Comparison of Stretching and MET in Lower Cross Syndrome

Riphah International University

Status: Completed

Conditions: Cross Syndrome

Treatments: Other: Stretching; Other: Muscle energy technique

Study type: Interventional

Funder types: Other

Identifiers

NCT04668040

REC/00383 Nouman Khan

Details and patient eligibility

About

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.

Full 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.

Enrollment: 58 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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58 participants in 2 patient groups

Muscle energy technique

Experimental group

Description:

Muscle energy technique applied in the lower cross syndrome muscle pattern.

Treatment:

Other: Muscle energy technique

Stretching

Active Comparator group

Description:

Stretching technique applied in the lower cross syndrome muscle pattern.

Treatment:

Other: Stretching