Effects of Muscle Energy Technique and Postural Correction Exercises in Lordotic Females Wearing High Heels

Effects of Muscle Energy Technique and Postural Correction Exercises in Lordotic Females Wearing High Heels

The key purpose was to determine the effects of Muscle Energy Technique (MET) and Postural Correction Exercises on low back pain in females wearing high heels.

To determine the effects of muscle energy technique & postural correction exercises in reducing pain, anterior pelvic tilt angle and increasing lumbar range of motion in subjects with chronic low back pain due to lordotic posture in females wearing high heels.

Body segments can be defined as the suitable posture positions. Body segments are placed in a way that center of gravity of each segment lies vertically. By this appropriate alignment, instead of excessive muscular activity, stability can be achieved by the body by the use of bone structures and ligament. Hence, in this way body structures experience the decreased tension. Besides the cosmetic effects of high heels, high heels results in increased risk of fall, fracture of bones particularly bones lower extremity, and also the change in normal kinematics of lower limb especially knee joint, and altered weight bearing on medial and longitudinal arches of foot. High heels change the line of gravity and posture of the body. Use of high heels change the posture which is compensated by the changes in different segments of the body like increased planter flexion of ankle as well as the displacements of the trunk and posterior pelvic tilting. The whole body mechanics gets affected in females wearing high heels. The center of gravity get disturbed with the use of high heel shoes. In body alignment, pelvis is known to have key importance. Any alteration in neutral position of pelvis leads to the compensatory altered movements in different regions, while, the segment which is considered to be the most effect is lumber spine.

Inclusion Criteria:

1. Age 18-45 years
2. Low back pain of no more than 12 weeks duration in lordotic females wearing high heel shoes.
3. Females wearing 4 to 5 inches high heel shoes 6 hour per day.
4. Increased lumbosacral angle
5. An initial ODI score of 20 % to 60 %.
6. Localized pain in lumbar spine with no radiating pain towards buttocks, hips or legs.

Exclusion Criteria:

1. Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, resting blood pressure greater than 140/90 mmHg, prolonged history of steroid use, etc)
2. Presented with involvement of nerve compression symptoms like radiating pain, change in normal sensory sensations with significant muscle weakness, or hypo reflexia or hyper reflexia.
3. Presented with a diagnosis of Lumbar spinal stenosis.
4. Presented with a diagnosis of Lumbar spinal spondylolisthesis.
5. Prior surgery to the lumbar region.
6. Patients who are already receiving treatment.