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临床试验/NCT05505851
NCT05505851已完成不适用

Sequential Core Stability Corrective Exercise Approach for Alignment And Muscle Function In Lower Crossed Syndrome

Riphah International University1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2024年2月10日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
40
试验地点
1
主要终点
Photometry for Pelvic Tilt

研究概览

简要总结

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.

详细描述

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.

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, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 28 Years(Adult)
性别
All
接受健康志愿者
是

入选标准

  • •• 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

排除标准

  • •• 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
  • •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

研究组 & 干预措施

A: Control

Active Comparator

Corrective Exercises:

Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.

干预措施: Control (Other)

B: Sequential Core Stability Corrective Exercise Approach

Experimental

Sequential Core Stability Corrective Exercise Approach

  1. Corrective Exercises
  2. Diaphragm Training Program
  3. Pelvic floor Muscle training
  4. Core Stability exercises

干预措施: Sequential Core Stability Corrective Exercise Approach (Other)

结局指标

主要结局

Photometry for Pelvic Tilt

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

Angle of Pelvic tilt will be measured Through a Reliable and validated camera.

Photometry for Chest Expansion

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

Angle of Chest expansion will be measured at Nipple line, Xiphoid level and at waist level, Through a Reliable and validated camera.

Photometry for Cervicothoracic level

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

Angle of C7-T1 will be measured Through a Reliable and validated camera.

Photometry for Lumber flexion

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

Angle of Lumber curve will be measured Through a Reliable and validated camera.

Diaphragmatic excursion

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

To assess the diaphragmatic motion by M-mode US a 2.5-5 megahertz (MHz) phase array will be used.

Levator ani Excursion

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

To assess the pelvic floor motion by M-mode US a 2.5-5 megahertz (MHz) array will be used.

Levator ani thickness and thickening

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

Levator ani thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers

Core stability

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

It will be measured by Pressure biofeedback unit for the transverse abdomens.

Diaphragmatic thickness and thickening

时间窗: Pre (0th week), Post (6th week), (12th week) Follow-up

diaphragmatic thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers

次要结局

  • Ratio of FEV1/ FVC(Pre (0th week), Post (6th week), (12th week) Follow-up)
  • Forced Vital Capacity (FVC)(Pre (0th week), Post (6th week), (12th week) Follow-up)
  • Forced Expiratory Volume per second FEV1(Pre (0th week), Post (6th week), (12th week) Follow-up)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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