Effects of Lumber Sustained Natural Apophyseal Glides on Lower Cross Syndrome

NCT ID: NCT06707805

Last Updated: 2025-02-21

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-05-01
• Study Completion Date: 2025-03-31

Brief Summary

A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, alleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality

Detailed Description

A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, eleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality The significance of this study lies in it's potential to improve the health and wellbeing of adults have pain and hypomobility due to lower cross syndrome.By identifying an effective physical therapy intervention for correcting pain and hypomobility , this study provide valueable insight for clinicians in develping effective treatment strategies.

Conditions

Lower Cross Syndrome

Study Design

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

Study Groups

lumber SNAGS

A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome

Group Type: EXPERIMENTAL

lumber SNAGS

Intervention Type: OTHER

: Lumber mobilizations with conventional treatment protocol.

• Lumber Mulligan(SNAGs) technique
• Technique applied at L4-L5, L5-S1 level.
• Techniques applied for flexion ,extension, side bending and rotation 6 to 8 cycles per session

Conventional group

Exercises ,Tens and hotpack

Group Type: OTHER

Traditional Physical therapy

Intervention Type: OTHER

Conventional treatment protocol including moist Heating pad for low back pain for 15 minutes. TENS for pain for 10 minutes. Stretchings of tight muscles would be 1 set of 5-7 reps with 5 sec. hold 3 times a week. Strengthing of weak muscles would be 2-3 times a weak with 10-15 reps.Stretching protocol will be followed for Iliopsoas and erector spinae muscles. Strengthening protocol will be followed for weak abdominals and Gluteus maximus muscles

Interventions

Traditional Physical therapy

Conventional treatment protocol including moist Heating pad for low back pain for 15 minutes. TENS for pain for 10 minutes. Stretchings of tight muscles would be 1 set of 5-7 reps with 5 sec. hold 3 times a week. Strengthing of weak muscles would be 2-3 times a weak with 10-15 reps.Stretching protocol will be followed for Iliopsoas and erector spinae muscles. Strengthening protocol will be followed for weak abdominals and Gluteus maximus muscles

Intervention Type: OTHER

lumber SNAGS

: Lumber mobilizations with conventional treatment protocol.

• Lumber Mulligan(SNAGs) technique
• Technique applied at L4-L5, L5-S1 level.
• Techniques applied for flexion ,extension, side bending and rotation 6 to 8 cycles per session

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age 30 to 50 years.
• Both genders
• Patient came with the complain of low back pain.
• Participants had to present with pain and hypomobility due to lower cross syndrome
• Participants had to meet the criteria for lower cross syndrome indicating tight hip flexors and erector spinae along with weak abdominals and glutei muscles
• Participants with hyperlordotic curve due to lower cross syndrome
• Participants presenting with anterior pelvic tilting greater than angle >7-10 degrees
• Willing to provide informed consent to participate in study

Exclusion Criteria

• Musculoskeletal pathologies affecting the lower back, pelvis, hips, or lower extremities (e.g., herniated disc, lumbar radiculopathy, lumbar stenosis, hip labral tear).
• Participants who had undergone any lumber or pelvic surgery, as it will affect sacroiliac joint mechanics.
• Generalized inflammatory or infective connective tissue disorder
• Pregnancy

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Asmar Fatima, MS OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Orthopaedic hospital

Kotli, Azad Kashmir, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Asmar Fatima, MS-OMPT

Role: CONTACT

asmar.fatima@riphah.edu.pk

03336195644

Facility Contacts

Asmar Fatima, MS-OMPT

Role: primary

asmar.fatima@riphah.edu.pk

03336195644

Amreen Shabbir, MS_OMPT*

Role: backup

zainabamreen06@gmail.com

92 345 5417467

Other Identifiers

REC/MS-PT/01879 Amreen Shabbir

Identifier Type: -

Identifier Source: org_study_id