Clinical trial NCT04668040: Comparison of Stretching and MET in Lower Cross Syndrome
Official title: Comparing the Effects of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cross Syndrome
Keywords: Muscle energy technique
Lower cross syndrome
stretching
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-12-16
Enrollment: 58
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Numeric pain rating scale
timeFrame: 4th week
measure: ROM assessment of iliopsoas
timeFrame: 4th week
measure: ROM assessment of rectus femoris
timeFrame: 4th week
measure: ROM assessment of hamstrings
timeFrame: 4th week
measure: ROM assessment of erector spinae
timeFrame: 4th week
Secondary outcomes:
Other outcomes:
Locations:
city: Peshawar
country: Pakistan
facility: Bibi Zahida Memorial Teaching Hospital NCS
state: KPK
Study officials:
affiliation: Riphah International University
name: Muhammad Affan Iqbal, PhD*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Frank C, Page P, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach: Human kinetics; 2009.
citation: Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 1. J Bodyw Mov Ther. 2008 Jan;12(1):7-21. doi: 10.1016/j.jbmt.2007.04.005. Epub 2007 Jun 11.
citation: Kolar P. Facilitation of agonist-antagonist co-activation by reflex stimulation methods. Rehabilitation of the Spine. 2007:531-65.
citation: Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry, 5th edition: FA Davis; 2016.
citation: Kage MV. Effectiveness of Stretching and Strengthening Exercises in Patients with postural Low Back Pain A Randomized Controlled Trial. 2017.
citation: Abutaleb EE, Eldesoky MT, El Rasol SA. Effect of Muscle Energy Technique on Anterior Pelvic Tilt in Lumbar Spondylosis Patients. World Academy of Science, Engineering and Technology, International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering. 2015;9(8):651-5.
citation: Ahmed ET, Abdelkarim SS. Efficacy of muscle energy technique versus static stretching technique in increasing hamstring flexibility post burn contracture. Int J Health Rehabil Sci. 2013;2(1):22-7.