Comparative Effects of Jandas's Approach With and Without Post Isometric Relaxation Technique

NCT ID: NCT06461507

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-30
• Study Completion Date: 2024-10-10

Brief Summary

Posterior lower crossed syndrome is a perplexing puzzle of muscular imbalance, manifests as an intricate interplay between weakened glutes and tight flexors. The aim of the study will be to determine the effects of Jandas's approach with and without post-isometric relaxation technique on pain, muscle flexibility, and functional disability in patients with the posterior lower crossed syndrome.

Detailed Description

A Randomized Controlled Trial will be conducted at physical therapy department of Rabia Welfare Hospital Lahore, FMH Physiotherapy Clinic Lahore and Shafaeen Physiotherapy Clinic Lahore through convenient sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with janda's approach and Group B will be treated with combination of post isometric relaxation technique for Illiopsoas and janda's approach at the frequency of 3 sets with 10 repetitions and twice a week. Outcome measures will be conducted through pain,muscle flexibility, pelvic tilt and disability questionnaire after 4 weeks. Data will be analysed using SPSS software version 25.After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or nonparametric test will be used within a group or between two groups.

Conditions

PELVIS Syndrome

Study Design

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

Study Groups

Group A: Muscle Energy Technique (METs)

▪ Apply METs to the iliopsoas muscle by instructing the patient to do hip flexion and resist movement by pushing their leg down towards the table, activating their iliopsoas muscle. (This contraction is known as an isometric contraction). Maintain the isometric contraction for approximately 5-10 seconds, encouraging the patient to exert maximal effort. After the contraction, relax the patient's leg as they exhale, and take the muscle to its new, slightly increased, passive range of motion.

Group Type: EXPERIMENTAL

Janda's Approach

Intervention Type: OTHER

For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).

Group B: Janda's Approach

For tightened structures stretching, use the Iliopsoas stretch and the Erector spinae stretch (5 repetitions of stretching with 30-s hold for each muscle) For Strengthening Weakened Structures: Glute bridge, Abdominal crunch (10 repetitions of each)

Group Type: ACTIVE_COMPARATOR

Janda's Approach

Intervention Type: OTHER

For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).

Interventions

Janda's Approach

For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age:20-60 years
• Gender: Both males and females
• NPRS (Numerical Pain Rating Scale): < 7
• Positive Finger to Floor Test : > 48cm in males, >50cm for females
• Positive Modified Thomas Test: greater than zero
• Patients with anterior pelvic tilt

Exclusion Criteria

• Preexisting spinal pathology
• Congenital abnormality
• Neurological deficits,
• Recent spinal or lower-limb trauma or surgery
• Spasm of the trunk or lower-limb muscles
• Lower-limb radiculopathy
• Pregnancy

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nimra Azhar, MSPT*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University,Lahore

Locations

Shafeen medical complex Punjab Pakistan

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Key J. 'The core': understanding it, and retraining its dysfunction. J Bodyw Mov Ther. 2013 Oct;17(4):541-59. doi: 10.1016/j.jbmt.2013.03.012. Epub 2013 Jun 28.

Reference Type: BACKGROUND

PMID: 24139017 (View on PubMed)

Roberts JM, Wilson K. Effect of stretching duration on active and passive range of motion in the lower extremity. Br J Sports Med. 1999 Aug;33(4):259-63. doi: 10.1136/bjsm.33.4.259.

Reference Type: BACKGROUND

PMID: 10450481 (View on PubMed)

Kale, S. S. and S. Gijare (2019).

Reference Type: BACKGROUND

Ishida H, Hirose R, Watanabe S. Comparison of changes in the contraction of the lateral abdominal muscles between the abdominal drawing-in maneuver and breathe held at the maximum expiratory level. Man Ther. 2012 Oct;17(5):427-31. doi: 10.1016/j.math.2012.04.006. Epub 2012 May 16.

Reference Type: BACKGROUND

PMID: 22595657 (View on PubMed)

Esakowitz, A. (2014). The effect of muscle energy technique versus chiropractic adjustive therapy in the treatment of chronic low back pain with lower cross syndrome, University of Johannesburg (South Africa).

Reference Type: BACKGROUND

Janda, V. (1987).

Reference Type: BACKGROUND

Other Identifiers

REC/RCR & AHS/23/0194 Nimra

Identifier Type: -

Identifier Source: org_study_id