A Comparison Between the Mézières Method and Isostretching Postures for Frontal Stand Curvatures and Functionality in Elite Female Rhythmic Gymnasts with Low Back Pain: A Randomized Controlled Trial

Rhythmic and artistic gymnastics expose athletes to a high risk of musculoskeletal disorders such as low back pain (LBP), often caused by repetitive and intensive training demands. This study aimed to evaluate the effects of a 12-week postural treatment using the Mézières method, focused on posture correction and vertebral movement assessed with the Spinal Mouse system, in elite rhythmic gymnasts with LBP. A randomized controlled trial with two parallel groups was conducted, comparing the Mézières method to an equivalent isostretching intervention under similar conditions. Seventeen elite gymnasts with LBP participated, receiving two weekly sessions for 12 weeks. Frontal stand posture (upright, left, and right) was measured at baseline, post-treatment, and at 2, 6, and 12 weeks using the Spinal Mouse system. The experimental group (n = 8) received Mézières therapy; the control group (n = 9) received isostretching. Significant differences in pain reduction were found between the groups (p = 0.000). In the frontal upright position, lumbar and sacral segmental angles (p = 0.021) and regional inclination (p = 0.000) also showed significant group differences. Similarly, in the frontal left position, all vertebral variables except LSpTH12 also demonstrated significant differences between the groups, with p-values ranging from 0.001 to 0.017. Both treatments reduced pain and improved flexibility, but the Mézières group showed significantly greater improvements than the isostretching group.