Comparative Effects of Jandas's Approach With and Without Post Isometric Relaxation Technique

Riphah International University

Status: Completed

Conditions: PELVIS Syndrome

Treatments: Other: Janda's Approach

Study type: Interventional

Funder types: Other

Identifiers

NCT06461507

REC/RCR & AHS/23/0194 Nimra

Details and patient eligibility

About

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.

Full 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.

Enrollment: 38 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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38 participants in 2 patient groups

Group A: Muscle Energy Technique (METs)

Experimental group

Description:

▪ Apply METs to the iliopsoas muscle by instructing the patient to do hip flexion and resist movement by pushing their leg down towards the table, activating their iliopsoas muscle. (This contraction is known as an isometric contraction). Maintain the isometric contraction for approximately 5-10 seconds, encouraging the patient to exert maximal effort. After the contraction, relax the patient's leg as they exhale, and take the muscle to its new, slightly increased, passive range of motion.

Treatment:

Other: Janda's Approach

Group B: Janda's Approach

Active Comparator group

Description:

For tightened structures stretching, use the Iliopsoas stretch and the Erector spinae stretch (5 repetitions of stretching with 30-s hold for each muscle) For Strengthening Weakened Structures: Glute bridge, Abdominal crunch (10 repetitions of each)

Treatment:

Other: Janda's Approach