Comparison of Stretching and MET in Lower Cross Syndrome

Study Overview
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Brief Summary
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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
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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.

Official Title
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Comparing the Effects of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome

Conditions
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Cross Syndrome

Intervention / Treatment
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* Other: Muscle energy technique
* Other: Stretching


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Muscle energy technique<br>Muscle energy technique applied in the lower cross syndrome muscle pattern. | Other: Muscle energy technique<br>* Muscle energy technique for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of contraction was 10 sec, rest interval was 5 sec, stretch duration was 30 sec, number of repetition of stretch was 5, number of set was 1, frequency per week was 3<br>|
| Active Comparator: Stretching<br>Stretching technique applied in the lower cross syndrome muscle pattern. | Other: Stretching<br>* Stretching exercises for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of stretch was 15 sec, rest interval was 5 sec, number of repetition was 5, number of set was 1, frequency per week was 3<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric pain rating scale | 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. | 4th week | 
| ROM assessment of iliopsoas | Range of motion (ROM) was taken via goniometer for iliopsoas was measured with double inclinometer. | 4th week | 
| ROM assessment of rectus femoris | Range of motion (ROM) was taken via goniometer for rectus femoris was measured with double inclinometer. | 4th week | 
| ROM assessment of hamstrings | Range of motion (ROM) was taken via goniometer for hamstrings was measured with double inclinometer. | 4th week | 
| ROM assessment of erector spinae | Range of motion (ROM) was taken via goniometer for erector spinae was measured with double inclinometer. | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Muscle energy technique, Lower cross syndrome, stretching