Sequential Core Stability Corrective Exercise Approach in Lower Crossed Syndrome

Not Applicable

Recruiting

• Conditions: Low Back Pain

• Registration Number: NCT05505851
• Lead Sponsor: Riphah International University

Brief Summary

The objective of the study will be to determine the effects of Sequential Core Stability Corrective Exercise Approach for Alignment and Muscle Function in Lower Crossed Syndrome.

Detailed Description

Lower Crossed Syndrome is one of common postural disorder which occurs due to the muscular imbalance. It refers to specific altered muscle activation and movement patterns along with some postural deviations. Alterations in muscle activation include overactivity of hip flexors and lower back muscles paired underactivity of abdominals and gluteus muscle. This pattern of imbalance creates dysfunction. Postural correction exercise with inner and outer core muscles are necessary. There are different traditional structural approach, functional approach and biomechanics and are presumed to lead to adjustments in the length and strength of local muscles while ignoring other related malalignments and core stability. The objective of the study will be to determine the effects of Sequential Core Stability Corrective Exercise Approach for Alignment and Muscle Function in Lower Crossed Syndrome.

It will be a randomized controlled trial. Sample size will be collected after running the pilot study. The participants will be recruited through convenient sampling technique and then allocated randomly to Groups. Outcome measures will be alignment and muscle function. Pre and post reading and after one month follow-up will be recorded. Data will be analyzed using statistical package for social sciences software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or nonparametric test will be use within a group or between two groups.

Keywords: Alignment, Core Stability, Diaphragm, Muscular Imbalance, Muscle thickness Pelvic floor.

Study Timeline

• Study First Submitted: 2022-05-23
• Study First Submitted QC: 2022-08-17
• Study First Posted: 2022-08-18
• Study Start: 2024-02-10
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-19
• Last Update Posted: 2024-11-22
• Primary Completion: 2024-12-01
• Study Completion: 2024-12-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• • Age group between 18 to 28 years

  • No current incidence of low back pain or past history of low back dysfunction
  • Kendall double leg lowering test: Abdominal muscle weakness to the extent of not being able to maintain posterior pelvic tilt during a double leg lowering test in supine position.
  • Diagnosed with lower cross syndrome through assessment criteria of Janda muscle testing and assessment

Exclusion Criteria

• • Having any history of low back pain, spinal trauma,

  • Joint dysfunction in past 3 months
  • Congenital deformities at hip or lumbar region,
  • Recent fracture to related joints in past 6 months
  • Any family history of cardiopulmonary disease
  • Any disease or urogenital tract
  • Participants having BMI above 30.
  • Recent history of hepatitis or Fatty liver or
  • Any athlete having high physical activity.
  • History of abdominal, hip or lumbar surgeries in past 3 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Photometry for Cervicothoracic level	6th Week	Angle of C7-T1 will be measured Through a Reliable and validated camera.
Levator ani thickness and thickening	6th Week	Levator ani thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers
Photometry for Pelvic Tilt	6th Week	Angle of Pelvic tilt will be measured Through a Reliable and validated camera.
Levator ani Excursion	6th Week	To assess the pelvic floor motion by M-mode US a 2.5-5 megahertz (MHz) array will be used.
Core stability	6th Week	It will be measured by Pressure biofeedback unit for the transverse abdomens.
Diaphragmatic excursion	6th Week	To assess the diaphragmatic motion by M-mode US a 2.5-5 megahertz (MHz) phase array will be used.
Diaphragmatic thickness and thickening	6th Week	diaphragmatic thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers
Photometry for Chest Expansion	6th Week	Angle of Chest expansion will be measured at Nipple line, Xiphoid level and at waist level, Through a Reliable and validated camera.
Photometry for Lumber flexion	6th Week	Angle of Lumber curve will be measured Through a Reliable and validated camera.

Secondary Outcome Measures

Name	Time	Method
Forced Vital Capacity (FVC)	6th Week	Pulmonary function test through spirometer, It will be measured by digital spirometer.
Ratio of FEV1/ FVC	6th Week	Pulmonary function test through spirometer, It will be measured by digital spirometer.
Forced Expiratory Volume per second FEV1	6th Week	Pulmonary function test through spirometer, It will be measured by digital spirometer.

Trial Locations

Locations (1)

Al-khumeini Trust Hospital; 🇵🇰 Lahore, Punjab, Pakistan