Sequential Core Stability Corrective Exercise Approach in Lower Crossed Syndrome

NCT05505851 | Completed

• 1 other identifier: REC/RCR & AHS/22/1104
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of the study will be to determine the effects of Sequential Core Stability Corrective Exercise Approach for Alignment and Muscle Function in Lower Crossed Syndrome.

Conditions

Low Back Pain

Keywords

Alignment; Core Stability; Diaphragm; Pelvic floor; Dysfunction

Outcome Measures

Primary Outcomes (9)

• Photometry for Pelvic Tilt

  Angle of Pelvic tilt will be measured Through a Reliable and validated camera.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Photometry for Chest Expansion

  Angle of Chest expansion will be measured at Nipple line, Xiphoid level and at waist level, Through a Reliable and validated camera.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Photometry for Cervicothoracic level

  Angle of C7-T1 will be measured Through a Reliable and validated camera.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Photometry for Lumber flexion

  Angle of Lumber curve will be measured Through a Reliable and validated camera.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Diaphragmatic excursion

  To assess the diaphragmatic motion by M-mode US a 2.5-5 megahertz (MHz) phase array will be used.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Levator ani Excursion

  To assess the pelvic floor motion by M-mode US a 2.5-5 megahertz (MHz) array will be used.

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Diaphragmatic thickness and thickening

  diaphragmatic thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Levator ani thickness and thickening

  Levator ani thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Core stability

  It will be measured by Pressure biofeedback unit for the transverse abdomens.

  Pre (0th week), Post (6th week), (12th week) Follow-up

Secondary Outcomes (3)

• Forced Vital Capacity (FVC)

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Forced Expiratory Volume per second FEV1

  Pre (0th week), Post (6th week), (12th week) Follow-up

• Ratio of FEV1/ FVC

  Pre (0th week), Post (6th week), (12th week) Follow-up

Study Arms (2)

A: Control

ACTIVE COMPARATOR

Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.

Other: Control

B: Sequential Core Stability Corrective Exercise Approach

EXPERIMENTAL

Sequential Core Stability Corrective Exercise Approach 1. Corrective Exercises 2. Diaphragm Training Program 3. Pelvic floor Muscle training 4. Core Stability exercises

Other: Sequential Core Stability Corrective Exercise Approach

Interventions

Control OTHER

Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.

A: Control

Sequential Core Stability Corrective Exercise Approach OTHER

Sequential Core Stability Corrective Exercise Approach 1. Corrective Exercises 2. Diaphragm Training Program 3. Pelvic floor Muscle training 4. Core Stability exercises 1. Beginning 2. Progressing 3. Advanced

B: Sequential Core Stability Corrective Exercise Approach

Eligibility Criteria

• Age: 18 Years - 28 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age group between 18 to 28 years
• No current incidence of low back pain or past history of low back dysfunction
• Kendall double leg lowering test: Abdominal muscle weakness to the extent of not being able to maintain posterior pelvic tilt during a double leg lowering test in supine position.
• Diagnosed with lower cross syndrome through assessment criteria of Janda muscle testing and assessment

You may not qualify if:

• Having any history of low back pain, spinal trauma,
• Joint dysfunction in past 3 months
• Congenital deformities at hip or lumbar region,
• Recent fracture to related joints in past 6 months
• Any family history of cardiopulmonary disease
• Any disease or urogenital tract
• Participants having BMI above 30.
• Recent history of hepatitis or Fatty liver or
• Any athlete having high physical activity.
• History of abdominal, hip or lumbar surgeries in past 3 months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Al-khumeini Trust Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Muhammad Kashif, PhD

  Riphah International University

  STUDY CHAIR

• Wajeeha Zia, PhD*

  Riphah International University , QIE, Campus

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: 2

Study Record Dates

• First Submitted: May 23, 2022
• First Posted: August 18, 2022
• Study Start: February 10, 2024
• Primary Completion: December 1, 2025
• Study Completion: December 1, 2025
• Last Updated: December 15, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)