Clinical trial NCT06461507: Comparative Effects of Jandas's Approach With and Without Post Isometric Relaxation Technique
Official title: Effects of Jandas's Approach With and Without Post Isometric Relaxation Technique on Pain, Muscle Flexibility, Functional Disability in Patients With Posterior Lower Crossed Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: PELVIS Syndrome
Keywords: disability
pain
flexibility
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-06-17
Enrollment: 38
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Posterior lower crossed syndrome is a perplexing puzzle of muscular imbalance, manifests as an intricate interplay between weakened glutes and tight flexors. The aim of the study will be to determine the effects of Jandas's approach with and without post-isometric relaxation technique on pain, muscle flexibility, and functional disability in patients with the posterior lower crossed syndrome.

Detailed description: A Randomized Controlled Trial will be conducted at physical therapy department of Rabia Welfare Hospital Lahore, FMH Physiotherapy Clinic Lahore and Shafaeen Physiotherapy Clinic Lahore through convenient sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with janda's approach and Group B will be treated with combination of post isometric relaxation technique for Illiopsoas and janda's approach at the frequency of 3 sets with 10 repetitions and twice a week. Outcome measures will be conducted through pain,muscle flexibility, pelvic tilt and disability questionnaire after 4 weeks. Data will be analysed using SPSS software version 25.After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or nonparametric test will be used within a group or between two groups.

Eligibility criteria: Inclusion Criteria:

* Age:20-60 years
* Gender: Both males and females
* NPRS (Numerical Pain Rating Scale): \< 7
* Positive Finger to Floor Test : \> 48cm in males, \>50cm for females
* Positive Modified Thomas Test: greater than zero
* Patients with anterior pelvic tilt

Exclusion Criteria:

* Preexisting spinal pathology
* Congenital abnormality
* Neurological deficits,
* Recent spinal or lower-limb trauma or surgery
* Spasm of the trunk or lower-limb muscles
* Lower-limb radiculopathy
* Pregnancy

Primary outcomes:
measure: Numerical pain rating scale (NPRS)
timeFrame: upto 4 weeks
measure: Finger to floor test -Muscle flexibility test
timeFrame: upto 4 weeks
measure: Modified Thomas Test- Muscle flexibility test
timeFrame: upto 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Shafeen medical complex Punjab Pakistan
state: Punjab
Study officials:
affiliation: Riphah International University,Lahore
name: Nimra Azhar, MSPT*
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Esakowitz, A. (2014). The effect of muscle energy technique versus chiropractic adjustive therapy in the treatment of chronic low back pain with lower cross syndrome, University of Johannesburg (South Africa).
citation: Janda, V. (1987).