Stretching With And Without Pressure Biofeeback In Patients With Postural Syndrome

NCT05021471 | Completed DMC

• 1 other identifier: REC/Lhr/21/0114 Hashim
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Postural; Defect

Keywords

Pressure biofeedback unit,; Stretching Hamstring Muscles; Active Knee Extension Test

Outcome Measures

Primary Outcomes (2)

• range of joint

  universal goniometer as range increase it shows betterment

  4 weeks

• 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

Study Arms (2)

Group A

EXPERIMENTAL

Twenty nine (29) patients will be treated stretching of hamstring with pressure biofeedback.

Other: biofeedback

Group B

ACTIVE COMPARATOR

Twenty nine (29) patients will be treated stretching of hamstring without pressure biofeedback.

Other: hamstrings stretching

Interventions

biofeedback OTHER

Twenty nine (29) patients will be treated stretching of hamstring with pressure biofeedback.

Group A

hamstrings stretching OTHER

Twenty nine (29) patients will be treated stretching of hamstring without pressure biofeedback.

Group B

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international university

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (4)

• 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. doi: 10.1093/ptj/76.8.836.

  PMID: 8710963 BACKGROUND

• 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.

  PMID: 26240711 BACKGROUND

• 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.

  PMID: 22294854 BACKGROUND

• 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.

  PMID: 19193245 BACKGROUND

MeSH Terms

Interventions

Biofeedback, Psychology

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Feedback, Psychological

Study Officials

• Muhammad Salman Bashir, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 23, 2021
• First Posted: August 25, 2021
• Study Start: August 5, 2021
• Primary Completion: February 15, 2022
• Study Completion: February 28, 2022
• Last Updated: April 22, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)