared to the control group.
CONCUSION- The present study provides an evidence that for Grade 1 and 2 Anterolisthesis, suboccipitalis myofascial release along with core strengthening excercises can be applied to reduce pain and improve functional abilities.
Keywords- Hamstring muscles, low back pain, pain measurement.

摘要
背景 - 前移位症候群常伴有股二头肌紧张，其为腰痛及功能障碍的主要促成因素。颞下颌肌筋膜释放技术能够缓解筋膜张力，并有助于纠正肌肉失衡。
目的 - 本研究的目的是探究颞下颌肌筋膜释放对股二头肌紧张、与前移位症相关的疼痛及功能障碍的影响。
方法 - 对32名已被骨科医生诊断为一级和二级前移位的患者进行随机分组，分为颞下颌肌筋膜释放组和常规治疗组，依据纳入和排除标准进行分组。采用连续编号不透明密封信封法进行随机分配。运用改良奥斯韦斯特里功能障碍指数（MODI）评估患者功能障碍，通过腘窝角（PA）测量肌肉紧张度，使用数字疼痛评分量表（NPRS）评估疼痛强度。实验组接受颞下颌肌筋膜释放联合核心肌群强化训练，每周4次，持续4周。对照组接受常规物理治疗，包括使用水合盐热敷包15分钟，以及肌肉被动静态拉伸5次，每次维持30秒。对所有结果指标进行基线、两周后及四周后的评估。
结果 - 两组均显示出改善，但实验组在NPRS评分上显示出临床和统计学上的差异，而对照组仅显示出统计学上的差异。实验组的改善程度优于对照组。
结论 - 本研究提供了证据，表明对于一级和二级前移位，颞下颌肌筋膜释放联合核心肌群强化训练可以应用于减轻疼痛并改善功能能力。
关键词 - 股二头肌，腰痛，疼痛测量。