Comparison of Stretching and MET in Lower Cross Syndrome

Not Applicable

Completed

• Conditions: Cross Syndrome
• Interventions: Other: Muscle energy technique; Other: Stretching

• Registration Number: NCT04668040
• Lead Sponsor: Riphah International University

Brief Summary

The aim of the study is to compare the effects of stretching exercises \& muscle energy techniques in the management of lower cross syndrome and to find the effective treatment in the lower cross syndrome management.

Detailed Description

In 2015 the systematic review estimated that prevalence of Chronic low back pain in 24 to 39 year old individual was 4.2% and the individual between 20 to 59 was 19.6% . The genesis and perpetuation of Low back pain (LBP) has many underlying factors among which one is proposed by Janda's concept of pelvic crossed syndrome. This condition describes a pattern of tight and weak muscles around the pelvis. Marked postural deviation is seen such as increased lumber lordosis and depending on this lordosis the muscle involvement can be distinguished. The center of the gravity is slightly anterior to S1 or S2, which means pelvis position, is key to faulty or good alignment.

Various studies have been done on muscle imbalance Lower crossed syndrome (LCS) using Stretching and Muscle energy Technique (MET). Both have shown superior effects when compared to other treatment modalities/techniques. However there is paucity of literature on effectiveness of stretching and MET in management of LCS.

Study Timeline

• Study Start: 2018-07-01
• Primary Completion: 2018-12-01
• Study Completion: 2018-12-20
• Status Verified: 2020-12
• Study First Submitted: 2020-12-09
• Study First Submitted QC: 2020-12-09
• Last Update Submitted: 2020-12-09
• Study First Posted: 2020-12-16
• Last Update Posted: 2020-12-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

• LCS pattern in standing position
• Patients having Chronic low back pain
• Age : 20-50 years
• Both male and females
• Positive Prone Hip Extension movement pattern test

Exclusion Criteria

• Fracture (wedge compression #)
• Inflammatory disorder
• Acute disc bulge
• Lumber instability
• Idiopathic scoliosis
• Patient with Rheumatoid arthritis (RA) and other systemic diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Muscle energy technique	Muscle energy technique	Muscle energy technique applied in the lower cross syndrome muscle pattern.
Stretching	Stretching	Stretching technique applied in the lower cross syndrome muscle pattern.

Primary Outcome Measures

Name	Time	Method
ROM assessment of iliopsoas	4th week	Range of motion (ROM) was taken via goniometer for iliopsoas was measured with double inclinometer.
Numeric pain rating scale	4th week	It was calculated through Numeric pain rating scale (NPRS) in which 0 was the lowest value with no pain label and 10 was the highest value with worst possible pain label. The Subjects with respect to their pain intensity were asked to mark a level of NPRS.
ROM assessment of hamstrings	4th week	Range of motion (ROM) was taken via goniometer for hamstrings was measured with double inclinometer.
ROM assessment of rectus femoris	4th week	Range of motion (ROM) was taken via goniometer for rectus femoris was measured with double inclinometer.
ROM assessment of erector spinae	4th week	Range of motion (ROM) was taken via goniometer for erector spinae was measured with double inclinometer.

Trial Locations

Locations (1)

Bibi Zahida Memorial Teaching Hospital NCS; 🇵🇰 Peshawar, KPK, Pakistan