EFFECTS OF CORE STRENGTHENING WITH RESISTIVE VERSUS NON-RESISTIVE DIAPHRAGMATIC TRAINING ON CORE ENDURANCE IN LOWER CROSS SYNDROME

Foundation University Islamabad

Status: Enrolling

Conditions: Lower Cross Syndrome

Treatments: Procedure: Resistive-Diaphragm breathing exercises; Procedure: Core Strengthening; Procedure: Self-Diaphragm breathing exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06172192

FUI/CTR/2023/23

Details and patient eligibility

About

This study is a randomised control trial and the purpose of this study is to determine the effects of core strengthening on trunk endurance after core strengthening with resistive versus non-resistive diaphragmatic training in lower cross syndrome.

Full description

The purpose of this study is to determine the effects of core strengthening on trunk endurance after core strengthening with resistive versus non-resistive diaphragmatic training in lower cross syndrome.

Core stability of young adults (age: 19-30 years) will be determined using McGill's muscular endurance test battery:

1. Flexor endurance test
2. Extensor endurance test
3. Right lateral endurance test
4. Left lateral endurance test Scores will be taken three times for each test; the average of each text will be noted for each participant.

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method. McGill's Torso Muscular Endurance Test Battery will be used and baseline and post-intervention scores will be recorded.

Enrollment: 20 estimated patients

Sex: All

Ages: 19 to 30 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 19-30 years
• Both genders
• Positive modified Thomas test
• Positive prone hip extension strength test
• Positive trunk flexion strength test
• Tight erector spinae
• Asia pacific BMI normal and overweight (18.5-24.9 Kg/m2)
• Local intermittent lumbar pain
• Mild to moderate pain (NPRS 1-6)
• Painless movement and activity
• Pain only produced by sustained loading in relevant position, which is then relieved on moving from that posture

Exclusion criteria

• Shoulder pain
• Acute flare LBP
• Centralization and peripheralization of pain (21)
• Intermittent pain at limited end range (21)
• Leg symptoms when walking, eased in flexion (Signs of stenosis) (21)
• Pain due to repetitive movement (21)
• Paresthesia/numbness (21)
• Structural deformity (Kyphosis, lordosis, scoliosis, spondylosis, spondylolysis, spondylolisthesis)
• Curve reversal (21)
• Pregnancy
• Post surgery
• Degenerative and inflammatory spinal diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

20 participants in 2 patient groups

Group A

Active Comparator group

Description:

Group A will perform Core Strengthening exercises. In addition to core strengthening protocol, non-resistive Diaphragmatic training group will perform self-diaphragm breathing exercises Core strengthening protocol will comprise of following three phases: 1. Warm up phase: 2. Core strengthening phase: 3. Cool down phase: After performance of Core Strengthening protocol, Group A will perform Self-Diaphragmatic breathing exercises.

Treatment:

Procedure: Self-Diaphragm breathing exercises

Procedure: Core Strengthening

Group B

Experimental group

Description:

Group B will perform Core Strengthening exercises. In addition to core strengthening protocol, resistive Diaphragmatic training group will perform resisted-diaphragm breathing exercises. Core strengthening protocol will comprise of following three phases: 1. Warm up phase 2. Core strengthening phase 3. Cool down phase After performance of Core Strengthening protocol, group B will perform Resistive Diaphragmatic Exercises.

Treatment:

Procedure: Resistive-Diaphragm breathing exercises

Procedure: Core Strengthening