Hamstring tightness causing low back pain among college going students - a cross-sectional study

Authors

  • Kamalakannan, M.
  • Hemamalini P.
  • Divya T.

DOI:

https://doi.org/10.51248/.v40i4.335

Keywords:

Hamstring tightness, low back pain, goniometry, SLR

Abstract

Introduction and aim:  Posterior thigh muscles are also called the Hamstring group of muscles. Its major action is knee flexion and minor action in hip extensor. It is one of the two joint muscles that involve the hip joint and knee joint. When these muscles are shortened or become tight the movement in the hip and knee is affected or reduced. This shortened muscle causes a posterior pelvic tilt that leads to a flat back. Prolonged tightness causes low back pain. Tightness is mainly due to inadequate physical activity results in stiffness, osteoarthritis, and osteoporosis. The aim of this study is to find whether tight hamstring causes low back pain in college-going students.

Materials and methods: The method used to measure the hamstring length in this study is the Active Knee Extension Test. The knee angle is measure using universal goniometry. The knee angle should be between 80-90 degrees. If the range is below 80 degrees, then that subject has a tight hamstring.

Results: Mean hamstring tightness in males is calculated and found that the left is more affected than the right. The mean hamstring tightness in the female is calculated and found that the right side is more affected than the left side. Both males and females having tightness at the range of 30-40 degrees are more.

Conclusion: This study shows that most of the colleges going students have knee range below 80 degrees. And investigation reveals that 2/4th of the total experienced low back pain in their life. This pain experience is present in all age group that comes under this study. Some students who involve in sports activities have tight hamstring. But some do not have because of stretching muscles before and after the sports activity. By this, it is concluded that prevalence is more among college-going, students.

Author Biographies

Kamalakannan, M.

Assistant Professor,  Saveetha College of Physiotherapy, SIMATS Chennai, Tamil Nadu, India

Hemamalini P.

Physiotherapy Undergraduate, Saveetha College of Physiotherapy, SIMATS Chennai, Tamil Nadu, India

Divya T.

Physiotherapy Undergraduate, Saveetha College of Physiotherapy, SIMATS Chennai, Tamil Nadu, India

References

Akinpelu, A. O., Bakare., and B. A., Influence of age on hamstring tightness in apparently healthy Nigerians. Journal of Nigeria Society of Physiotherapy, 2009; 15(2): 35-41.

Gajdosik, R. L., comparison of four clinical tests for accessing hamstring muscle length. 1993; 18(5): 614-618.

Bellew, S., H. Ford., and Shere, E. The relationship between hamstring flexibility and pelvic rotation around the hip during forward bending. Plymouth Stud J Health Social Work, 2010; 2(2): 19-29.

Nikolaidis, P. T. Age-related differences of hamstring flexibility in male soccer players. Baltic journal of health and physical activity. 2012; 4(2): 110-115.

Aderone. O., Bakare, U. Influence of age on hamstring tightness in apparently healthy Nigerians. 2005; 15(2): 35-42.

Bohannon, R. W. Cinematographic analysis of the passive straight leg raising test for hamstring muscle length, Physical therapy. 1982; 61(1): 1269-1274.

Gajdosik, R. L., Lusin, G. Hamstring Muscles tightness. Reliability of an active knee extension test. Physical therapy. 1983; 63: 1083-1090.

Radwan, A., Bigney, K. A., Buonomo, H. N., Jarmak, M. W., Moats, S. M., Ross, J. K., et al. Evaluation of intra-subject difference in hamstring flexibility in patients with low back pain: An exploratory study. Journal of back and musculoskeletal rehabilitation. 2015 Jan 1; 28(1): 61-66.

Falavigna, A., Teles, A. R., Mazzocchin, T., de Braga, G. L., Kleber, F. D., Barreto, F., et al. Increased prevalence of low back pain among physiotherapy students compared to medical students. European Spine Journal. 2011 Mar 1; 20(3): 500-505.

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise. 2011 Jul;43(7):1334.

Bhagyashree, K. Koli, Deepak, B., prevalence and severity of hamstring tightness among college students: A cross-sectional study. 2018;4(2):65-68.

Kamalakannan, M. Efficacy of Proprioception Training for Tibiofemoral Arthritis in relation with Pain and Functional Disability. Research Journal of Pharmacy and Technology 2019 12(3): 995-998

Luca. D., Petera.M.D., Sylvia.,Davis., Effect of Hamstring and psoas lengthening on pelvic tilt in patients with spastic Diplegic cerebral palsy.1998; 18(6): 712-718.

Kate, E.K., Nicholas, L., The active knee extension test and Slump test in subject with perceived hamstring tightness. 2005; 8(3): 89-97.

Kenny, G., Francis, F., Heiko, L., and Gregoire, P., Millet. Passive knee Extension Test to Measure Hamstring Tightness: Influence of Gravity correction. 2012; 21(3) .231-234.

Kamalakannan, M., J. Boaz, and M. Koushik Kannan. "Influence of Ankle Mobilization and Active Stretching on Low Back Pain in Pronated Foot Subjects." Research Journal of Pharmacy and Technology 13, no. 3 (2020): 1142-1146.

I.A.Stokes., Joan, M., Influence of the hamstring muscles in lumbar spine curvature in sitting.1980; Spine 5(6):525-528.

Brittany, L., Hansberger. Evaluating the Relationship between clinical Assessment of Apparent Hamstring tightness: A correlational Analysis. Int J Sports Phys Ther, Apr 2019;14(2):253-263.

Jandre, R., F. Macedo., Influence of Hamstring tightness in pelvic, lumbar, and trunk range of motion in low back pain and A-symptomatic volunteers during forwarding bending. Asian spine. 2015; 9(4): 535-540.

Downloads

Published

2021-01-01

How to Cite

1.
M. K, P. H, T. D. Hamstring tightness causing low back pain among college going students - a cross-sectional study. Biomedicine [Internet]. 2021Jan.1 [cited 2021Feb.27];40(4):531-4. Available from: https://biomedicineonline.org/index.php/home/article/view/335

Issue

Section

Original Research Articles