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OpenTrials
Completed

NCT Number: NCT06531746

Effect of Extracorporeal Shock Wave on Electrophysiological Changes and Pain in Patients With Lower Cross Syndrome

Lower Cross Syndrome happens when there is muscular imbalance between weak and tight muscles. The tight muscles are generally the hip flexors and erector spinae, and weak muscles are the abdominals and gluteal muscles. Shortening occurs in the hip flexors while weakening occurs in the abdominals and gluteal muscles.

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Key information

Conditions

Lower Cross Syndrome Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

30 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

About this study

Group I (Study): will consist of 20 patients with lower cross syndrome and will receive extracorporeal shock wave in addition to conventional physical therapy program. For 12 sessions every other day, each session for 1 hour.

Group II (Control): will consist of 20 patients with lower cross syndrome and will receive sham extracorporeal shock wave in addition to conventional physical therapy program only same as group (I). For 12 sessions every other day, each session for 1 hour.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Forty-four lower cross syndrome patients from both genders their ages ranged from 30-45 years old.
  • All patients in present study will be ambulant independently.
  • All patients will be medically stable.
  • The body mass index (BMI) will be ranged from 20:25 Kg/m2.

Exclusion criteria

  • Patients with musculoskeletal deformities and disorders.
  • Patients with psychiatric disorders or seizures.
  • Patients with visual and auditory impairment or tremors influencing balance.
  • Patients with other neuromuscular disorders.
  • Patients with BMI more than 25 kg/m2.
  • Patients with cognitive impairment.
  • Patients with lower limb or head and brain surgeries.

Treatment and study plan

Extracorporeal Shock Wave

Other

Participants will receive (2.5 bars, 2000 pulses, 5 Hz, 7 min) rESWT with 1500 shock targeting the taut band of erector spinae, and 500 around the taut band, by using an EME S.r.l. via Degli Abeti 88/161122 Pesaro [serial number:

EM12681015], Italy, shock wave generator.

Conventional physical therapy program

Other

Stretching and strengthening of Iliopoas muscle and Stretching and strengthening of Lower back muscles

Sham (No Treatment)

Device

Sham extracorporeal shock wave will be introduced without real shock wave impulses.

Primary outcomes

  1. Visual Analog Scale

    Time frame: 4 weeks

    Assess pain intensity

  2. Electromyograph

    Time frame: 4 weeks

    Assess activity of lower back muscles (Erector Spinae)

Sponsors and collaborators

Lead sponsor

Ahmed Alshimy

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 1, 2024
Registry last updated
May 19, 2026

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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