Effects of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific LBP.

Low back Pain (LBP) is a primary cause of disability among people of all ages and a major contributor to the global burden of diseases. Non-specific low back pain is a form of low back pain without any specific identified underlying disease or any anatomical abnormality. Global postural reeducation (GPR) is a physical therapy protocol that focuses on eccentrically stretching the muscular chains which are shortened due to behavioral, psychological and constitutional factors. For this method physical therapists guide the patients a series of gentle active movements and maintain postures aiming to stretch the shortened muscles, realign the joints and also enhance the contraction of antagonist muscles. It is a randomized control trial which will be conducted on 30 patients calculated using G*power software. Patients fulfilling the inclusion criteria will be randomized into 2 groups i.e. GROUP A (global postural reeducation with conventional therapy) & GROUP B (conventional therapy). Patients in Group A will receive global postural reeducation technique with conventional therapy and Group B will receive conventional therapy alone which includes hot pack for 15 minutes, Static stretching for iliopsoas and rectus femoris and other exercises two times a week.

Outcomes will be measured at baseline and at the end of 3rd week, at the end of 6th week.

Inclusion criteria

Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopedic Section of the American Physiotherapy Association.

• Housewives (Age 25-40 years)
• Chronic nonspecific LBP (more than 3 months)
• Experience mild to moderate stress (measured by perceived stress scale)
• Sleep disturbances or poor sleep quality (PSQI score>5)

Exclusion criteria

Participant falling in this category would be excluded of the study.

• Pregnancy.
• Using NSAIDs.
• Acute, subacute LBP.
• Females having diagnosed irregular/prolonged menstrual cycles.
• History of recent Spinal surgery (within the past year).
• Neurological deficits (foot drop, motor weakness).
• Diagnosed severe psychiatric issues (e.g. severe depression, bipolar disorder, psychosis).
• Use of sleep medications, antidepressants, or anxiolytics during the study period.
• Specific causes of LBP (herniated disc, lumbar stenosis, spinal deformity, fracture, spondolysthesis).
• Systemic diseases (tumor, Rhematoid arthritis)