Effectiveness of Structured Exercise Protocol on Muscle Imbalance of Quadriceps and Hamstrings in Postmenopausal Obese Women

Jump To References Section

Authors

  • Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad - 415539, Maharashtra ,IN
  • Department of Cardiopulmonary Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad - 415539, Maharashtra ,IN

DOI:

https://doi.org/10.18311/jeoh/2023/33808

Keywords:

Hamstring Tightness, Muscle Imbalance, Postmenopausal, Quadriceps Strength

Abstract

Background and Objectives: In a woman who experienced menopause, there is a decrease in the strength of the muscle due to hormonal changes and because of several changes related to the hormones that occur in the body, it affects the body’s BMI which then affects to daily life. Physiotherapy is an effective way of reducing the majority of difficulties while doing daily activities and thereby improving overall health. The study aims to determine how the structured exercise protocol affects a muscle imbalance of hamstrings and quadriceps in postmenopausal obese women. Methodology: This research study was carried out on 50 females who experienced menopause and were between the age group 50-60 years the inclusion criteria were satisfied by them and they were divided into 2 groups randomly. Pre-interventional and post-interventional measurements were taken by Modified Sphygmomanometer, by 90-90 SLR test, Range of knee joints by goniometer also pain was assessed. Group A (the Control group) received the treatment which included hot moist therapy along with hamstrings active stretching, isometric exercises for both hamstrings and quadriceps and quadriceps strengthening and Group B received the treatment which included mulligans technique for hamstrings and for quadriceps muscle, MET technique was used. Both groups received the treatment for 6 weeks. Results: Statistically significant changes (with p-value <0.05) were seen in the pre and post-interventional measurements. But the value of the mean shows more progress in group B compared to group A. Research Conclusion: Both protocols are useful in the treatment of muscle imbalance in quadriceps and hamstrings in postmenopausal obese women but the Structured exercise protocol is more effective than the conventional protocol for muscle imbalance of quadriceps and hamstrings in postmenopausal obese women.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Downloads

Published

2023-12-15

How to Cite

Aphale, S. R., & Patil, C. (2023). Effectiveness of Structured Exercise Protocol on Muscle Imbalance of Quadriceps and Hamstrings in Postmenopausal Obese Women. Journal of Ecophysiology and Occupational Health, 23(4), 329–336. https://doi.org/10.18311/jeoh/2023/33808

Issue

Section

Research Article
Received 2023-05-16
Accepted 2023-11-28
Published 2023-12-15

 

References

Satapathy SP, Karmee N, Dash R. Prevalence of menopausal symptoms and its association with various factors among women in post-menopausal age group: A cross-sectional study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020; 9(9):3837-43. https://doi.org/10.18203/2320-1770.ijrcog20203866 DOI: https://doi.org/10.18203/2320-1770.ijrcog20203866

Kalhan M, Singhania K, Choudhary P, Verma S, Kaushal P, Singh T. Prevalence of menopausal symptoms and its effect on the quality of life among rural middle-aged women (40–60 Years) of Haryana, India. International Journal of Applied and Basic Medical Research. 2020; 10(3):183. https://doi.org/10.4103/ijabmr.IJABMR_428_19 DOI: https://doi.org/10.4103/ijabmr.IJABMR_428_19

Anadkat K, Tanna A. A study to find out the relationship between physical performance and menopause amongst healthy pre and postmenopausal females-cross sectional observational study. 2016; 2(3)

Khadilkar SS. Musculoskeletal disorders and menopause. The Journal of Obstetrics and Gynecology of India. 2019; 69:99-103. https://doi.org/10.1007/s13224-019-01213-7 DOI: https://doi.org/10.1007/s13224-019-01213-7

Maltais ML, Desroches J, Dionne IJ. Changes in muscle mass and strength after menopause. J Musculoskelet Neuronal Interact. 2009; 9(4):186-97.

Paolillo FR, Milan JC, de Godoy Bueno P, Paolillo AR, Borghi-Silva A, Parizotto NA, Arena R, Kurachi C, Bagnato VS. Effects of excess body mass on strength and fatigability of quadriceps in postmenopausal women. Menopause. 2012; 19(5):556-61. https://doi.org/10.1097/gme.0b013e3182364e80 DOI: https://doi.org/10.1097/gme.0b013e3182364e80

Jenkinson CM, Doherty M, Avery AJ, Read A, Taylor MA, Sach TH, Silcocks P, Muir KR. Effects of dietary intervention and quadriceps strengthening exercises on pain and function in overweight people with knee pain: Randomized controlled trial. BMJ. 2009; 339. https://doi. org/10.1136/bmj.b3170 DOI: https://doi.org/10.1136/bmj.b3170

Düzgün I, Derya ÖZ, BALTACI G, Karacan S, Çolakoğlu F. Improving the hamstrings-to-quadriceps strength ratio in sedentary women: Comparison of stabilization training and aerobic training after a 6-months follow-up. Clinical and Experimental Health Sciences. 2017; 7(2):45-51. https://doi.org/10.5152/clinexphealthsci.2017.132 DOI: https://doi.org/10.5152/clinexphealthsci.2017.132

Dulac MC, Carvalho LP, Aubertin-Leheudre M. Functional capacity depends on lower limb muscle strength rather than on abdominal obesity in active postmenopausal women. Menopause. 2018; 25(2):176-81. https://doi.org/10.1097/GME.0000000000000970 DOI: https://doi.org/10.1097/GME.0000000000000970

Kage V, Putti BB. Effectiveness of stretching and strengthening exercises (Janda’s approach) in subjects with postural backache: A randomized controlled trial. Int J Physiother Res. 2015; 3(6):1301-6. https://doi. org/10.16965/ijpr.2015.195 DOI: https://doi.org/10.16965/ijpr.2015.195

Mahishale AV, Kulkarni MP. Evaluation of muscle strength and endurance in postmenopausal women: A crosssectional study. Journal of South Asian Federation of Obstetrics and Gynaecology. 2021; 13(3):163-6. https://doi. org/10.5005/jp-journals-10006-1905 DOI: https://doi.org/10.5005/jp-journals-10006-1905

Choksi P, Tank K. To study the: Efficacy of muscle energy technique on muscle strength and flexibility in patients with knee osteoarthritis. Indian J Physiother Occup. 2016; 10:40-5. https://doi.org/10.5958/0973-5674.2016.00080.0 DOI: https://doi.org/10.5958/0973-5674.2016.00080.0

Haripriya S, Bhagavan VK, Maharjan N. Relationship between Ankle Range of Motion (ROM), muscle strength, balance, and fall risk in postmenopausal women: A pilot study. International Journal of Science and Healthcare Research. 2021; 6(3). https://doi.org/10.52403/ijshr.20210751 DOI: https://doi.org/10.52403/ijshr.20210751

Akhila K, Saji VT. Effectiveness of exercises performed on an unstable surface on pain, lower extremity function, balance and strength in post-menopausal female patients with tibiofemoral osteoarthritis- A literature review. IJMAES. 2022; 8(2):1238-47.

Gajdosik RL. Effects of static stretching on the maximal length and resistance to passive stretch of short hamstring muscles. Journal of Orthopedic and Sports Physical Therapy. 1991; 14(6):250-5. https://doi.org/10.2519/ jospt.1991.14.6.250 DOI: https://doi.org/10.2519/jospt.1991.14.6.250

Maffiuletti NA, Jubeau M, Munzinger U, Bizzini M, Agosti F, De Col A, Lafortuna CL, Sartorio A. Differences in quadriceps muscle strength and fatigue between lean and obese subjects. European Journal of Applied Physiology. 2007; 101:51-9. https://doi.org/10.1007/s00421-007-0471-2 DOI: https://doi.org/10.1007/s00421-007-0471-2

Phansopkar PA, Kage V. Efficacy of mulligan’s two leg rotation and bent leg raise techniques in hamstring flexibility in subjects with acute non-specific low back pain: Randomized clinical trial. Int J Physiother Res. 2014; 2(5):733-41.

Delgado C, Fernandes Filho J, Barbosa FP, Oliveira HB. Use of the sphygmomanometer in the evaluation of the knee joint flexor and extensor muscle strength in militaries. Revista Brasileira de Medicina do Esporte. 2004; 10:362-6. https://doi.org/10.1590/S1517-86922004000500003 DOI: https://doi.org/10.1590/S1517-86922004000500003

Kulkarni S, Adhikari S, Sunil Kumar KS, Mukkannavar P. Prevalence of musculoskeletal disorder among postmenopausal women: A cross-sectional study. Indian Journal of Physiotherapy and Occupational Therapy. 2020; 14(2):278-82.

Gajdosik R, Lusin G. Hamstring muscle tightness: Reliability of an active-knee-extension test. Physical Therapy. 1983; 63(7):1085-8. https://doi.org/10.1093/ptj/63.7.1085 DOI: https://doi.org/10.1093/ptj/63.7.1085

Greeves JP, Cable NT, Reilly T, Kingsland C. Changes in muscle strength in women following the menopause: A longitudinal assessment of the efficacy of hormone replacement therapy. Clinical Science. 1999; 97(1):79-84. https://doi.org/10.1042/cs0970079 DOI: https://doi.org/10.1042/cs0970079