“To Find Out Correlation between Trunk Muscle Strength and Endurance In Normal Young Individuals” Submitted by: KHANT SHALINI (Enrolment no.:12SPTPT11043) KOKNI ARCHNA (Enrolment no.: 12SPTPT11044) 6th semester, july-2015 Guided by: DR. DHELI KADACHHA MPT in REHABILITATION Assistant professor SOPT CERTIFICATE This is to certify that the project work entitled To Find out Correlation between Trunk Muscle Strength and Endurance in Normal Young Individuals has been undertaken and written under my supervision and it describes the original research work carried out by Miss. Shalini Khant and Miss. Archna Kokni registered at RK University in 6th semester Bachelors of Physiotherapy. Signature of Guide: Dr. Dheli Kadachha MPT in Rehabilitation Assistant professor SOPT R K University I DECLARATION We hereby certify that we are the authors of this project work. We certify to the best of our knowledge, our project does not infringe upon anyone’s copyright nor violate any proprietary rights and that any ideas, techniques, quotations, or any other material from the work of other people included in our project published or otherwise, are fully acknowledged in accordance with the standard referencing practices. We declare that this is a true copy of our project, including any final revisions, as approved by my project review committee. Signature of Candidate: Signature of Candidate: Shalini Khant Archna Kokni Enrollment No: 12SPTPT11043 Enrollment No: 12SPTPT11044 Date: 16/07/15 Date: 16/07/15 Place: Rajkot Place: Rajkot II ACKNOWLEGEMENT First and foremost we would like to thank our parents for their valuable support and encouragement, blessing and love which has always been a source of inspiration and strength in accomplishing this academic task. Our heartfelt gratitude to almighty God who has guided us this far and to whom goes all the honor and glory for the successful completion of this study. We wish to express our regards to our Director Dr. Priyanshu Rathod, School of Physiotherapy, R K University for his whole hearted guidance and meticulous suggestions in the completion of this work and for all the facilities and support extended to us during this study. We are extremely thankful for his constant encouragement and inspiration during the course of this study. With due respect, we would like to express our sincere thanks to our guide Dr. Dheli Kadachha MPT [Rehab.] assistant professor at School of Physiotherapy, R K University, for her judicious information, expert suggestions, valuable guidance, continuous support, incessant reassurance during every stage of this work and interest shown in this dissertation without which this work would not have been possible. We would like to extend our heartfelt thanks to assistant professors’, Dr. Shweta Rakholiya and Dr. Vaibhavi Ved for their valuable guidance, constant help and support throughout this study and all the lecturers of my college who have taught me and gave their valuable suggestions during the course of the study. Our sincere thanks to subjects for taking keen interest in our study, guiding us through the path, giving us support and motivation during the course of study. We wish to express our thanks to our librarian for their timely help in lending us books and journals for our reference all the time. III We shall fail our duties if we don’t acknowledge our Colleagues and Friends for their suggestions and criticism while assisting us in this study. Last but not the least we would like to thanks all the Individuals in our study without whom this task would not have been possible. Our sincere thanks to all the contributors whose names we might have missed but who truly deserve our gratitude. We would like to thank once again to all who have helped us all the while. Signature of Candidate: Signature of Candidate: Name: Shalini Khant Name: Archna Kokni IV LIST OF ABBREVIATIONS 1. SD:standard deviation 2. Fig.: figure 3. Yrs: years V ABSTRACT “To Find Out Correlation between Back Muscle Strength and Endurance In Normal Young Individual” Name: Miss. Shalini Khant (12SPTPT11043), Miss. Archna Kokni (12SPTPT11044) Guide: Dr. Dheli Kadachha (MPT in Rehabilitation) Key word: Strength, Endurance, Back muscles Introduction: Physical fitness is the ability to perform aspects of sports or occupations. Several attributes of fitness including strength, endurance, power, speed, balance and coordination. It is not necessary that if a person with good strength may have good endurance or vice-versa therefore the need of this study is to find out whether there is any relation between strength and endurance of individual muscle group. Objective: To assess the endurance of trunk flexors and extensors, To assess the strength of trunk flexors and extensors, To correlate the strength and endurance of trunk muscles Review of Literature: Nicolaisen T, et al. 1985;17(3).“Trunk strength, back muscle endurance and low-back trouble”. The strength and endurance of the trunk muscles was studied in relation to the extent of earlier low back pain. The main findings were that the endurance time of trunk extensors was shorter in group I compared to II and III and trunk muscle strength were independent. Differences in distribution of ST and FT muscle fibers as suggested as an explanation of the endurance difference. Material: Pen, Paper, Stop watch, plinth, stabilization belt, consent form. Methodology: Study Design: Cross-sectional, Study Population: Young Normal Healthy Individuals, Study Setting: R K University, Sampling Technique: Convenient Sampling, Sample Size: 60, Inclusion Criteria: Young Normal Healthy Individuals, Age group between 18 to 30 years, Subjects of both genders, Those who are willing to participate. Exclusion Criteria: Individuals with present Low back pain, Individuals with any associated conditions. Procedure: subjects will be asked to perform curl ups for trunk flexors and back extension for trunk extensors. Strength will be assessed by number of repetitions per min and endurance will be assessed by the duration of hold the individual can maintain the position. Statistical analysis: After completion of study data will be analyzed by correlation test. VI Results: There is significant positive correlation between the strength and endurance of both muscle groups. Discussion: The values of extensor group of muscle is greater than of flexor group as extensor group of muscles are antigravity muscles is the role played by trunk muscles. Conclusion: On the basis of result of the present study, it can be concluded that there is positive correlation between the strength and endurance of trunk flexors and extensors muscles VII TABLE OF CONTENTS Sr. No. TITLE Page No. 1 List of TABLES IX 2 List OF GRAPHS X 3 LIST OF FIGURES XI 4 INTRODUCTION 1 5 NEED OF STUDY 4 6 AIM & OBJECTIVE OF STUDY 6 7 HYPOTHESIS 8 8 REVIEW OF LITERATURE 10 9 METHODOLOGY 13 10 RESULT 20 11 DISCUSSION 26 12 CONCLUSION 30 13 SUMMARY 32 14 BIBLIOGRAPHY 34 15 ANNEXURES 36 VIII LIST OF TABLES SR. NO. TABLES 10.1 Mean difference between the endurance of trunk flexors and PG NO. 22 extensors 10.2 Mean difference between the strength of trunk flexors and extensors 23 10.3 Correlation between the strength and endurance of Trunk Flexors 24 10.4 Correlation between the strength and endurance of Trunk Extensors 25 IX LIST OF GRAPHS SR NO. GRAPHS PG NO 10.1 Gender Distribution 21 10.2 Mean difference between the endurance of trunk flexors and extensors 22 10.3 Mean difference between the strength of trunk flexors and extensors 23 10.4 Correlation between the strength and endurance of Trunk Flexors 24 10.5 Correlation between the strength and endurance of Trunk Extensors 25 X LIST OF FIGURES SR NO. FIGURES PG NO 9.1 To assess Strength of trunk flexors 17 9.2 To assess Endurance of trunk extensors 18 9.3 To assess strength and endurance of trunk extensors 19 15.1 Measurement tool 39 XI INTRODUCTION “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” 1 INTRODUCTION Physical fitness is a general state of health and well-being and, more specifically, the ability to perform aspects of sports or occupations. [1] Physical fitness is generally achieved through correct nutrition, moderate-vigorous physical activity, exercise and rest. [1] It is a set of attributes or characteristics seen in people and which relate to the ability to perform a given set of physical activities. [1] Regarding specific function, fitness is attributed to personnel who possess significant aerobic or anaerobic ability, i.e. strength or endurance. [1] Muscle strength: It is the ability of contractile tissue to produce tension and a resultant force based on the demands placed on muscle. It is the greatest measurable force that can be exerted by a muscle group to overcome resistance during a single maximum effort. [2] Muscle endurance: It is the ability of the muscle to contract repeatedly against a load, generate and sustain tension, and resist fatigue over an extended period of time. [2] Low back pain is becoming increasingly common because back becomes deconditioned through lack of use, cumulative effects of repetitive minor injuries and natural process of aging. [3] The bones of the spine provide the supporting frame for the back. Connected to this frame is an intricate system of muscles and ligaments that increase the strength and stability of the spine, arms and legs. [4-5] The abdominal muscles and back muscles are key components of this muscular network, and provide the strength to keep the body upright and for movement. When these core muscles are in poor condition, additional stress is applied to the spine as it supports the body, and back injury or back pain is more likely. [4-5] 2 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” The muscles of the trunk are active whether one is sitting, standing, lifting, or rolling over in bed. Adequate endurance of trunk muscles is necessary to good health. [6] The trunk muscles are physiologically suited to provide low levels of activity for long periods of time. [6]These muscles are physiologically postural muscles, being rich in type I fibers, which, uncharacteristically, have larger diameters than the type II fibers. Although trunk flexor and extensor muscles are physiologically postural muscles, they are active throughout most activities, including quiet standing. [6] Adequate spinal stability is important in prevention and treatment of low back pain injury. Stability is achieved through co-activation of trunk muscles; therefore any form of treatment training trunk muscles has been postulated beneficial to provide stability. [7] Poor endurance of trunk muscle may induce strain on passive structure of lumbar spine and hence result in low back pain. Muscle been identified as a potential source of low back pain as failure to protect passive structure from excessive loads may result in damage to pain sensitive structure and produce pain. [7] Balanced, healthy functioning of the musculoskeletal system requires that muscles be able to exert force or torque (measured as strength), resist fatigue (measured as muscular endurance), and move freely through a full range of motion (measured as flexibility). Because of this, strength, endurance and flexibility are viewed as important dimensions of health related fitness [8] 3 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” NEED OF THE STUDY 4 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” NEED OF THE STUDY It is not necessary that if a person with good strength may have good endurance or vice-versa It is to find out whether there is any relation between strength and endurance of individual muscle group. 5 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” AIM AND OBJECTIVES 6 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” AIM& OBJECTIVES AIM: To Find Out Correlation between Trunk Muscle Strength and Endurance in Normal Young Individuals OBJECTIVES: To assess the endurance of trunk flexors and extensors in normal young individuals To assess the strength of trunk flexors and extensors in normal young individuals To correlate the strength and endurance of trunk muscles in normal young individuals 7 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” HYPOTHESIS 8 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” HYPOTHESIS NULL HYPOTHESIS: There will be no significant correlation between the strength and endurance of the trunk flexor and extensor group of muscles. EXPERIMENTAL HYPOTHESIS: There will be significant correlation between the strength and endurance of the trunk flexor and extensor group of muscles.. 9 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” REVIEW OF LITERATURE 10 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” REVIEW OF LITERATURE 1. Nicolaisen T, et al. 1985;17(3).“Trunk strength, back muscle endurance and lowback trouble”. The strength and endurance of the trunk muscles was studied in relation to the extent of earlier low back pain. The main findings were that the endurance time of trunk extensors was shorter in group I compared to II and III and trunk muscle strength were independent. Differences in distribution of ST and FT muscle fibres as suggested as an explanation of the endurance difference. 2. Journal of Rehabilitation Research and Development Vol. 34 No . 4, October 1997; Pages 440-447; “Endurance of trunk muscles in persons with chronic low back pain : Assessment, performance, training”; This paper examines some methods to objectively test endurance of trunk flexor and extensor muscles in static and dynamic situations, and presents results of endurance testing in persons with chronic LBP compared to non-impaired cohorts . Self-perception of fitness affects some test results. Methods for increasing endurance are discussed along with benefits observed from training programs 3. Mannion AF, Dumas GA, Stevenson; JM, et al. The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability. Spine 1998; 23:576–84.] 4. Deyo,R..,and Weinstein, J. (2001). “Low Back Pain”. New England Journal of Medicine, 344, Retrieved February 19, 2007. 5. Dr. Michael Weisman, Differences between mechanical and inflammatory back pain. A segment from Spondylitis Educational Seminar presentation given in Denver, CO in 2008. 6. International Journal of Health Sciences & Research (www.ijhsr.org); Vol. 01; Issue 01; Oct. 2011; “Effect of Core Stabilization Exercise in Improving Trunk Endurance”. To find the effectiveness of core stabilization exercise on trunk extensors endurance exercise protocol in healthy subjects. Both active trunk 11 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” extension endurance exercise and core stabilization exercise are effective in improving endurance. Core stabilization exercises didn’t show any significant over a trunk extensor endurance training protocol in improving endurance of trunk extensors. 12 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” METHODOLOGY 13 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” METHODOLOGY Study Design: Cross-sectional study, Observational Study Study Setting: R K University Sampling Technique: Convenient Sampling Study Population: Young Normal Healthy individuals Study Sample: 60 Study Duration: 7-10 days 14 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” CRITERIA FOR SELECTION Inclusion Criteria: A. Young Normal Healthy Individuals B. Age group between 18 to 30 years C. Subjects of both genders D. Those who are willing to participate Exclusion Criteria: A. Individuals with present Low back pain B. Individuals with any associated conditions 15 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” MATERIALS USED IN THE STUDY Pen Paper Stopwatch Plinth Stabilization belt Consent form 16 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” METHOD: 60 individuals within the age of 18 to 30 years were taken for this study. The subjects were well informed regarding the study being performed, and consents were taken from individual subjects. It took around 7-10 days for the study. 1. TRUNK FLEXORS: a. To assess the strength: The patient will be asked to perform curl up, and the number of repetitions per min will be recorded FIG 9.1 17 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” b. To assess the endurance: The patient will be asked to perform curl ups and maintain the position, the duration of hold in seconds will be recorded. FIG 9.2 18 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” 2. TRUNK EXTENSORS: a. To assess the strength: The patient will be asked to lie in prone, and brought out of the plinth up to umbilical level, patient’s legs will be stabilised at thigh and then will be asked to perform extension, and the number of repetitions per min will be recorded. b. To assess the endurance: The patient will be asked to perform extension as per mentioned above and maintain the position, the duration of hold in seconds will be recorded. FIG 9.3 19 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” RESULTS 20 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” An observational study was performed in which the strength and endurance of trunk flexors and extensors were assessed. The values were collected for both the attributes of fitness. Statistics was performed using the software Graph Prism; they were performed using the Pearson Correlation test while keeping confidence interval 95% and level of significance p ≤ 0.05. 1. Mean difference between the endurance of trunk flexors and extensors 2. Mean difference between the strength of trunk flexors and extensors 3. Correlation between the strength and endurance of trunk flexors 4. Correlation between the strength and endurance of trunk extensors There were 60 subjects taken out of 14 were male and 46 were female. The age criteria selected was between 18yrs to 30yrs; therefore the mean age was 19yrs. Gender Distribution 14 Male Female 46 FIG 10.1: GENDER DISTRIBUTION 21 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” Table 10.1: Mean difference between the endurance of trunk flexors and extensors Endurance of TF Mean 42.78 Standard deviation 27.83 Endurance of TE 53.72 30.49 Mean Difference between the Endurance of Trunk Flexors and Trunk Extensors 60 50 MEAN 40 30 20 Trunk Extensors Trunk Flexors 10 0 1 2 Graph 10.2 22 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” Table 10.2: Mean difference between the strength of trunk flexors and extensors Mean Standard deviation Strength of TF 20.30 8.224 Strength of TE 25.32 14.21 Mean Difference between the Strength of Trunk Flexors and Trunk Extensors 30 25 MEAN 20 15 10 Trunk Flexors Trunk Extensors 1 2 5 0 Graph 10.3 23 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” Table 10.3: Correlation between the strength and endurance of Trunk Flexors Mean Standard deviation Pearson r Value Strength 20.3 8.224 0.5676 Endurance 42.78 27.83 P Value <0.0001 Correlation between the strength and endurance of Trunk Flexors Endurance of TF 200 150 100 50 50 40 30 20 10 0 0 Strength of TF Graph 10.4 INTERPRETATION: There is significant positive correlation between the strength and endurance of trunk flexors 24 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” Table 10.4:Correlation between the strength and endurance of Trunk Extensors Mean Standard deviation Pearson r Value Strength 42.78 27.83 0.6162 Endurance 53.72 30.49 P value <0.0001 Correlation between the strength and endurance of Trunk Extensors Endurance of TE 150 100 50 80 60 40 20 0 0 Strength of TE Graph 10.5 INTERPRETATION: There is significant positive correlation between the strength and endurance of trunk extensors 25 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” DISCUSSION 26 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” DISCUSSION The purpose of the study was to find out whether there is any correlation between the strength and endurance of individual trunk flexors and endurance. Here in this study we had taken a sample of 60 to measure the strength and endurance of muscles. The score was analyzed using Pearson correlation test. The results had shown positive correlation between the strength and endurance and mean of trunk extensor’s strength and endurance is greater than trunk flexors. Poor endurance of the trunk muscles may induce strain on the passive structures of the lumbar spine, leading eventually to low back pain. Evidence suggests that muscle endurance is lower for people with low back pain than for individuals without low back pain. Core Stability- Core stability is the ability of body to control the whole range of motion of a joint thereby not creating deformity, neurological deficits, or incapacitating pain. Core stability is the strengthening of the corset of muscle surrounding the back and abdomen hip complex in order to stabile the spine, pelvis and kinetic chain during functional movement. Transversus Abdominus, Multifidus, Diaphragm and pelvic floor muscle are the main muscle. These muscles are also known as the ‘core’ or ‘power house’ muscles and provide a solid base upon which all other muscle can work upon to initiate movement. The values of extensor group of muscle is greater than of flexor group as extensor group of muscles are antigravity muscles is the role played by trunk muscles. In healthy individuals the tension of these muscles stabilizes the trunk during sitting, standing, movement and physical work. As a result of pain symptoms and spinal movement limitation there results in a disappearance of trunk muscles out of inactivity that results in a reduction in their strength. The endurance of the muscles of the lumbar spine. They are more susceptible to fatigue from the cephalic sections. This result from the varied morphological 27 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” composition of muscles at various levels of the spine: for research shows that in the direction from the chest part to the lumbar there occurs an increase in the percentage of fast contracting muscle fiber of the extensors. This is confirmed by Holstrom and Moritz 35 who consider that the magnitude of the maxi- mum moment of strength does not strongly correlate with muscle endurance. One of the chief reasons for fatigue during isometric contraction is the impeded flow of blood through the vessels of the working muscles. Nicolaisen T, et al. 1985; 17(3).“Trunk strength, back muscle endurance and low-back trouble”. The strength and endurance of the trunk muscles was studied in relation to the extent of earlier low back pain. The main findings were that the endurance time of trunk extensors was shorter in-group I compared to II and III and trunk muscle strength were independent. Differences in distribution of Slow Twitch and Fast Twitch muscle fibers as suggested as an explanation of the endurance difference. 28 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” LIMITATIONS OF THE STUDY The study sample size was small FURTHER RECOMMENDATION Study can be done with a larger sample size Study can be performed including other fitness attributes also 29 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” CONCLUSION 30 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” CONCLUSION On the basis of result of the present study, it can be concluded that there is positive correlation between the strength and endurance of trunk flexors and extensors muscles. 31 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” SUMMARY 32 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” SUMMARY Physical fitness is the ability to perform aspects of sports or occupations. It is not necessary that if a person with good strength may have good endurance or vice-versa therefore this study was conducted find out whether there is any relation between strength and endurance of individual trunk muscle group. 60 subjects were taken for this study as per convince. Strength was measured in repetition per min and endurance was measured as hold in sec for both trunk flexors and extensors muscles. The data was then tabulated and subjected to statistical analysis by Pearson correlation test. After analyzing the data, these were the following results: There is positive correlation between the strength and endurance of trunk flexors( r=0.5676) There is positive correlation between the strength and endurance of trunk extensors(r=0.6162) Mean of trunk extensor’s strength and endurance were greater than trunk flexors. 33 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” BIBLOGRAPHY 34 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” BIBLOGRAPHY 1. http://en.wikipedia.org/wiki/Physical_fitness 2. CAROLYN KISNER; 6th edition; pg no: 158-159 3. Michael A Clark M Russell. Strong to the core. Article available on your Body; 2006 July Issue Espanal 4. Deyo,R..,and Weinstein, J. (2001). “Low Back Pain”.New England Journal of Medicine, 344, Retrieved February 19, 2007. 5. Dr. Michael Weisman, Differences between mechanical and inflammatory back pain. A segment from Spondylitis Educational Seminar presentation given in Denver, CO in 2008. 6. Journal of Rehabilitation Research and Development Vol. 34 No . 4, October 1997; Pages 440-447 7. Mannion AF, Dumas GA, Stevenson; JM, et al. The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability.Spine 1998; 23:576–84. 8. Plowman SA. Muscular strength, endurance, and flexibility.http://www.cooperinst.org/ftgrefi ntro.asp, 2001. 9. International Journal of Health Sciences & Research (www.ijhsr.org) Vol. 01; Issue 01; Oct. 2011 10. Allen W. Jackson, James R. Morriw, Patrica A. Brill, Harold W. Kohl, Neil F. Gordon, Steven N. Blair. (1998) Journal of Orthopedic and Sports Physical Therapy 35 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” ANNEXURES 36 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” ANNEXURE 10.1 CONSENT FORM Study title: “To Find out Correlation between Trunk Muscle Strength and Endurance in Normal Young Individuals” Name: __________________________________________________________ Age: ______________ Sex: ___________ Address _____________________________________________________________ I have been explained in details about the various questions/tests that will be asked/performed is to assess my functional capacity & health status etc. I have also been explained that all the tests are non-invasive and without any side effect. I understand that my participation in the study is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal right being affected. I understand that the data obtained through the study may be used for research paper publication and I also understand that my identity will not be revealed at any cost. I agree to give my consent for taking my photograph and have no objection against it. I agree to take part in the above study Signature / Thumb impression of the subject: ___________________________ Name of Witness: ___________________________________________ Signature of the Witness: __________________ Signature of Investigator: ___________________ Date: ________________ 37 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” ANNEXURE 10.2 DATA COLLECTION FORM Date: NO: Name: _______________________________________________________________ Age: ______________________________________________________ Gender: ___________________________________________________ Occupation: ________________________________________________ Height: ___________________ Weight: ___________________ BMI: _____________________ Address: ____________________________________________________________________ Outcome Measures: 38 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” ANNEXURE 10.3 MEASUREMENT TOOL FIG 15.1 39 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” ANNEXURE 10.4 MASTER CHART Sr No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Age 20 21 20 19 20 21 19 18 18 18 19 18 18 18 19 19 18 20 19 19 20 19 19 19 20 19 19 22 20 19 21 22 20 19 19 18 Gender Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Male Male Male Male Male Male Male Male Male Male Male Male Male Male Female Female Trunk Flexors Strength (repetition/min) of TF Endurance (hold in sec) of TE Trunk Extensors Strength (repetition/min) of TE Endurance (hold in sec) of TE 18 9 17 15 23 15 21 18 20 26 23 17 15 17 22 19 14 5 15 15 26 31 20 31 32 25 28 38 34 39 10 7 35 30 30 12 5 5 20 15 41 39 75 12 30 16 29 64 19 35 47 38 25 50 18 65 60 73 50 74 61 23 43 159 60 77 30 25 70 75 20 20 23 15 24 27 30 13 35 16 17 21 36 28 21 19 23 28 30 18 23 12 38 40 15 62 49 26 17 70 68 62 6 8 40 31 21 3 32 40 40 35 72 39 90 10 35 62 57 60 25 40 41 46 22 36 58 50 60 135 53 86 120 58 81 91 77 98 25 20 120 100 30 10 40 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals” 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 60 60 Mean 18 18 20 18 20 22 18 20 20 21 20 18 18 21 20 22 20 20 18 20 20 20 20 20 19.5 Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female Female 10 14 14 14 27 26 13 11 25 12 15 22 12 13 29 5 30 25 18 21 19 28 28 15 20.3 80 30 20 25 51 30 30 25 65 8 40 40 20 20 125 25 30 25 40 60 48 72 50 40 42.78333333 31 19 13 19 37 33 7 23 20 17 20 20 10 14 20 10 34 17 20 26 21 30 25 18 25.31666667 100 55 30 60 58 35 17 35 100 50 60 50 20 25 130 20 55 10 35 49 40 60 45 30 53.71666667 41 “To Find Out Correlation Between Trunk Muscle Strength and Endurance In Normal Young Individuals”
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