Abstract
BACKGROUND AND OBJECTIVE. The limitations of muscle flexibility are a common dysfunction of the musculoskeletal system. Therefore, various therapeutic techniques are used in rehabilitation programs to increase their flexibility. The aim of this prospective, randomized, single-blind study was to evaluate the changes in the flexibility of hip flexors in children who participated in a 6-week therapeutic program consisting of one physiotherapy session per week with a physiotherapist and daily home exercises. MATERIAL AND METHODS. A total of 94 children aged 10-13 years were randomly assigned to 3 experimental groups: postisometrical relaxation group (PIR group), static stretching combined with stabilizing exercise group (SE/SS group), and stabilizing exercise group (SS group). To assess the flexibility of one- and two-joint hip flexors, the modified Thomas test was used. The examination was conducted by blinded observers. RESULTS. A significant improvement in the flexibility of one-joint hip flexors was documented in all 3 groups (P<0.01). The flexibility of two-joint hip flexors increased significantly only in the SS/SE group (P<0.05). After the program, the highest range of motion of the hip extension (test for one-joint hip flexors) was recorded in the SS/SE group (20.6° ± 4.5°), and it was significantly greater than in the SE group (16.6° ± 4.0°, P<0.05). There were no significant differences in the knee flexion (test for two-joint hip flexors) among all 3 groups (P>0.05). CONCLUSIONS. The 6-week therapeutic program regardless of the technique applied (postisometrical muscle relaxation, static stretching with stabilizing exercises, and stabilizing exercises only) resulted in the increased flexibility of one-joint hip flexors. Only static stretching combined with stabilizing exercises led to a significant increase in the flexibility of two-joint hip flexors.
Highlights
The limitations of muscle flexibility are a common dysfunction of the musculoskeletal system among children and adults [1,2,3,4,5]
The 6-week therapeutic program regardless of the technique applied resulted in the increased flexibility of one-joint hip flexors
Static stretching combined with stabilizing exercises led to a significant increase in the flexibility of two-joint hip flexors
Summary
The limitations of muscle flexibility are a common dysfunction of the musculoskeletal system among children and adults [1,2,3,4,5]. They may lead to a decrease in the joint range of motion (ROM) [1, 6], changes in a body posture [1, 3, 7], spine deformations [8], increased likelihood of back pain [5, 6, 9], and increased risk of tendinosus and muscular injury during physical activity [10]. According to Shrier [17], Sewall and Micheli [18], and Siegel et al [19], the flexibility of muscles might be significantly influenced by performing stabiliz-
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