Comparison of Stretching and MET in Lower Cross Syndrome

NCT ID: NCT04668040

Last Updated: 2020-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-01

Study Completion Date

2018-12-20

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Cross Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Muscle energy technique

Muscle energy technique applied in the lower cross syndrome muscle pattern.

Group Type EXPERIMENTAL

Muscle energy technique

Intervention Type 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

Stretching technique applied in the lower cross syndrome muscle pattern.

Group Type ACTIVE_COMPARATOR

Stretching

Intervention Type 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

Interventions

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Muscle energy technique

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

Intervention Type OTHER

Stretching

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

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Muhammad Affan Iqbal, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Bibi Zahida Memorial Teaching Hospital NCS

Peshawar, KPK, Pakistan

Site Status

Countries

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Pakistan

References

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Frank C, Page P, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach: Human kinetics; 2009.

Reference Type BACKGROUND

Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 1. J Bodyw Mov Ther. 2008 Jan;12(1):7-21. doi: 10.1016/j.jbmt.2007.04.005. Epub 2007 Jun 11.

Reference Type BACKGROUND
PMID: 19083651 (View on PubMed)

Kolar P. Facilitation of agonist-antagonist co-activation by reflex stimulation methods. Rehabilitation of the Spine. 2007:531-65.

Reference Type BACKGROUND

Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry, 5th edition: FA Davis; 2016.

Reference Type BACKGROUND

Kage MV. Effectiveness of Stretching and Strengthening Exercises in Patients with postural Low Back Pain A Randomized Controlled Trial. 2017.

Reference Type BACKGROUND

Abutaleb EE, Eldesoky MT, El Rasol SA. Effect of Muscle Energy Technique on Anterior Pelvic Tilt in Lumbar Spondylosis Patients. World Academy of Science, Engineering and Technology, International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering. 2015;9(8):651-5.

Reference Type BACKGROUND

Ahmed ET, Abdelkarim SS. Efficacy of muscle energy technique versus static stretching technique in increasing hamstring flexibility post burn contracture. Int J Health Rehabil Sci. 2013;2(1):22-7.

Reference Type BACKGROUND

Other Identifiers

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REC/00383 Nouman Khan

Identifier Type: -

Identifier Source: org_study_id

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