Effects of Bruegger's Exercises Versus Egoscue Exercise on Lower Cross Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 3
- 主要终点
- Pelvic Inclinometer
研究概览
简要总结
This study aims to find effects of Bruegger's Exercise versus Egoscue exercise on pain and hyperlordosis on patient with lower cross syndrome. This is interventional study which recruits 34 participants ,14 in each group.
详细描述
A randomized control trial will be conducted on patients with lower cross syndrome. A total number of 34 participants will be randomised into two groups with 17 participants in each group. Both groups will receive Hot Packs on the lumbar area for 10 minutes. Group A will receive Conventional Therapy and will follow protocol of Bruegger's Exercise. Group B will follow protocol of the Egoscue exercise. This study aims to decrease pain and hyperlordosis.
Each group will be assessed at baseline which will include pain through NPRS, hyperlordosis through flexicurve ruler and anterior pelvic tilt through pelvic inclinometer. Data from both groups will again be assessed after 4 weeks of intervention.
Protocol of Bruegger's Exercise: Pt. position: Upright sitting on a chair.
- Sit with your buttocks at the edge of a chair.
- Spread your legs apart slightly.
- Turn your toes out slightly.
- Rest your weight on your legs/feet & relax your abdominal muscles.
- Tilt your pelvis forward (i.e. arch your lower back) while lifting your chest up
- Rotate your arms outward while turning your palms up.
- Hold your head high in the air, with a slight arch in the neck.
The patient is to perform this exercise once or twice every 20-30 minutes of prolonged sitting and held in this position for 30-60 seconds. To avoid non-compliance patient will be asked to perform five repetitions of particular exercise with five second hold during their clinical session.
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
- Single (Participant)
入排标准
- 年龄范围
- 16 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Females and males aged between 16 to 65 years
- •Participants had to present with low back pain
- •Participants had to meet the criteria for lower crossed syndrome indicating tight hip flexors (Modified Thomas test) and erector spinae (visual assessment through toe touching) together with weak glutei (Prone Hip Extension Co-ordination/Strength Test) and abdominals (Trunk Flexion Co-ordination and Strength Test)and thoracic kyphosis.
- •Angle of anterior pelvic tilt > 10 degrees
排除标准
- •Participants who would be undergoing other forms of treatment that may interfere with the study, for the duration of the study, including other manipulative and physical therapies specific to back pain.
- •Presence of other conditions that may mimic low back pain, e.g. nerve entrapment.
- •Participants taking any medication that may interfere with the results of this study including, pain medication, anti-inflammatory medication, and muscle relaxants.
- •Surgery on the back, pelvis, or sacrum is indicated or has previously occurred
- •LBP having localised or radiating pain.
- •Practiced any kind of exercise or sports activity during the last 6 months.
研究组 & 干预措施
Bruegger's Exercise
steps include in Breugger's Exercise
- Sit with your buttocks at the edge of a chair.
- Spread your legs apart slightly.
- Turn your toes out slightly.
- Rest your weight on your legs/feet & relax your abdominal muscles.
- Tilt your pelvis forward (i.e. arch your lower back) while lifting your chest up
- Rotate your arms outward while turning your palms up.
- Hold your head high in the air, with a slight arch in the neck. The patient is to slowly exhale by breathing out through their lips while actively externally rotating their arms and spreading their fingers. The patient is to perform this exercise once or twice every 20-30 minutes of prolonged sitting and held in this position for 30-60 seconds
干预措施: Bruegger,s Exercise (Other)
Egoscue Exercise
• The Egoscue exercise comprise of 10 exercises which Included
- Static back alone and with breathing.
- Abdominal contraction while in the static back position.
- abductor press
- overhead extension
- elbow curls on a wall
- static wall
- upper spinal twist 8 pelvic tilts
9.supine groin progressive 10.air bench exercises.
干预措施: Egoscue Exercise (Other)
结局指标
主要结局
Pelvic Inclinometer
时间窗: 12 day
A pelvic inclinometer was used to measure the anterior/posterior inclination of the pelvis of the subjects. An inclinometer has a 23 Cm length base and two 15 Cm arms in each side that freely move 360 degrees in horizontal plane. The ends of the arms are placed on the bony landmarks.The subject was asked to stand with the feet shoulder width apart. Even pressure was applied to both the arms of the inclinometer at anterior superior iliac spine and posterior superior iliac spine, with a bubble in the center the reading was then measured in degrees.
NPRS
时间窗: 12 Day
Several pain scales are used clinically to evaluate the severity of musculoskeletal pain, one of which is the Numeric Pain Rating Scale (NPRS-11), which is an eleven-point scale in which the endpoints are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10).
Flexicurve Ruler
时间窗: 12 day
The flexicurve ruler (flexible) is commonly used to measure the degree of spinal curvature of the lumbar lordosis in the sagittal plane. The flexible ruler was placed according to the Youdas method, over spinous processes from T12 to S2 vertebrae. The ruler was then cautiously removed from the spine and traced onto a plain piece of white paper. A vertical line was drawn to connect the T12 and S2 landmarks (L line) and together with the maximum width of the lumbar curvature (H line
次要结局
- Modified Thomas Test(12 day)
- Prone Hip Extension Co-ordination Test(12 day)
- Visual Assessment through toe touching(12 day)
- Trunk Flexion Co-ordination and Strength Test(12 day)