|
Abstract Introduction: A
statistical study made to rugby players from a rugby sports club, where I am a
member and have practised sports and and also worked as a professional
physiotherapist, revealed the existence of a 38% incidence of ischiotibial
lesions. This, among other things, called my attention and encouraged me to
look for new solutions to a problem that keeps repeating itself within the
world of sports. Objective: The objective of
this study is to show that through the treatment that I here propose, the
extension of the ischiotibials is increased and is maintained for a longer
period of time. Patient, Material and Method For
the purpose of this study, three groups of rugby players, aged between 17 and
47 years old, were submitted to the same type of training programme. Each
group was given a different type of Treatment: Treatment A, Treatment B and
Treatment C. I
took the measurements of the Active Extension of the Knee Test (AEKT) at four
different stages or times: First,
(T0) or base time was taken; second, (T1) taken a minute following the
initiation of the application of the treatment; third, (T2) taken 20 minutes
following the measurement of (T1); and fourth, (T3) taken 40 minutes following
the measurement of (T1). It is
important to remember that in the AEKT the smaller the angular value is, the
larger the extension of the ischiotibials. The
treatment was developed as follows: Group
A was first applied the Bilateral Pelvis Global Manipulation Technique (BPGMT),
and immediately after that, the Muscular Energy Technique (MET) was applied on
the ischiotibials only. Group
B was treated with the Muscular Energy Technique (MET) on the ischiotibials
only. And
finally, Group C was given cranial listening as a placebo technique. This
is a study of the comparison of independent samples, of an aleatory type,
longitudinal and of blind control, and
with a control group. The study analized the concordance of the
measurements among the different observers through the Kappa Index, through
ANOVA to prove the existance of global differences among the different
treatments, and by means of the Student t Test, it was determined if the
existing differences were statistically significant at a 0,05 level. Results As
the variation análisis registered the existance of significant differences
among the angular averages at different stages or times of the treatment, when
comparing, the following was observed. Detail:
the average angular values expressed in degrees at different times of Treatment
A are the following: the initial value was 44,175 (T0), which fell to 26,2
degrees one minute after the application of the treatment (T1); 20 minutes
later (T2), the measurement showed 27,75 degrees; and 40 minutes after the
initiation of the treatment, the average angular value was 30,325 degrees(T3). The
average angular values at different times of treatment B are the following: the
initial value (T0) was 43,2 which decreased to 30,475 (T1); 20 minutes after
the treatment, the measurement was 38 degrees (T2); and finally, the last
measurement (T3) was 41,375 degrees, proximate to the initial value. In
Treatment C the average angular values at different times remained constant,
between 40,5 and 40,875 degrees along the different stages of the treatment. Conclusion As
expected, Treatment C did not result in relevant differences concerning the
angular values at different stages of the treatment. On
the other hand, differences were present in both Treatments A and B. In Treatment
A: (T1) showed a drammatic angular fall, which rose slightly in (T2) and
although its value was increased in (T3), it was quite far from the base or
initial time. In Treatment B: in (T1) values also decreased from the initial
time; but in (T2) values moved closer to base time; and finally in (T3) there
were no relevant differences with the initial value. Given the statistical values, Treatment A proves more efficient than Treatment B since it does not only reduce the angular values, but also those reductions are maintained in time. |