Effects of Clamshell Versus Gluteal Bridge Exercises

Riphah International University

Status: Completed

Conditions: Lower Crossed Syndrome

Treatments: Other: Gluteal Bridge exercises; Other: clamshell exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05973695

REC/RCR & AHS/23/0128 UMIA

Details and patient eligibility

About

Gluteal amnesia is a "condition" where the individual is believed to have lost the ability to contract their gluteal muscles - generally the gluteus maximus, though some report it as the gluteus medius. This can take many different names, such as "dead butt", "sleeping glutes", or glutes that are "turned off".Since the gluteus medius normally helps stabilize the pelvis, gluteal amnesia can lead to lower back pain and hip pain, as well as knee and ankle issues, as the body tries to compensate for the imbalance.

Full description

A Randomized controlled trial will be conducted at Jinnah Hospital Physiotherapy Clinic & Boston Physiotherapy and wellness Clinic through consecutive sampling technique on 32 patients which will be allocated through simple random sampling through sealed opaque enveloped into group A & group B. Group A will be treated with clamshell exercises at the frequency of 3 sets with 10 repetitions 3 times/ week with baseline treatment. Group B will be treated with gluteal bridge and baseline treatment. Baseline treatment for both groups will be given Hot pack at low back for 10 minutes and Quadriceps and hamstring stretching 3 times with 30 seconds hold. Outcome measures will be conducted through pain, disability and quality of life questionnaire after 6 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by Shapiro -Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Enrollment: 32 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • Female between the ages of 20 to 40 years

  • Prolonged sitting hours >4 hours.
  • Examination- Symptoms provoked by low back movement.
  • Positive Gluteal strength test
  • Positive SLR for hamstring tightness
  • Positive Thomas test for Rectus femoris tightness.

Exclusion criteria

• • Osteoporosis

  • Malignancy
  • Vertebral fractures
  • Pervious or scheduled surgery
  • Trauma
  • Pregnancy
  • Psychological conditions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Group A: Clamshell Exercise

Active Comparator group

Description:

Group A will be treated with baseline treatment and clamshell exercises. Lie on your side with your knees slightly bent and with one leg on top of the other. Keep your feet together and lift your top knee until its parallel with your hip. Lower your knee back to the initial position, repeat, and then switch sides. In 1st week 1 sets 10 repetitions. In 2nd week 2 sets of 10 repetitions. In 3rd and 4th week and onwards 3 sets of 10 repetitions.

Treatment:

Other: clamshell exercise

Group B: Gluteal Bridge exercise

Active Comparator group

Description:

Group B will be treated with baseline treatment and Gluteal Bridge exercises. Start flat on your back with your legs bent at a 90-degree angle and feet placed flat on the ground. Make sure your toes are turned outward at 45-degree angles and your knees are facing in the same direction as your toes. Drive down through your feet and push your hips up. You should feel this variation fatiguing the outer portion of your thighs. Make sure you keep your knees over your toes throughout the entire movement. Don't let them move forward over the toes. In a controlled motion, let your hips sink back down toward the ground. This completes 1 repetition. Perform 3 sets of 15 repetitions, or 3 rounds of a 30-second hold.

Treatment:

Other: Gluteal Bridge exercises