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Completed

NCT Number: NCT04668040

Comparison of Stretching and MET in Lower Cross Syndrome

The aim of the study is to compare the effects of stretching exercises & muscle energy techniques in the management of lower cross syndrome and to find the effective treatment in the lower cross syndrome management.

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Key information

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bibi Zahida Memorial Teaching Hospital NCS

Peshawar, KPK, 25000, Pakistan

About this study

In 2015 the systematic review estimated that prevalence of Chronic low back pain in 24 to 39 year old individual was 4.2% and the individual between 20 to 59 was 19.6% . The genesis and perpetuation of Low back pain (LBP) has many underlying factors among which one is proposed by Janda's concept of pelvic crossed syndrome. This condition describes a pattern of tight and weak muscles around the pelvis. Marked postural deviation is seen such as increased lumber lordosis and depending on this lordosis the muscle involvement can be distinguished. The center of the gravity is slightly anterior to S1 or S2, which means pelvis position, is key to faulty or good alignment.

Various studies have been done on muscle imbalance Lower crossed syndrome (LCS) using Stretching and Muscle energy Technique (MET). Both have shown superior effects when compared to other treatment modalities/techniques. However there is paucity of literature on effectiveness of stretching and MET in management of LCS.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • LCS pattern in standing position
  • Patients having Chronic low back pain
  • Age : 20-50 years
  • Both male and females
  • Positive Prone Hip Extension movement pattern test

Exclusion criteria

  • Fracture (wedge compression #)
  • Inflammatory disorder
  • Acute disc bulge
  • Lumber instability
  • Idiopathic scoliosis
  • Patient with Rheumatoid arthritis (RA) and other systemic diseases

Treatment and study plan

Muscle Energy Technique

Other

Muscle energy technique for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of contraction was 10 sec, rest interval was 5 sec, stretch duration was 30 sec, number of repetition of stretch was 5, number of set was 1, frequency per week was 3

Stretching

Other

Stretching exercises for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of stretch was 15 sec, rest interval was 5 sec, number of repetition was 5, number of set was 1, frequency per week was 3

Primary outcomes

  1. Numeric pain rating scale

    Time frame: 4th week

    It was calculated through Numeric pain rating scale (NPRS) in which 0 was the lowest value with no pain label and 10 was the highest value with worst possible pain label. The Subjects with respect to their pain intensity were asked to mark a level of NPRS.

  2. ROM assessment of iliopsoas

    Time frame: 4th week

    Range of motion (ROM) was taken via goniometer for iliopsoas was measured with double inclinometer.

  3. ROM assessment of rectus femoris

    Time frame: 4th week

    Range of motion (ROM) was taken via goniometer for rectus femoris was measured with double inclinometer.

  4. ROM assessment of hamstrings

    Time frame: 4th week

    Range of motion (ROM) was taken via goniometer for hamstrings was measured with double inclinometer.

  5. ROM assessment of erector spinae

    Time frame: 4th week

    Range of motion (ROM) was taken via goniometer for erector spinae was measured with double inclinometer.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparing the Effects of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Dec 16, 2020
Registry last updated
Dec 16, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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