Professional Documents
Culture Documents
Nivetha Final Project 2
Nivetha Final Project 2
Nivetha Final Project 2
BACHELOR OF PHYSIOTHERAPY
Submitted by
P.NIVITHA
AUGUST 2021
TO COMPARISON OF DYNAMIC PUSH-UP TRAINING AND
PLYOMETRIC PUSHUP TRAINING ON UPPER-BODY POWER
AND STRENGTH.
BACHELOR OF PHYSIOTHERAPY
Submitted By
P.NIVITHA
Chennai
AUGUST 2021
JKK MUNIRAJAH MEDICAL RESEARCH FOUNDATION
COLLEGE OF PHYSIOTHERAPY
Chennai
Certificates
CERTIFICATE
Mrs.THENMOZHI M.P.T.,(Ortho)
JKKMMRF College of Physiotherapy.
Komarapalayam.
Acknowledgement
ACKNOWLEDGEMENT
TABLE OF CONTENTS
01 INTRODUCTION
03 HYPOTHESIS
04 REVIEW OF LITERATURE
05
MATERIALS & METHODOLOGY
➢ Materials
➢ Study Design
➢ Study Setting
➢ Study Sampling
➢ Sampling Duration
➢ Inclusion Criteria
➢ Exclusion Criteria
➢ Parameters
o Special Test
➢ Procedure
06 STATISTICAL TOOLS
07 DATA PRESENTATION
09 DISCUSSION
10 SUMMARY
11 CONCLUSION
12 RECOMMENDATION
13 REFERENCE
14 APPENDIX
➢ Definition of the terms
➢ Treatment techniques
➢ Informed consent form
➢ Assessment chart
➢ Parameters
➢ Case study 1
➢ Case study 2
02
PRE AND POST TEST VALUES OF MEDICINE BALL THROW
TEST GROUP B PAIRED
03
PRE AND POST TEST VALUES OF MEDICINE BALL THROW
TEST GROUP A AND B UNPAIRED
04
PRE AND POST TEST VALUES OF CHEST PRESS TEST
GROUP A PAIRED
The aim of this study was to systematically review and critically appraise the
literature on the kinetics-related characteristics of different types of push-ups, with
the objective of optimising training prescription and exercise-related load.Dynamic
pushups is a at-home work out exercise that targets chest and also
involves abs and shoulders and triceps.
Under conditions of maximal exertion, the cardiac output may increase more than
fourfold to meet this need.at low levels of exercise, the increase in cardiac output
is due to an increase in both stroke volume and heart rate. However, as the
intensity of exercise increases, the contribution of the stroke volume to cardiac
output reaches a plateau, and the augmentation of cardiac output becomes
primarily dependent on the ability to increase the heart rate further.
The women had 45, 41, 30 and 25% smaller muscle CSAs for the biceps brachii,
total elbow flexors, vastus lateralis and total knee extensors respectively. The
women were approximately 52% and 66% as strong as the men in the upper and
lower body respectively.
Aim
AIM OF THE STUDY
To find out the effect of dynamic pushups on upper body strength and power for
healthy women .
To find out the effect of plyometric exercise on upper body strength and power
for healthy women .
Hypothesis
HYPOTHESIS
NULL HYPOTHES:
ALTERNATE HYPOTHESIS
Suggestions regarding the use of plyometrics for training of the LE and UE are
presented, and contraindications and empirically based suggestions for criteria to
begin a plyometric programs are included. Acknowledging the lack of evidence in
this realm, recommendations for the volume dosage for plyometric training and a
hierarchy of plyometric exercises progression are provided.
Wilk KE Voight ML Keirns MA, et al. Study titled, Stretch‐shortening drills for
the upper extremities: Theory and clinical applicaiton stated that,Enhanced athletic
performance emphasizes the muscle's ability to exert maximal force output in a
minimal amount of time. Exaggerated maximal muscular force develops due to
athletic movements producing a repeated series of stretch-shortening cycles. The
stretch-shortening cycle occurs when elastic loading, through an eccentric
muscular contraction, is followed by a burst of concentric muscular contraction. A
form of exercise called plyometrics employs a quick, powerful movement
involving a prestretch of the muscle, followed by a shortening, concentric
muscular contraction, thus utilizing the stretch-shortening muscular cycle. The
literature contains numerous references to plyometric training for the lower
extremity, but there is a lack of information on the upper extremity plyometric
program. Overhead activities, such as throwing, necessitate elastic loading to
produce maximal, explosive, concentric muscular contractions. Plyometric
exercise employs the concept of the stretch-shortening muscular cycle. The
rehabilitation concept of specificity of training suggests plyometric exercise drills
should be performed by the throwing athlete. This paper discusses the basic
neurophysiological science and theoretical basis for plyometric exercise, and it
describes an upper extremity stretch-shortening exercise program for the throwing
athlete, And concluded that plyometric is most powerfull form of exercise for
upper extremity strenghthening
Scoville CR Arcerio RA Taylor DC, et al. Study titled, End range eccentric
antagonistic/concentric agonist strength ratios: A new perspective in shoulder
strength assessment. Stated that,The dynamic muscle stabilizers of the shoulder are
critical to high performance in the overhead athlete. Previous evaluations of
shoulder strength have focused on the concentric strength of the rotator cuff.
Functionally, the rotator cuff muscles interact in an eccentric/concentric fashion.
This is the first study to evaluate the end range eccentric antagonist/concentric
agonist ratios of the shoulder rotators. Seventy-five asymptomatic college-level
males were tested through a range of 20 degrees of lateral rotation to 90 degrees of
medial rotation using the Kin-Com computer-assisted, hydraulic-resisted,
isokinetic dynamometer at a speed of 90 degrees/sec. The end range (60-90
degrees) ratios for the medial rotators functioning eccentrically and lateral rotators
functioning concentrically were 2.39:1 and 2.15:1 for the dominant and
nondominant shoulders, respectively. End range (10 degrees of lateral rotation-20
degrees of medial rotation) ratios for lateral rotators functioning eccentrically and
medial rotators functioning concentrically were 1.08:1 and 1.05:1 for the dominant
and nondominant shoulders, respectively. The application of this functional
assessment of strength testing results may provide important information in the
evaluation of the injured shoulder in the overhead athlete, for prescreening, and to
gauge return to sports after injury or surgery
You sihn et al. study titled,Effect of the push-up exercise at different palmar
width on muscle activities stated that, Push-up exercise (PUE) is a representative
closed kinetic chain exercise (CKCE) that can strengthen shoulder and truncus
muscles in daily living. CKCE is performed by applying resistance to the proximal
and distal parts of limbs simultaneously while the distal is kept immobile. It is
frequently used in exercise programs for dynamic stability of joints and upright
posture maintenance because it causes co-contraction of various muscles, in
addition to enhancing muscle strength and endurance, and provides more
proprioception by stimulating afferent rec muscles8), and frequently used in
rehabilitation programs for patients with shoulder damage .the study reported that
reported that when there is an imbalance in the stabilizing muscles of the scapula,
exercise focusing on the SA is beneficial and that the relative contribution of the
SA is also higher than those of other muscles. reported that the activity of the SA
increased significantly when the palmar width was large during PUE, which is
consistent with the experimental results of the present study showing that PUE
with the 150% palmar width is more effective in muscle performance of SA.
Materials
Rubberboard board
Medicine ball
Study Setting
Study Duration
Study Sampling
Inclusion Criteria
PARAMETERS
1. Chest press test
2. Medicinal ball put test.
CHEST PRESS TEST
In this test each subject was seated on the bench of the
Nautilus double chest machine With her back against the back rest inclined at
angle approximately 45°from the vertical. The test movement began from a
position ➢ Armflexion-2secs duration
➢ Armextension-2secs
Medicine ball throw test
In this test each subject was seated on an adjustable bench With her back oriented
vertically against a back support this horizontal knees flexed at90°and ankles
fixed behind swivel pads at the base of the bench.
Subjects completed 10medicine ball puts, with an approximate 45secs rest
between each trial.
The over-head throw for distance is a test of upper body strength and explosive
power, involving throwing the ball forwards from over the head. To measure
upper body strength and explosive power.
Dynamic Push-Up training
In the starting position the knees and toes were in the contact with the
ground.
The hands were positioned shoulder width apart over the ground and
remain straight, supporting the body weight.
From this position, the subject lowered his body until his chest almost
touched the ground. Without pausing, the subjects straightened their
arm and comeback in the starting position, by pushing the trunk upwards.
During the exercise the knees and toes were remain in the contact with the
ground. Subjects performed the push- ups approximately in 4 second (2 sec.
down and 2 sec. up).
Plyometric Push-Up Training
From this position they allowed themselves to fall forward, extending their
arms forward with slight elbow flexion, in preparation for contact with
the ground.
At contact, the subject gradually absorbed the force of the fall by further
flexing the elbows and gradually stopped the movement with the chest
nearly touching the floor. Immediately after stopping the downward motion,
the subject reversed the action by rapidly extending his arms and
propelling his trunk back to the starting position and the sets of repetition of
exercises
PROCEDURES
PROCEDURE
30 subjects were selected based on the Inclusion and Exclusion criteria and were
divided into 2 groups as Group A and Group B.
Group A received dynamic pushup training and Group B received plyometric
pushup training.
Prior to the treatment pretest was conducted for group A and group B and the
results were recorded.
Both groups were participated in the study three days in a week for six
weeks and collect the data prior to training program and after the end of
training program.
15 minute warm-up exercises were performed before each training session.
All the subjects were completed,.
Sessions- 18 sessions
Frequency- 3 sessions per week
STATISTICAL TOOL
STATISTICAL TOOL
The statistical tool used in this study was paired t-test and unpaired t-test.
Paired ‘t’ Test
The paired ‘t’-test was used for comparing the pre Vs post-test
value of VAS & HDI scales for group A and group B separately.
s =
dn
t =s
Where,
Where,
n1 = number of
subjects in Group A n2
= number of subjects
in Group B
S = standard deviation
Data Presentation
DATA PRESENTATION
Table 1: Group A
Dynamic Pushup Training
S.NO
Pre Test Post Test Pre Test Post Test
1. 12 13.1 50 50
2. 10.5 11.8 47 52
3. 9.8 11.5 35 40
4. 8.9 9.8 30 35
5. 11.3 12.1 31 36
6. 12.5 13.2 36 39
7. 8 9.1 42 46
8. 10.8 11.9 48 50
9. 9 9.8 30 35
10. 10.3 11.1 38 39
11. 12.3 13.1 32 34
12. 8.5 9.3 49 50
13. 11.8 13.1 46 48
14 9.5 10.7 44 50
15 12.3 18.2 35 35
Data Analysis & Interpretation
DATA ANALYSIS & INTERPRETATION
This chapter deals with the analysis and interpretation of data’s collected from Group A
and Group B who underwent dynamic pushup training and plyometric training.
TABLE 1
DYNAMIC PUSHUP TRAINING
PRE AND POST TEST VALUES OF MEDICINE BALL THROW TEST GROUP A
PAIRED
MEAN M.D S.D T-VALUE
Pre test 10.2367 0.99 0.37 10.4443
Post test 11.23333
This Table shows the analysis of MBT score in GROUP A patients. The paired ‘t’ value of
pre test and post test session for GROUP A was 10.4443. The result shows that there was a
statistically significant different between the pre test and post test results. The pre test mean
was 10.2367, the post test mean was 11.2333 and pre versus post test mean difference was
0.99, which shows that improve upper body power and strength in post test results in response
to intervention.
GRAPH-l Mean Values of Group A for Medicine Ball Throw
TABLE 2
DYNAMIC PUSHUP TRAINING
PRE AND POST TEST VALUES OF MEDICINE BALL THROW TEST GROUP
B PAIRED
This Table shows the analysis of MBT score in GROUP A patients. The paired ‘t’ value of
pre test and post test session for GROUP A was 15.0246. The result shows that there was a
statistically significant different between the pre test and post test results. The pre test mean
was 10.500, the post test mean was 11.533 and pre versus post test mean difference was 1.033,
which shows that improve upper body power and strength in post test results in response to
intervention.
GRAPH-2 Mean Values of Group B for Medicine Ball Throw
TABLE 3
GROUP A AND B UNPAIRED
MEAN M.D S.D T-VALUE
Pre test 0.99 0.037 0.455 0.311
Post test 1.033
This Table shows the mean values of the groups, the unpaired ‘t’ test value was 0.311. Which
shows that there was statistically significant different between GROUP A and GROUP B.
The pre versus post test mean in GROUP A was 0.99, the pre versus post test mean in
GROUP B was 1.033, and mean difference between GROUP B and GROUP A was 0.037,
which shows that improvement in upper body power and strength greater in GROUP B than
GROUP A.
GRAPH-3 Mean Values of Group A and Group B for Medicine Ball Throw
TABLE 4
PRE AND POST TEST VALUES OF CHEST PRESS TEST GROUP A PAIRED
This Table shows the analysis of CHEST PRESS score in GROUP B patients. The paired ‘t’
value of pre test and post test session for GROUP A was 12.8079. The result shows that there
was statistically significant different between the pre test and post test results.The pre test
mean was 38.33; the post test mean was 43.47 and pre versus post test mean difference was
5.13, which shows that there was increase upper body power and strength in post test results
GRAPH-lV Mean Values of Group A for Chest Press
TABLE 5
PRE AND POST TEST VALUES OF CHEST PRESS TEST GROUP B PAIRED
MEAN M.D S.D T-VALUE
Pre test 40.07 3.933 1.534 9.932
Post test 44
This Table shows the analysis of CHEST PRESS score in GROUP B patients. The paired ‘t’
value of pre test and post test session for GROUP A was 9.932. The result shows that there
was statistically significant different between the pre test and post test results. The
pre test mean was 40.07; the post test mean was 44 and pre versus post test mean difference
was 3.933, which shows that there was upper body power and sregnth in post test results in
response to intervention.
GRAPH-V Mean Values of Group B for Chess Press
TABLE 6
GROUP A AND B PLYOMETRIC PUSHUP PAIRED
MEAN M.D S.D T-VALUE
Pre test 5.14 1.2 2.178 2.1298
Post test 3.93
This Table shows the mean values of two groups, the unpaired ‘t’ value was 2.1298. The
result shows that there was statistically significant different between GROUP A and GROUP
B. The pre versus post test mean in GROUP A was 5.14, the pre versus post test mean in
GROUP B was 3.93 and mean difference between GROUP A and GROUP B was 1.2, which
shows that there more improvement in range of motion GROUP A than GROUP B.
Therefore the study was rejecting the null hypothesis and accepting the alternative hypothesis.
Discussion
DISCUSSION
The study investigates the effectiveness of dynamic push-up training and plyometric
push-up training on upper-body power and strength among age group 18 -35 .we select 30
patients randomly by convenient sampling and our study is experimental study were we
investigates power strength and endurance of upper extremity.
Medicine ball throw test and chest press test were taken as parameters.
Robert U Newton, conduct a study with healthy women and purpose of the study was to
find out the effectiveness of upper body plyometric training with using medicine balls floor.
According to the Rita LaRosaloud, purpose of the study was to find out the
significant improvements in chest press.
JefferyFVossen, conducted the study was to compare dynamic pushup (DPU) and
plyometric push-up(PPU)training programs. The PPU group experienced significantly
greater improvements than the DPU group on the medicine ball put. Wissem dhabi
(2018) stated that kinectic pushup exercise strenghtens the body and also explains
various pushup positions to improvr strengthening.
Pankaj (2015) stated that both dynamaic pushup and plyometric traning improves
strenghthening in upper extremity and its body performance. Abbas AV (2009)
explains commpariness of three plyometric pushup training in muscle
strengthening.Plyometric exercises which can strength hip extensor muscle, have been
often considered to increase muscle power values in runners and jumpers, although
the research findings are inconsistent.
chimielweski (2006)Plyometric exercise selection is another crucial element to
consider. Programs aimed at enhancing performance must be designed differently
from those that target reducing landing forces and minimizing injury risk . The
exercises should be as specific to the tasks or skill set performed in the sport. For
example, long jump training should be used instead of VJ to improve swim start
performances . PT is considered to improve fitness characteristics that rely more on
reactive strength and powerful leg push-off such as, lateral reaction time, 4 m lateral
and forward sprints, drop jump and maximal force Although sagittal plane, but not
frontal plane, PT significantly improved VJ height in basketball players. Coaches
should implement both types of PT as both contribute to improved power and speed .
Issam Makklouf (2018) finds that, Hence, static (BPT) and dynamic (APT) balance
training were more effective in the enhancement of measures that may be more
adversely affected by instability versus more stable performance measures such as
KE, lower back, and handgrip MVICs, and static balance (Stork test). It is
recommended based on the present study and prior literature that youth first
incorporate balance training exercises into their training regimes whether it be for
strength or power and then progress by adding more complex and challenging balance
activities such as agility that add greater speeds and torques to the metastable
challenges.
SUMMARY AND CONCLUSSION
SUMMARY AND CONCLUSION
The purpose of the study was to cooperation of dynamic push-up training and plyometric
push-up training on upper-body power and strength healthy women.The total number of 30
subjects were selected with healthy women with concern to all the inclusion and exclusion
criteria. Subjects were informed about the study and proper consent was taken. Medicine ball
throw and chest press were taken as parameters. Pre test data was collected for Group A and
Group B.
Group A was treated with dynamic push up training and Group B was treated with plyometric
push up training. The paired `t` test was used to compare the pre Vs post test result of Group
A and Group B separately. The unpaired ‘t’ test was used to compare the mean difference of
group A and group B. In the analysis and interpretation of medicine ball throw between group
A and group B The mean values of the groups, the unpaired ‘t’ test value was 0.311. Which
shows that there was statistically significant different between GROUP A and GROUP B.
The pre versus post test mean in GROUP A was 0.99, the pre versus post test mean in
GROUP B was 1.033, and mean difference between GROUP B and GROUP A
was 0.037, which shows that improvement in upper body power and strength greater in
GROUP B than GROUP A.
In the analysis and interpretation of chest press between group A and group B,The mean values
of two groups, the unpaired ‘t’ value was 2.1298. The result shows that there was statistically
significant different between GROUP A and GROUP B. The pre versus post test mean in
GROUP A was 5.14, the pre versus post test mean in GROUP B was 3.93 and mean difference
between GROUP A and GROUP B was 1.2, which shows that there more improvement in
range of motion GROUP A than GROUP B.
CONCLUSION:
It is concluded that both MBT group and CP showed significant results and improvement in
upper body power and strength. Plyometric push-up training is more effective than dynamic
push-up training.
REFERANCE
REFERANCE
2. Chu DA Panariello RA. Jumping into plyometrics: Sport specific plyometrics: Baseball
pitching. Nat Strength & Cond Assn J. 1989;11:81‐85.
3. Chu DA Plummer L. The language of plyometrics. Nat Strength Cond Assn J. 1984;6:30‐35.
4. Pezzullo DJ Karas S Irrgang JJ. Functional plyometric exercises for the throwing athlete. J
Athl Train. 1995;30(1):22‐26.
6. Chu DA. Jumping into Plyometrics. Champaign, IL: Leisure Press; 1992.
8. Chu DA. Explosive Power and Strength. Champaign, IL: Human Kinetics; 1996.
9. Chu DA Cordier DJ. Plyometrics in rehabilitation. In: Ellenbecker TS, ed. Knee Ligament
Rehabilitation: Churchill; Livingstone; 2000.
10. Costello F. Bounding to the Top: The Complete Book on Plyometric Training. West Bowie,
MD: Athletic Training Consultants; 1990.
11. Gambetta V Odgers S. The Complete Guide to Medicine Ball Training. Sarasota, FL:
Optimum Sports Training; 1991.
12. Wilk KE Voight ML Keirns MA, et al. Stretch‐shortening drills for the upper extremities:
Theory and clinical applicaiton. J Orthop Sports Phys Ther. 1993;17(5):225‐239.
13. Wilt F. Plyometrics: What it is and how it works. Athl J. 1975;55(5):89‐90.
14. Scoville CR Arcerio RA Taylor DC, et al. End range eccentric antagonistic/concentric
agonist strength ratios: A new perspective in shoulder strength assessment. J Orthop Sports
Phys Ther. 1997;25:203‐207.
15. Davies GJ Ellenbecker TS. Eccentric Isokinetics. Orthop Phys Ther Clin N Am.
1992;1(2):297‐336.
17. Asmussen E Bonde‐Peterson F. Storage of elastic energy in skeletal muscle in man. Acta
Physiol Scand. 1974;91(3):385‐392.
18. Bosco C Komi PV. Potentiation of the mechanical behavior of the human skeletal muscle
through pre‐stretching. Acta Physiol Scand. 1979;106:467‐472.
19. Bosco C Komi PV Ito A. Prestretch potentiation of human skeletal muscle during ballistic
movements. Acta Physiol Scand. 1981;111:273‐282.
20. Bosco C Viitasalo JT Komi PV Luhtanen P. Combined effect of elastic energy and
myoelectrical potentiation during stretch‐shortening cycle exercise. Acta Physiol Scand.
1982;114
APPENDIX
INFORMED CONSENT TO VOLUNTARILY PARTICIPATE IN RESEARCH
INVESTIGATION
Department of Physical Therapy
JKK Munirajah Medical Research Foundation
Komarapalayam-638 183, Tamilnadu
Name :
Age :
Gender :
Occupation :
Address for Communication :
DECLARATION:
I have understood the nature and the purpose of the study. I accept to be a subject
in this study. I declare that the above information in true to my knowledge.