Relationship between sleeping type and lumbar lordosis and providing corrective movements in 10-14 year old boys in Islamabad West

Dissertation for receiving the master's degree ".M.A"

Pathology trend

Abstract

The purpose of the present study is to investigate the relationship between the type of sleep and lumbar lordosis and to provide corrective movements in boys aged 10 to 14 years of West Islamabad city. 90 school boys were screened and 40 of them participated in this research as a research sample. In order to collect data, a researcher-made questionnaire was used. This questionnaire has 20 questions, which first specifies the type of sleeping people (on the stomach, on the side, on the back) and the questions related to the positions and measures their lordosis. The data was analyzed using Pearson's correlation coefficient and T-correlated statistical tests at a significance level of 0.05. The results of this research showed that there is a significant relationship between sleeping on the back and the amount of lordosis. there is But there was no relationship between sleeping on the back and lordosis. As a result, it can be said that sleeping on the stomach causes lordosis in the lumbar region or causes it to worsen. By observing the correct principles of sleeping, while increasing the endurance of the trunk muscles, it also postpones their fatigue threshold and creates the ground for preventing and improving lordosis in people.

Key words:

Spine, sleeping type, lumbar lordosis, corrective movements

1-1) Introduction

Undoubtedly, the current century is the century of inactivity and machine life. The conquest of human activities by machines has caused the lack of work and laziness of the muscles and organs, and deprived people of physical activities. The consequence of this inactivity is suffering from various diseases. One of these diseases is back pain. Many factors They cause muscle weakness. One of these factors is performing daily activities incorrectly. These activities include sitting, sleeping, and standing. Also, doing daily tasks at home and at work in a wrong way is another factor that weakens muscles and puts pressure on the organs, which then leads to anatomical changes in the body structure. It is worth noting that because these changes in the curvature of the waist in young and middle age usually do not leave complications. Fewer people go to the doctor for treatment. But with the increase of these changes, the first symptom is pain, which makes the person think of treatment and solution. (1) Postural abnormalities, apart from hereditary factors, are caused by the industrialization of life, inactivity, having wrong habits and using non-standard equipment. (2) Positioning position Different parts of the body in relation to each other at any moment of time are called body posture (3) Since the arches of the spine affect each other and compensate each other, the increase in kyphosis can affect other arches such as lumbar lordosis and cause biomechanical changes in the spine (4). Accordingly, by reducing the arches (such as a flat back) or increasing them (such as a curved back), the spine will move towards biomechanical instability. (5) Humans are in various physical states during the day and night. Also, non-observance of ergonomic standards of equipment used continuously by people, as well as lack of fit in the anthropometric dimensions of users, can lead to physiological and structural disorders. Among the habits of important human needs is sleeping, the importance of which can never be underestimated. Considering that people spend their entire life sleeping and resting, about 1/3 of the correct lying position and the equipment used for it are very important (6) Today, corrective and therapeutic movements as a branch of physical education science, with the aim of applying minimum tension and pressure to the vertebral column and creating maximum ability to use the body structure, tries to prevent the recurrence of back pain by using movement and therapeutic activities (7) according to the chain system. Movement of the body, if a part of the body suffers from a particular complication or problem, this problem affects the whole musculoskeletal system of a person in the form of chains. Therefore, when an abnormality is identified in a person, its destructive effects can be prevented in the long term.In this chapter of the present research, which aims to fully search for the factors involved in the lumbar arch that occurs due to bad sleeping, and presents a series of corrective movements for treatment, and the research plan is presented. It is of special importance. Any increase or decrease in the amount of this arch can affect the balance of the body and cause various abnormalities in the lumbopelvic area. One of the factors that is believed to be effective in disrupting the balance of the lumbopelvic area and the deviation of the lumbar arch is the function of the muscles in this area. (8) Instability of the spine is a complex issue that is still not well known. Therefore, there is a need for more biomechanical and physiological studies in this field. Spinal arches create flexibility, mobility and stability, and if any of these arches have problems, the function of the spine will be disturbed (9). One of the arches of the spine in the lumbar region is lumbar lordosis, which has convexity towards the front and concavity towards the back. This arch provides the required strength against the pressures caused by gravity, while simultaneously allowing movement. and it also provides a certain flexibility to the body. Natural lordosis in the lumbar region acts suddenly from the vertical ligament system. (10) Normally, the distance between the L5 and S1 vertebrae in the anterior region will increase and lead to the lumbar region. Back pain sufferers usually complain of pain and stiffness in the lower back. Low back pain can be acquired and caused by factors such as lack of movement, inappropriate shoes, non-standard tools and equipment, wrong habits. a position-movement such as walking, sitting, sleeping, etc. On the other hand, corrective movements and its application in correcting many physical deviations is a special scientific knowledge that has only received attention in recent years in our country. Opposing muscles are also necessary to correct the abnormality. (13) Moles [2] (1999). It showed that the degree of kyphosis and lordosis does not affect the movement range of the spine (14) Among the muscles that are increased in the lumbar arch, they are weak, the deep abdominal muscles, which include the transversus abdominis and the internal oblique. (15) More than half of the people in the society do not have proper sleeping habits. By examining the abnormalities of the spine of 159 workers aged 25 to 65, one of the causes of structural changes in the spine in the statistical population of the study was wrong sleeping habits (16) (Bahrami and Farhadi (cited by Bahrampour, by examining adolescent girls aged 11 to 15 years) they found that there is a significant relationship between sleeping habits and lumbar lordosis and kyphosis (17) Davis [3], strengthening the abdominal muscles And he considers the back opener to be the best method for changes in lumbar lordosis. (18) It seems that lying on the stomach increases the lumbar arch and puts a lot of stress on the lumbar disc and the lumbar region in general, especially when a person is in this position for a long time, since most people spend about a third of their time (7-8 hours a day) lying down or lying down. Lying down helps the health of the body. Just as people's sitting and walking postures are different from each other and everyone has their own posture habits, sleeping also has different postures and postures, which include sleeping on the back, sleeping on the stomach, and sleeping on the side. Each of these situations also have different states in which people are placed according to their habits (19), at the same time, educating members of the society and introducing more appropriate resting habits through videos, brochures, counseling sessions and corrective and therapeutic exercises, and introducing the correct way to sleep, using more appropriate resting devices, and introducing incorrect resting methods will be effective in reducing skeletal abnormalities.