Effects of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific LBP.

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-30

Study Completion Date

2026-04-30

Brief Summary

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This study aims to explore the multidimensional impact of Global postural reeducation in a population that is not only physically overburdened but also psychologically strained due to the demands of domestic life. Unlike conventional therapies that often focus solely on pain relief, GPR offers a comprehensive intervention model that may simultaneously enhance physical function, reduce psychological stress, and improve sleep quality. By targeting housewives with chronic non-specific LBP, this study seeks to fill a critical gap in the literature and provide evidence for a more inclusive, preventive, and non-pharmacological approach to musculoskeletal and mental health management

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Detailed Description

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Low back Pain (LBP) is a primary cause of disability among people of all ages and a major contributor to the global burden of diseases. Non-specific low back pain is a form of low back pain without any specific identified underlying disease or any anatomical abnormality. Global postural reeducation (GPR) is a physical therapy protocol that focuses on eccentrically stretching the muscular chains which are shortened due to behavioral, psychological and constitutional factors. For this method physical therapists guide the patients a series of gentle active movements and maintain postures aiming to stretch the shortened muscles, realign the joints and also enhance the contraction of antagonist muscles. It is a randomized control trial which will be conducted on 30 patients calculated using G\*power software. Patients fulfilling the inclusion criteria will be randomized into 2 groups i.e. GROUP A (global postural reeducation with conventional therapy) \& GROUP B (conventional therapy). Patients in Group A will receive global postural reeducation technique with conventional therapy and Group B will receive conventional therapy alone which includes hot pack for 15 minutes, Static stretching for iliopsoas and rectus femoris and other exercises two times a week.

Outcomes will be measured at baseline and at the end of 3rd week, at the end of 6th week.

Conditions

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Low Back Pain Stress Sleep Quality

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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Global Postural Reeducation

Participants assigned to this arm will undergo Global Postural Reeducation (GPR) using standardized coxofemoral positions ( Opening and Closing). In the Opening position, the participant lies supine with the hip placed in gentle flexion, abduction, and external rotation to lengthen the medial/anterior muscle chain; in the Closing position, the hip is positioned in slight extension, adduction, and internal rotation to target the lateral/posterior chain. Each session lasts approximately 10 minutes, divided into 2-3 blocks of 3-5 minutes each, during which participants perform slow diaphragmatic breathing combined with gentle isometric contractions (2-3 seconds) on exhalation followed by relaxation into the posture. Sessions are delivered twice weekly for 6 weeks. Therapist monitoring ensures proper pelvic stabilization, safe range of motion, and avoidance of compensatory movements, while participants are encouraged to maintain comfortable stretch intensity without pain.

Group Type EXPERIMENTAL

global postural reeducation with conventional therapy

Intervention Type OTHER

Global postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy.

1. Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles of the feet together, heels close to the gluteal region, and hips in abduction between 30° and 45°.
2. Coxofemoral Closure with Closed Arms. In this posture, participants will again lie supine, with the arms abducted to 90° and palms facing upward. The hips and knees will be flexed, with the soles of the feet pressed together and placed against a wall.

with Controlled and slow diaphragmatic breathing technique
3. Conventional therapy same as given to other group.

Conventional Therapy

* Hot pack for 15 minutes.
* Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
* Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.

Group Type ACTIVE_COMPARATOR

conventional therapy

Intervention Type OTHER

conventional therapy given to this group will be

* Hot pack for 15 minutes.
* Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
* Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.

Interventions

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global postural reeducation with conventional therapy

Global postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy.

1. Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles of the feet together, heels close to the gluteal region, and hips in abduction between 30° and 45°.
2. Coxofemoral Closure with Closed Arms. In this posture, participants will again lie supine, with the arms abducted to 90° and palms facing upward. The hips and knees will be flexed, with the soles of the feet pressed together and placed against a wall.

with Controlled and slow diaphragmatic breathing technique
3. Conventional therapy same as given to other group.

Intervention Type OTHER

conventional therapy

conventional therapy given to this group will be

* Hot pack for 15 minutes.
* Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
* Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classiﬁcation of Function, Disability and Health of the Orthopedic Section of the American Physiotherapy Association.

1. Housewives (Age 25-40 years)
2. Chronic nonspecific LBP (more than 3 months)
3. Experience mild to moderate stress (measured by perceived stress scale)
4. Sleep disturbances or poor sleep quality (PSQI score\>5)

Exclusion Criteria

Participant falling in this category would be excluded of the study.

1. Pregnancy.
2. Using NSAIDs.
3. Acute, subacute LBP.
4. Females having diagnosed irregular/prolonged menstrual cycles.
5. History of recent Spinal surgery (within the past year).
6. Neurological deficits (foot drop, motor weakness).
7. Diagnosed severe psychiatric issues (e.g. severe depression, bipolar disorder, psychosis).
8. Use of sleep medications, antidepressants, or anxiolytics during the study period.
9. Specific causes of LBP (herniated disc, lumbar stenosis, spinal deformity, fracture, spondolysthesis).
10. Systemic diseases (tumor, Rhematoid arthritis)

Minimum Eligible Age

25 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No