Effectiveness Of Pelvic Tilt Training Vs Core Strengthening For Chronic Lumbar Radiating Pain.

Abstract

Background Lumbosacral radiculopathy is a term used to describe a pain syndrome caused by compression or irritation of nerve roots in the lower back. It can be caused by lumbar disc herniation, degeneration of the spinal vertebra, and narrowing of the foraman from which the nerves exit the spinal canal. Introduction Lumbar radiculopathy (LR) is a condition characterized by motor, reflex, and/or sensory changes, such as radicular pain, paresthesia, or numbness in the lower limb which may be provoked by spinal posture(s) and/or movement(s).Proprioceptive Neuromuscular Facilitation (PNF) is a stretching technique utilized to improve muscle elasticity and has been shown to have a positive effect on active and passive range of motions.The core is defined as an anatomical box which consists of several muscle groups, such as the rectus abdominis at the front, the internal and external obliques on the lateral sides, the erector spinae, lumbar multifidus, and quadratus lumborum at the back, the diaphragm at the upper edge and the pelvic floor, and the iliac psoas at the bottom.Need Of Study To find out of investigation that PNF is more effective than core strengthening in lumbar radiculopathy  in term of pain, ROM, flexibility and functionally.Methods thirty participants between the ages of 18 to 65 years diagnosed with unilateral chronic lumbar radiculopathy were randomly allocated into two groups (group a-pelvic PNF group B core strengthening). Group A performed pelvic PNF (anterior depression-posterior elevation, anterior elevation-posterior depression) with hot pack. Group B performed core strengthening. Group A (pelvic PNF) Repetition and Sets Are Formed according To the Patient Repetition Maximum (10RM) Fatigue Level and Condition. Group B perfomed core stability exercises given for 2 weeks with 10 repetitions and the next 2 weeks as home program with 20 repetitions for each exercise with hot pack. Both the group was treated for 4 weeks. Pre and post intervention measurements for pain intensity using NPRS, for flexibility using modified schober score and for functional performance using modified oswestry low back pain disability questionnaire.Results this study showed that, the PELVIC PNF highly significant improvement in all the outcome measures as compared to core strengthening when pre and post treatment parameters were compared after 4 weeks in NPRS, MODIFED OSWESTRYLOW BACK PAIN DISABILITY QUESTIONNAIRE, MODIFIED SCHOBER SCORE. P value is less than <0.05.Conclusion When we compare both the results. The PELVIC PNF exercise is better for chronic lumbar radiculopathy as compared to core strengthening exercise.