Clinical trial NCT05505851: Sequential Core Stability Corrective Exercise Approach in Lower Crossed Syndrome
Official title: Sequential Core Stability Corrective Exercise Approach for Alignment And Muscle Function In Lower Crossed Syndrome
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Low Back Pain
Keywords: Alignment
Core Stability
Diaphragm
Pelvic floor
Dysfunction
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-08-18
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 28
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 2
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* • 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

Exclusion Criteria:

* • 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 30.
  * 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

Primary outcomes:
measure: Photometry for Pelvic Tilt
timeFrame: 6th Week
measure: Photometry for Chest Expansion
timeFrame: 6th Week
measure: Photometry for Cervicothoracic level
timeFrame: 6th Week
measure: Photometry for Lumber flexion
timeFrame: 6th Week
measure: Diaphragmatic excursion
timeFrame: 6th Week
measure: Levator ani Excursion
timeFrame: 6th Week
measure: Diaphragmatic thickness and thickening
timeFrame: 6th Week
measure: Levator ani thickness and thickening
timeFrame: 6th Week
measure: Core stability
timeFrame: 6th Week
Secondary outcomes:
measure: Forced Vital Capacity (FVC)
timeFrame: 6th Week
measure: Forced Expiratory Volume per second FEV1
timeFrame: 6th Week
measure: Ratio of FEV1/ FVC
timeFrame: 6th Week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Al-khumeini Trust Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Muhammad Kashif, PhD
role: STUDY_CHAIR
affiliation: Riphah International University , QIE, Campus
name: Wajeeha Zia, PhD*
role: PRINCIPAL_INVESTIGATOR
References: