Comparison of Stretching and MET in Lower Cross Syndrome

Cross Syndrome Clinical Trial

Official title:

Comparing the Effects of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04668040
• Other study ID #: REC/00383 Nouman Khan
• Status: Completed
• Phase: N/A
• Start date: July 1, 2018
• Est. completion date: December 20, 2018

Study information

• Verified date: December 2020
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 58
• Est. completion date: December 20, 2018
• Est. primary completion date: December 1, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

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

Related Conditions & MeSH terms

• Cross Syndrome
• Syndrome

Intervention

Other:
• Muscle energy technique
Muscle energy technique for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of contraction was 10 sec, rest interval was 5 sec, stretch duration was 30 sec, number of repetition of stretch was 5, number of set was 1, frequency per week was 3
• Stretching
Stretching exercises for illiopsoas, rectus femoris, erector spinae & hamstrings muscles duration of stretch was 15 sec, rest interval was 5 sec, number of repetition was 5, number of set was 1, frequency per week was 3

Locations

Country	Name	City	State
Pakistan	Bibi Zahida Memorial Teaching Hospital NCS	Peshawar	KPK

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (7)

Abutaleb EE, Eldesoky MT, El Rasol SA. Effect of Muscle Energy Technique on Anterior Pelvic Tilt in Lumbar Spondylosis Patients. World Academy of Science, Engineering and Technology, International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering. 2015;9(8):651-5.

Ahmed ET, Abdelkarim SS. Efficacy of muscle energy technique versus static stretching technique in increasing hamstring flexibility post burn contracture. Int J Health Rehabil Sci. 2013;2(1):22-7.

Frank C, Page P, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach: Human kinetics; 2009.

Kage MV. Effectiveness of Stretching and Strengthening Exercises in Patients with postural Low Back Pain A Randomized Controlled Trial. 2017.

Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 1. J Bodyw Mov Ther. 2008 Jan;12(1):7-21. doi: 10.1016/j.jbmt.2007.04.005. Epub 2007 Jun 11. — View Citation

Kolar P. Facilitation of agonist-antagonist co-activation by reflex stimulation methods. Rehabilitation of the Spine. 2007:531-65.

Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry, 5th edition: FA Davis; 2016.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric pain rating scale	It was calculated through Numeric pain rating scale (NPRS) in which 0 was the lowest value with no pain label and 10 was the highest value with worst possible pain label. The Subjects with respect to their pain intensity were asked to mark a level of NPRS.	4th week
Primary	ROM assessment of iliopsoas	Range of motion (ROM) was taken via goniometer for iliopsoas was measured with double inclinometer.	4th week
Primary	ROM assessment of rectus femoris	Range of motion (ROM) was taken via goniometer for rectus femoris was measured with double inclinometer.	4th week
Primary	ROM assessment of hamstrings	Range of motion (ROM) was taken via goniometer for hamstrings was measured with double inclinometer.	4th week
Primary	ROM assessment of erector spinae	Range of motion (ROM) was taken via goniometer for erector spinae was measured with double inclinometer.	4th week