Effectiveness of Frog Leg Technique in Management of Low Back Pain Due to Lumbar Lordosis

Study Overview
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Brief Summary
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Condition in which lumbar region experiences stress or extra weight and is arched to point of muscle pain or spasms is called Lumbar hyperlordosis.The study findings compared the effectiveness of frog leg technique and standard exercise therapy in management of low back pain due to lumbar lordosis.

Detailed Description
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In adult population, a major health problem is Low back pain. Postural change is one of the risk factor. Abnormal posture causes strain on ligaments and muscles, as a result indirectly affects the curvature of the lumbar spine.Condition in which lumbar region experiences stress or extra weight and is arched to point of muscle pain or spasms is called Lumbar hyperlordosis.The study findings compared the effectiveness of frog leg technique and standard exercise therapy in management of low back pain due to lumbar lordosis.

Official Title
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Effectiveness of Frog Leg Technique in Management of Low Back Pain Due to Lumbar Lordosis

Conditions
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Low Back Pain, Postural

Intervention / Treatment
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* Other: Frog Leg Exercise
* Other: Electrotherapy(Transcutaneous Electrical Nerve Stimulator)
* Other: Exercise Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Females with age between 20 and 45 years Patients with low back ache due to lumbar lordosis Exclusion Criteria: History of surgery Patients with discogenic backache. Backache in pregnancy. Patients with traumatic history. Patients with pain due to any reason other than lumbar lordosis.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Electrotherapy with Frog Leg Exercise Intervention<br>Experimental group received Frog leg technique along with transcutaneous electrical nerve stimulation for 10 sessions of duration half hour each on regular basis. | Other: Frog Leg Exercise<br>* The patient lies supine with legs flexed, knees apart and the soles of the feet put together on couch. The physiotherapist stands at the side of the table, moves one arm between the legs to place the hand under the sacrum and cup it. The fingers spread to accommodate the spinous process of the fifth lumbar vertebra. The tips of the fingers contact and grasp the junction of the fifth lumbar vertebra and the base of the sacrum. This hand will give traction in a caudal direction throughout the procedure to move the sacral base posteriorly and the apex interiorly. patient is asked to take a deep breath and hold it, while at the same time they steadily slide the feet downward toward the end of the table.Then patient brings their legs back to the frog leg position, but as they do so the therapist maintains traction preventing the sacrum from moving cephalad. Procedure is repeated for a total of 8 repetitions.<br>Other: Electrotherapy(Transcutaneous Electrical Nerve Stimulator)<br>* TENS or transcutaneous electrical nerve stimulator is a low voltage electric current to relieve pain. A small battery-operated TENS device which has leads connected to sticky pads called electrodes was used in treatment. Patient in lying position gets pads directly attached to skin of lumbar region. Small electrical impulses delivered to the affected area of the patient's body when the machine is switched on, which patient feel as a tingling sensation.<br>|
| Active Comparator: Standard Exercise Therapy with Electrotherapy<br>Control group received standard exercise therapy treatment along with transcutaneous electrical nerve stimulation for 10 sessions of duration half hour each on regular basis. | Other: Electrotherapy(Transcutaneous Electrical Nerve Stimulator)<br>* TENS or transcutaneous electrical nerve stimulator is a low voltage electric current to relieve pain. A small battery-operated TENS device which has leads connected to sticky pads called electrodes was used in treatment. Patient in lying position gets pads directly attached to skin of lumbar region. Small electrical impulses delivered to the affected area of the patient's body when the machine is switched on, which patient feel as a tingling sensation.<br>Other: Exercise Therapy<br>* Stretching of tight muscles(hip flexors and lower back extensors) Abdominal Curl-Ups and Bridging exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pain | Visual Analogue Scale used to assess pain. | Data was Collected at Baseline, 5th Day & 10th Day. | 
| Change in Disability Level | Oswestry Low Back Pain Disability Questionnaire used to assess level of disability. | Data was Collected at Baseline, 5th Day & 10th Day. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Low Back Pain, Frog Leg Technique, Exercise Therapy