Effect of repetitive spinal extension exercises in standing versus lying on cardiovascular responses in individuals
Corresponding Author(s) : Vidhi Kalantri
kalantrividhi@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 9 No. 2 (2021): 2021 Volume - 9 Issue - 2
Abstract
Background
Repetitive spinal extension exercises have effects on cardiovascular system and it differs when performed in different positions like lying and standing. Rate Pressure Product (RPP) is a valuable marker of cardiac function. Rate Pressure Product (RPP) is the product of mean Heart Rate and mean Systolic Blood Pressure and 10-2.
Aim
The aim of the study was to evaluate the effect of repetitive spinal extension exercises in standing versus lying on cardiovascular responses in individuals when these exercises were repeated 10, 15 and 20 times.
Method
100 subject both males and females were selected between the age group of 20-40 years. Baseline measures of resting heart rate, blood pressure, and rate pressure product were taken before and after each set of exercise i.e. 10, 15 and 20 repetitions with a 15 minute rest between the sets.
Results
The result of this study showed that Rate Pressure Product increases after 10, 15 and 20 repetitions of spinal extension exercises in both extension in lying and extension in standing.(p<0.0001)When compared between both the exercises, results of our study showed that cardiovascular changes were more marked in Extension in Lying than Extension in Standing.
Conclusion
The study concluded that repetitive spinal extension in lying shows more significant effect on cardiovascular response than in standing.
Keywords
Extension in standing
Extension in lying
Heart rate
Systolic blood pressure
Rate Pressure Product
1.
Mahesh Mitra, Vidhi Kalantri. Effect of repetitive spinal extension exercises in standing versus lying on cardiovascular responses in individuals. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2021 Jun. 25 [cited 2025 Nov. 6];9(2):307-12. Available from: https://ijamscr.com/ijamscr/article/view/1012
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References
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1. KarthikeyanS, Roshini R, NagaletchumyS, AbudaheerS, KV, Jubish, KarthikeyanR. Repetitive Mckenzie Spinal Extension exercises on cardiovascular responses in class 1 obese subjects. IntJ Physiother. 2016; 3(5):630-6.
2. Al-ObaidiS, Anthony J, Dean E, Al-Shuwai N. Cardiovascular Responses to Repetitive McKenzie lumbar spine exercises.PhysTher.2001; 81(9):1524-33. doi: 10.1093/ptj/81.9.1524, PMID 11688589.
3. KatchVictorL, McArdleWilliamD, KatchFrankI. Essentials of exercisephysiology. 4thed.
4. SembulingamPrema, SembulingamK, Saraswathi IlangoSrideviG. IOSR.J Dent MedSci; 14(4)Ver II (Apr. 2015):08-12: Rate Pressure Product as a Determinant of Physical Fitness in Normal Young Adults.
5. MalikManoj, SharmaShweta.ParulSharma and SumedhaSangwan.Indian JSci Res. 2018; 08(2):91-7: Effect of Repetitive Mckenzie Lumbar Exercises on the Cardiovascular System of Normal Individuals.
6. NandaniPC. A study to evaluate the hemodynamic response to repetitive Mckenzie exercises in healthy subjects. Indian J PhysTher.
7. Essentials of medicalphysiology. KSembulingam,Prema Sembulingam. 7thed.
8. Treat your own back, Robin Mckenzie; 42:44.
9. ChaurasiaBD’s Human Anatomy Volume 1.7thed.
10. KisnerC, Colby LA. Therapeutic exercise: foundations and techniques. 6thed.
11. Muscles testing and function with posture and pain. Kendall. 5thed.
12. Text book of medical physiology. Guyton and hall. 11thed.
13. Carpio-Rivera Elizabeth, Moncada-JimenezJose, Salazar-RojasWalter, Solera-HerreraAndrea. Acute effects of exercise on Blood Pressure: AMeta - Analytic Investigation. University of Costa Rica; 2015.
14. Agrawal SonalS. Effect of repetitive Mckenzie lumbar spine exercises on cardiovascular system. Int J Med Res Health Sci. 2014; 3(3).
15. KispertCP. Clinical Measurements to assess cardiopulmonary function. PhysTher.December1987; 67(12):1886-90. doi: 10.1093/ptj/67.12.1886, PMID 3685117.
16. MitchellJereH, WildenthalKern. Static (isometric) exercise and the heart: physiological and clinicalconsiderations. Annu Rev Med. 1974; 25:369-81. doi: 10.1146/annurev.me.25.020174.002101, PMID 4596232.
17. forjazCLM, Matsudaira Y, Rodrigues FB, Nunes N, Negrão CE. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans. Braz J Med Biol Res. 1998; 31(10):1247-55. doi: 10.1590/s0100-879x1998001000003, PMID 9876294.
18. MeenakshiBagri, SonuPunia. Cardiovascular response to Mckenzieflexion and Extension exercises in standing and lyingposition in prehypertensive individuals. Indian J Physiother OccupTher. January2014.
19. GobelFredarickL, Nordstrom KeonardA, Nelson RichardR, Jorgensen CharlesR, WangYang.M.D.therate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris. 1977.
20. TyrovolasStefanos, Panagiotakos Demosthenes, Georgousopoulou Ekavi, Chrysohoou Christina, Tousoulis Dimitrios, Haro Josep Maria, Pitsavos Christos. Skeletal muscle mass in relation to 10 year cardiovascular disease incidence among middle aged and older adults: theAttica study. J Epidemiol Community Health. 2020; 74(1):26-31. doi: 10.1136/jech-2019-212268, PMID 31712252.
21. Pescatello LS, Fargo AE, Leach CN, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure. Circulation. 1991; 83(5):1557-61. doi: 10.1161/01.cir.83.5.1557. PMID 2022015.
22. Bonde-PetersenFlemming, Knuttgen HowardG, Henriksson Jan. Muscle metabolism during exercise with concentric and eccentric contractions. J Appl Physiol. 1972; 33(6):792-5. doi: 10.1152/jappl.1972.33.6.792, PMID 4643859
References
1. KarthikeyanS, Roshini R, NagaletchumyS, AbudaheerS, KV, Jubish, KarthikeyanR. Repetitive Mckenzie Spinal Extension exercises on cardiovascular responses in class 1 obese subjects. IntJ Physiother. 2016; 3(5):630-6.
2. Al-ObaidiS, Anthony J, Dean E, Al-Shuwai N. Cardiovascular Responses to Repetitive McKenzie lumbar spine exercises.PhysTher.2001; 81(9):1524-33. doi: 10.1093/ptj/81.9.1524, PMID 11688589.
3. KatchVictorL, McArdleWilliamD, KatchFrankI. Essentials of exercisephysiology. 4thed.
4. SembulingamPrema, SembulingamK, Saraswathi IlangoSrideviG. IOSR.J Dent MedSci; 14(4)Ver II (Apr. 2015):08-12: Rate Pressure Product as a Determinant of Physical Fitness in Normal Young Adults.
5. MalikManoj, SharmaShweta.ParulSharma and SumedhaSangwan.Indian JSci Res. 2018; 08(2):91-7: Effect of Repetitive Mckenzie Lumbar Exercises on the Cardiovascular System of Normal Individuals.
6. NandaniPC. A study to evaluate the hemodynamic response to repetitive Mckenzie exercises in healthy subjects. Indian J PhysTher.
7. Essentials of medicalphysiology. KSembulingam,Prema Sembulingam. 7thed.
8. Treat your own back, Robin Mckenzie; 42:44.
9. ChaurasiaBD’s Human Anatomy Volume 1.7thed.
10. KisnerC, Colby LA. Therapeutic exercise: foundations and techniques. 6thed.
11. Muscles testing and function with posture and pain. Kendall. 5thed.
12. Text book of medical physiology. Guyton and hall. 11thed.
13. Carpio-Rivera Elizabeth, Moncada-JimenezJose, Salazar-RojasWalter, Solera-HerreraAndrea. Acute effects of exercise on Blood Pressure: AMeta - Analytic Investigation. University of Costa Rica; 2015.
14. Agrawal SonalS. Effect of repetitive Mckenzie lumbar spine exercises on cardiovascular system. Int J Med Res Health Sci. 2014; 3(3).
15. KispertCP. Clinical Measurements to assess cardiopulmonary function. PhysTher.December1987; 67(12):1886-90. doi: 10.1093/ptj/67.12.1886, PMID 3685117.
16. MitchellJereH, WildenthalKern. Static (isometric) exercise and the heart: physiological and clinicalconsiderations. Annu Rev Med. 1974; 25:369-81. doi: 10.1146/annurev.me.25.020174.002101, PMID 4596232.
17. forjazCLM, Matsudaira Y, Rodrigues FB, Nunes N, Negrão CE. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans. Braz J Med Biol Res. 1998; 31(10):1247-55. doi: 10.1590/s0100-879x1998001000003, PMID 9876294.
18. MeenakshiBagri, SonuPunia. Cardiovascular response to Mckenzieflexion and Extension exercises in standing and lyingposition in prehypertensive individuals. Indian J Physiother OccupTher. January2014.
19. GobelFredarickL, Nordstrom KeonardA, Nelson RichardR, Jorgensen CharlesR, WangYang.M.D.therate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris. 1977.
20. TyrovolasStefanos, Panagiotakos Demosthenes, Georgousopoulou Ekavi, Chrysohoou Christina, Tousoulis Dimitrios, Haro Josep Maria, Pitsavos Christos. Skeletal muscle mass in relation to 10 year cardiovascular disease incidence among middle aged and older adults: theAttica study. J Epidemiol Community Health. 2020; 74(1):26-31. doi: 10.1136/jech-2019-212268, PMID 31712252.
21. Pescatello LS, Fargo AE, Leach CN, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure. Circulation. 1991; 83(5):1557-61. doi: 10.1161/01.cir.83.5.1557. PMID 2022015.
22. Bonde-PetersenFlemming, Knuttgen HowardG, Henriksson Jan. Muscle metabolism during exercise with concentric and eccentric contractions. J Appl Physiol. 1972; 33(6):792-5. doi: 10.1152/jappl.1972.33.6.792, PMID 4643859
2. Al-ObaidiS, Anthony J, Dean E, Al-Shuwai N. Cardiovascular Responses to Repetitive McKenzie lumbar spine exercises.PhysTher.2001; 81(9):1524-33. doi: 10.1093/ptj/81.9.1524, PMID 11688589.
3. KatchVictorL, McArdleWilliamD, KatchFrankI. Essentials of exercisephysiology. 4thed.
4. SembulingamPrema, SembulingamK, Saraswathi IlangoSrideviG. IOSR.J Dent MedSci; 14(4)Ver II (Apr. 2015):08-12: Rate Pressure Product as a Determinant of Physical Fitness in Normal Young Adults.
5. MalikManoj, SharmaShweta.ParulSharma and SumedhaSangwan.Indian JSci Res. 2018; 08(2):91-7: Effect of Repetitive Mckenzie Lumbar Exercises on the Cardiovascular System of Normal Individuals.
6. NandaniPC. A study to evaluate the hemodynamic response to repetitive Mckenzie exercises in healthy subjects. Indian J PhysTher.
7. Essentials of medicalphysiology. KSembulingam,Prema Sembulingam. 7thed.
8. Treat your own back, Robin Mckenzie; 42:44.
9. ChaurasiaBD’s Human Anatomy Volume 1.7thed.
10. KisnerC, Colby LA. Therapeutic exercise: foundations and techniques. 6thed.
11. Muscles testing and function with posture and pain. Kendall. 5thed.
12. Text book of medical physiology. Guyton and hall. 11thed.
13. Carpio-Rivera Elizabeth, Moncada-JimenezJose, Salazar-RojasWalter, Solera-HerreraAndrea. Acute effects of exercise on Blood Pressure: AMeta - Analytic Investigation. University of Costa Rica; 2015.
14. Agrawal SonalS. Effect of repetitive Mckenzie lumbar spine exercises on cardiovascular system. Int J Med Res Health Sci. 2014; 3(3).
15. KispertCP. Clinical Measurements to assess cardiopulmonary function. PhysTher.December1987; 67(12):1886-90. doi: 10.1093/ptj/67.12.1886, PMID 3685117.
16. MitchellJereH, WildenthalKern. Static (isometric) exercise and the heart: physiological and clinicalconsiderations. Annu Rev Med. 1974; 25:369-81. doi: 10.1146/annurev.me.25.020174.002101, PMID 4596232.
17. forjazCLM, Matsudaira Y, Rodrigues FB, Nunes N, Negrão CE. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans. Braz J Med Biol Res. 1998; 31(10):1247-55. doi: 10.1590/s0100-879x1998001000003, PMID 9876294.
18. MeenakshiBagri, SonuPunia. Cardiovascular response to Mckenzieflexion and Extension exercises in standing and lyingposition in prehypertensive individuals. Indian J Physiother OccupTher. January2014.
19. GobelFredarickL, Nordstrom KeonardA, Nelson RichardR, Jorgensen CharlesR, WangYang.M.D.therate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris. 1977.
20. TyrovolasStefanos, Panagiotakos Demosthenes, Georgousopoulou Ekavi, Chrysohoou Christina, Tousoulis Dimitrios, Haro Josep Maria, Pitsavos Christos. Skeletal muscle mass in relation to 10 year cardiovascular disease incidence among middle aged and older adults: theAttica study. J Epidemiol Community Health. 2020; 74(1):26-31. doi: 10.1136/jech-2019-212268, PMID 31712252.
21. Pescatello LS, Fargo AE, Leach CN, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure. Circulation. 1991; 83(5):1557-61. doi: 10.1161/01.cir.83.5.1557. PMID 2022015.
22. Bonde-PetersenFlemming, Knuttgen HowardG, Henriksson Jan. Muscle metabolism during exercise with concentric and eccentric contractions. J Appl Physiol. 1972; 33(6):792-5. doi: 10.1152/jappl.1972.33.6.792, PMID 4643859