Effects of Bruegger's Exercises Versus Egoscue Exercise on Lower Cross Syndrome

NCT ID: NCT06303388

Last Updated: 2024-03-12

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-26
• Study Completion Date: 2024-06-15

Brief Summary

This study aims to find effects of Bruegger's Exercise versus Egoscue exercise on pain and hyperlordosis on patient with lower cross syndrome. This is interventional study which recruits 34 participants ,14 in each group.

Detailed Description

A randomized control trial will be conducted on patients with lower cross syndrome. A total number of 34 participants will be randomised into two groups with 17 participants in each group. Both groups will receive Hot Packs on the lumbar area for 10 minutes. Group A will receive Conventional Therapy and will follow protocol of Bruegger's Exercise. Group B will follow protocol of the Egoscue exercise. This study aims to decrease pain and hyperlordosis.

Each group will be assessed at baseline which will include pain through NPRS, hyperlordosis through flexicurve ruler and anterior pelvic tilt through pelvic inclinometer. Data from both groups will again be assessed after 4 weeks of intervention.

Protocol of Bruegger's Exercise: Pt. position: Upright sitting on a chair.

1. Sit with your buttocks at the edge of a chair.

2. Spread your legs apart slightly.

3. Turn your toes out slightly.

4. Rest your weight on your legs/feet & relax your abdominal muscles.

5. Tilt your pelvis forward (i.e. arch your lower back) while lifting your chest up

6. Rotate your arms outward while turning your palms up.

7. Hold your head high in the air, with a slight arch in the neck.

The patient is to perform this exercise once or twice every 20-30 minutes of prolonged sitting and held in this position for 30-60 seconds. To avoid non-compliance patient will be asked to perform five repetitions of particular exercise with five second hold during their clinical session.

Protocol of Egoscue Exercise The Egoscue group received a total of 10 exercises which includes

1. Static back alone and with breathing

2. Abdominal contraction while in the static back position

3. abductor press

4. Overhead extension

5. elbow curls on a wall

6. Static wall

7. Upper spinal twist

8. pelvic tilts

9. supine groin progressive

10. Air bench exercises

Week 1: 3 times with 10 s hold time Week 2: 5 times with 10 s hold time Week 3: 15 times with 10 s hold time Week 4: 20 times with 10 s hold time

Conditions

Lower Cross Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Egoscue Exercise

• The Egoscue exercise comprise of 10 exercises which Included

1. Static back alone and with breathing.

2. Abdominal contraction while in the static back position.

3. abductor press

4. overhead extension

5. elbow curls on a wall

6. static wall

7. upper spinal twist 8 pelvic tilts

9.supine groin progressive 10.air bench exercises.

Group Type: EXPERIMENTAL

Egoscue Exercise

Intervention Type: OTHER

Egoscue Exercise along with conventional Physiotherapy.

Bruegger's Exercise

steps include in Breugger's Exercise

1. Sit with your buttocks at the edge of a chair.

2. Spread your legs apart slightly.

3. Turn your toes out slightly.

4. Rest your weight on your legs/feet & relax your abdominal muscles.

5. Tilt your pelvis forward (i.e. arch your lower back) while lifting your chest up

6. Rotate your arms outward while turning your palms up.

7. Hold your head high in the air, with a slight arch in the neck. The patient is to slowly exhale by breathing out through their lips while actively externally rotating their arms and spreading their fingers. The patient is to perform this exercise once or twice every 20-30 minutes of prolonged sitting and held in this position for 30-60 seconds

Group Type: ACTIVE_COMPARATOR

Bruegger,s Exercise

Intervention Type: OTHER

Bruegger's Exercise protocol along with conventional Physiotherapy.

Interventions

Bruegger,s Exercise

Bruegger's Exercise protocol along with conventional Physiotherapy.

Intervention Type: OTHER

Egoscue Exercise

Egoscue Exercise along with conventional Physiotherapy.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Participants had to present with low back pain
• Participants had to meet the criteria for lower crossed syndrome indicating tight hip flexors (Modified Thomas test) and erector spinae (visual assessment through toe touching) together with weak glutei (Prone Hip Extension Co-ordination/Strength Test) and abdominals (Trunk Flexion Co-ordination and Strength Test)and thoracic kyphosis.
• Angle of anterior pelvic tilt > 10 degrees

Exclusion Criteria

• Presence of other conditions that may mimic low back pain, e.g. nerve entrapment.
• Participants taking any medication that may interfere with the results of this study including, pain medication, anti-inflammatory medication, and muscle relaxants.
• Surgery on the back, pelvis, or sacrum is indicated or has previously occurred
• LBP having localised or radiating pain.
• Practiced any kind of exercise or sports activity during the last 6 months.

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nadia Ishtiaq, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Pakistan Railway General Hospital

Rawalpindi, Federal, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Imjad, Phd

Role: CONTACT

imran.amjad@riphah.edu.pk

03324390125

Facility Contacts

Abdul Wasay, MS(SPT)

Role: primary

03345056564

References

Waters T. The effect of Bruegger's exercise on chronic low back pain in association with lower crossed syndrome: University of Johannesburg (South Africa); 2014.

Reference Type: BACKGROUND

Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006 Jun 17;332(7555):1430-4. doi: 10.1136/bmj.332.7555.1430. No abstract available.

Reference Type: BACKGROUND

PMID: 16777886 (View on PubMed)

May S, Johnson R. Stabilisation exercises for low back pain: a systematic review. Physiotherapy. 2008;94(3):179-89

Reference Type: BACKGROUND

Nourbakhsh MR, Arabloo AM, Salavati M. The relationship between pelvic cross syndrome and chronic low back pain. Journal of back and musculoskeletal rehabilitation. 2006;19(4):119-28.

Reference Type: BACKGROUND

Kudchadkar GS, Gurudut P, Welling A. Comparative effect of mat pilates and egoscue exercises in asymptomatic individuals with lumbar hyperlordosis: A randomized controlled trial. Indian Journal of Physical Therapy and Research. 2019;1(2):79-88.

Reference Type: BACKGROUND

Sequeira S, Gurudut P, Kage V. Exploring effects of Egoscue versus lumbar stabilisation exercises for lower crossed syndrome on postural stability and hyperlordotic posture correction. Comparative Exercise Physiology. 2023:1-12.

Reference Type: BACKGROUND

Vehrs Z. The Effect of Egoscue Corrective Exercises on Chronic Knee and Hip Pain: Brigham Young University; 2014.

Reference Type: BACKGROUND

Laxmi V R, G N, V S, G M, Gopinath Y, G T. Efficacy of Janda's approach versus bruegger's exercise in pelvic cross syndrome and its impact on quality of life. International Journal of Research in Pharmaceutical Sciences. 2020;11:1701-6.

Reference Type: BACKGROUND

Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005 Jun 1;30(11):1331-4. doi: 10.1097/01.brs.0000164099.92112.29.

Reference Type: BACKGROUND

PMID: 15928561 (View on PubMed)

Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill pain Questionnaire: an overview of psychometric properties. Physical therapy reviews. 2005;10(2):123-8.

Reference Type: BACKGROUND

Macintyre NJ, Bennett L, Bonnyman AM, Stratford PW. Optimizing reliability of digital inclinometer and flexicurve ruler measures of spine curvatures in postmenopausal women with osteoporosis of the spine: an illustration of the use of generalizability theory. ISRN Rheumatol. 2011;2011:571698. doi: 10.5402/2011/571698. Epub 2011 Feb 7.

Reference Type: BACKGROUND

PMID: 22482067 (View on PubMed)

Khan N, Nouman M, Iqbal MA, Anwar K, Sajjad AG, Hussain SA. Comparing the Effect of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome. Pakistan Journal of Medical & Health Sciences. 2022;16(07):31-

Reference Type: BACKGROUND

Other Identifiers

REC/MS-PT/01721

Identifier Type: -

Identifier Source: org_study_id