Comparing the Effects of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- ROM assessment of iliopsoas
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Stretching
Stretching technique applied in the lower cross syndrome muscle pattern.
Intervention: Stretching (Other)
Muscle energy technique
Muscle energy technique applied in the lower cross syndrome muscle pattern.
Intervention: Muscle energy technique (Other)
Outcomes
Primary Outcomes
ROM assessment of iliopsoas
Time Frame: 4th week
Range of motion (ROM) was taken via goniometer for iliopsoas was measured with double inclinometer.
Numeric pain rating scale
Time Frame: 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
Time Frame: 4th week
Range of motion (ROM) was taken via goniometer for hamstrings was measured with double inclinometer.
ROM assessment of rectus femoris
Time Frame: 4th week
Range of motion (ROM) was taken via goniometer for rectus femoris was measured with double inclinometer.
ROM assessment of erector spinae
Time Frame: 4th week
Range of motion (ROM) was taken via goniometer for erector spinae was measured with double inclinometer.
Secondary Outcomes
No secondary outcomes reported