Effectiveness of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- numeric pain rating scale
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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.
- •Housewives (Age 25-40 years)
- •Chronic nonspecific LBP (more than 3 months)
- •Experience mild to moderate stress (measured by perceived stress scale)
- •Sleep disturbances or poor sleep quality (PSQI score>5)
排除标准
- •Participant falling in this category would be excluded of the study.
- •Using NSAIDs.
- •Acute, subacute LBP.
- •Females having diagnosed irregular/prolonged menstrual cycles.
- •History of recent Spinal surgery (within the past year).
- •Neurological deficits (foot drop, motor weakness).
- •Diagnosed severe psychiatric issues (e.g. severe depression, bipolar disorder, psychosis).
- •Use of sleep medications, antidepressants, or anxiolytics during the study period.
- •Specific causes of LBP (herniated disc, lumbar stenosis, spinal deformity, fracture, spondolysthesis).
- •Systemic diseases (tumor, Rhematoid arthritis)
研究组 & 干预措施
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.
干预措施: global postural reeducation with conventional therapy (Other)
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.
干预措施: conventional therapy (Other)
结局指标
主要结局
numeric pain rating scale
时间窗: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The NPRS is an 11-point self-report scale ranging from 0 (no pain) to 10 (worst imaginable pain). Participants are asked to rate their average pain intensity in the lower back during daily activities over the past 24 hours.
lumber ROMs using inclinometer
时间窗: Assessed at Baseline, 3 weeks, and 6-week follow-up.
Lumbar spine mobility will be assessed in flexion, extension, lateral flexion, and rotation using a digital inclinometer. The inclinometer will be placed at standardized anatomical landmarks (spinous process of T12 and sacrum for flexion/extension; along midline for lateral flexion/rotation).
Pittsburg sleep quality index
时间窗: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The PSQI is a 19-item validated questionnaire assessing subjective sleep quality and disturbances over the past month. It generates 7 component scores (sleep duration, disturbance, latency, efficiency, quality, medication use, and daytime dysfunction).
perceived stress scale
时间窗: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The PSS-10 is a 10-item validated questionnaire that measures the degree to which participants perceive situations in their life as stressful over the past month. Items assess feelings of unpredictability, lack of control, and overload.
次要结局
未报告次要终点