Clinical trial NCT06707805: Effects of Lumber Sustained Natural Apophyseal Glides on Lower Cross Syndrome
Official title: Effects of Lumber Sustained Natural Apophyseal Glides on Lower Cross Syndrome
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Lower Cross Syndrome
Keywords: pain
lumber SNGS
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-11-27
Enrollment: 36
Sex: ALL
Minimum age (years): 30
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, alleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality

Detailed description: A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, eleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality The significance of this study lies in it's potential to improve the health and wellbeing of adults have pain and hypomobility due to lower cross syndrome.By identifying an effective physical therapy intervention for correcting pain and hypomobility , this study provide valueable insight for clinicians in develping effective treatment strategies.

Eligibility criteria: Inclusion Criteria:

* Age 30 to 50 years.
* Both genders
* Patient came with the complain of low back pain.
* Participants had to present with pain and hypomobility due to lower cross syndrome
* Participants had to meet the criteria for lower cross syndrome indicating tight hip flexors and erector spinae along with weak abdominals and glutei muscles
* Participants with hyperlordotic curve due to lower cross syndrome
* Participants presenting with anterior pelvic tilting greater than angle \>7-10 degrees
* Willing to provide informed consent to participate in study

Exclusion Criteria:Participants contraindicated to spinal manipulation

* Musculoskeletal pathologies affecting the lower back, pelvis, hips, or lower extremities (e.g., herniated disc, lumbar radiculopathy, lumbar stenosis, hip labral tear).
* Participants who had undergone any lumber or pelvic surgery, as it will affect sacroiliac joint mechanics.
* Generalized inflammatory or infective connective tissue disorder
* Pregnancy

Primary outcomes:
measure: Oswestry disability index
timeFrame: from baseline to 4th week
Secondary outcomes:
measure: Numeric pain rating sacle
timeFrame: from baseline to 4th week
measure: Lumber Range of motion
timeFrame: AT baseline and 3rd week
Other outcomes:
Locations:
city: Kotli
country: Pakistan
facility: Orthopaedic hospital
state: Azad Kashmir
Study officials:
affiliation: Riphah International University
name: Asmar Fatima, MS OMPT
role: PRINCIPAL_INVESTIGATOR
References: