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Completed

NCT Number: NCT07710079

POS Mobilization by 3-DRT Affect Functional Outcome in Layered Syndrome

I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome

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Key information

Conditions

Shoulder Pain Arthralgia Back Pain Joint Diseases Low Back Pain Musculoskeletal Diseases Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Imran Idrees teachingHospital

Sialkot, Punjab Province, 51310, Pakistan

About this study

In previous literature a placebo randomized control trial was conducted. To examine how 3D MFR affects lumbar range of motion and a lumbar lordosis angle in people with asymptomatic hyperlordosis. 30 participants with hyperlordosis who met the inclusion criteria were selected. Using a lottery approach, these individuals were randomly assigned to either the experiemental group or control group, keeping a 1:1 ratio. The experimental group received 3D MFR and the control group received sham 3D MFR for six sessions (3 alternate days for 2 weeks). Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • + Craniocervical flexion test
  • + Fleshe test (Occiput to wall distance)
  • + Thomas test
  • + Straight leg raise (SLR)
  • +Push Up test
  • +Trunk Curl Up test

Exclusion criteria

  • Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region).
  • Presence of medical conditions such as cardiac disease, infections, coagulation disorder.
  • The participants with any musculoskeletal injuries in the past 6 months
  • Cervical dysfunctions affecting upper limbs
  • Lumbar Dysfunctions
  • Any fracture or other injury
  • Any systemic illness
  • Any neurological disease

Treatment and study plan

Conventional physical therapy

Other

Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total

POS Mobilization

Other

In experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching.

POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total

Primary outcomes

  1. Neck disability Index

    Time frame: 4rth week

    Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability.

  2. Oswestry Disability Index

    Time frame: 4rth week

    Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI).

  3. Shoulder Pain and Disability Index

    Time frame: 4rth week

    Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research.

Secondary outcomes

  1. Numeric Pain rating sclae (NPRS)

    Time frame: 4rth week

    Changes from the baseline NPRS consists of an 11-point scale ranging from 0 to 10, where 0 represents "no pain" and 10 indicates the "worst imaginable pain."

  2. ROM Cervical Spine (Flexion)

    Time frame: 4rth week

    Changes from the baseline ROM range of cervical spine flexion was taken

  3. ROM Cervical Spine (Extension)

    Time frame: 4rth

    Changes from the baseline ROM range of cervical spine extension was taken

  4. ROM Cervical Spine (Lateral Flexion)

    Time frame: 4rth

    Changes from the baseline ROM range of cervical spine lateral flexion was taken

  5. ROM Lumbar Spine (Flexion)

    Time frame: 4rth

    Changes from the baseline ROM range of lumbar spine flexion was taken

  6. ROM Lumbar Spine (Extension)

    Time frame: 4rth

    Changes from the baseline ROM range of lumbar spine extension was taken

  7. ROM Shoulder joint (Flexion)

    Time frame: 4rth

    Changes from the baseline ROM range of shoulder joint flexion was taken

  8. ROM Shoulder joint (Abduction)

    Time frame: 4rth

    Changes from the baseline ROM range of shoulder joint abduction was taken

  9. ROM Shoulder joint (External Rotation)

    Time frame: 4rth

    Changes from the baseline ROM range of shoulder joint external rotation was taken

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Posterior Oblique Sling Mobilization by 3-D Release Technique on Pain, Range of Motion and Functional Disability in Layered Syndrome

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 17, 2026
Registry last updated
Jul 17, 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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