Stretching With And Without Pressure Biofeeback In Patients With Postural Syndrome

Postural; Defect Clinical Trial

Official title:

Effects Of Stretching With And Without Pressure Biofeeback On Hamstring Muscle Flexibility In Patients With Postural Syndrome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05021471
• Other study ID #: REC/Lhr/21/0114 Hashim
• Status: Completed
• Phase: N/A
• Start date: August 5, 2021
• Est. completion date: February 28, 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Postural syndrome describes a variety of conditions in which repetitive or continued bad posture over a long period of time causes pain and reduced function in the muscles and joints.

Improper posture can cause pain throughout the length of the spine from the neck to the pelvis. Modern sedentary style of living is one of the main reasons for postural abnormalities evident in modern society. The prolonged sitting hours required in most of the jobs, and educational setups can affect flexibility of soft tissues, especially two joint muscles. Bad posture while standing or walking, if left uncorrected, can worsen over time and lead to pain and dysfunction. Hamstring is a key component of flexibility in the human body and it is more prone to get tightened. Many reasons can lead to the development of hamstring tightness such as genetic predisposition, injury to muscle, and adaptive shortening due to some chronic condition. Short hamstring muscles, because of their attachments to the posterior leg and to the ischial tuberosity, may limit hip flexion ROM and induces posterior pelvic tilt and decreased lumbar lordosis, which can result in LBP The purpose of this study will be to find out the effects of stretching with and without pressure biofeedback unit (PBU) on hamstring muscle flexibility in patients with postural syndrome. The active knee extension (AKE) test will be used to determine the length of the hamstring muscles using a goniometer. A PBU will be used to maintain the anterior pelvic tilt position during active knee extension (AKE) test or stretching, by monitoring the pressure of airbag. Patients will be recruited into study by convenient sampling technique after that will be allocated to groups by simple random assignment. All participants will actively stretch three days per week for four weeks. After collecting data from defined study setting, data will be entered and analyzed by using Statistical Package for the Social Sciences (SPSS) for Windows software, version 25.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 62
• Est. completion date: February 28, 2022
• Est. primary completion date: February 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 25 Years

Eligibility

Inclusion Criteria:

• Males and females of aged 18 to 25 years with hamstrings shortening less than 70 degrees are included in the study

Exclusion Criteria:

• Subjects with any past hamstring injury within last 2 years

• Low back pain since past 3 months

• Current or recent (last 3 months) participation in a specific program designed to lengthen the hamstrings are excluded

Related Conditions & MeSH terms

• Postural; Defect

Intervention

Other:
• biofeedback
Twenty nine (29) patients will be treated stretching of hamstring with pressure biofeedback.
• hamstrings stretching
Twenty nine (29) patients will be treated stretching of hamstring without pressure biofeedback.

Locations

Country	Name	City	State
Pakistan	Riphah international university	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (4)

Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015 Aug;9(4):535-40. doi: 10.4184/asj.2015.9.4.535. Epub 2015 Jul 28. — View Citation

Li Y, McClure PW, Pratt N. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending. Phys Ther. 1996 Aug;76(8):836-45; discussion 845-9. — View Citation

Makhsous M, Lin F, Bankard J, Hendrix RW, Hepler M, Press J. Biomechanical effects of sitting with adjustable ischial and lumbar support on occupational low back pain: evaluation of sitting load and back muscle activity. BMC Musculoskelet Disord. 2009 Feb 5;10:17. doi: 10.1186/1471-2474-10-17. — View Citation

May S, Nanche G, Pingle S. High frequency of McKenzie's postural syndrome in young population of non-care seeking individuals. J Man Manip Ther. 2011 Feb;19(1):48-54. doi: 10.1179/2042618610Y.0000000004. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	range of joint	universal goniometer as range increase it shows betterment	4 weeks
Primary	pain of patient	NPRS The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).	4 weeks