Effects of Clamshell Versus Gluteal Bridge Exercises

NCT05973695 | Completed

• 1 other identifier: REC/RCR & AHS/23/0128 UMIA
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Gluteal amnesia is a "condition" where the individual is believed to have lost the ability to contract their gluteal muscles - generally the gluteus maximus, though some report it as the gluteus medius. This can take many different names, such as "dead butt", "sleeping glutes", or glutes that are "turned off".Since the gluteus medius normally helps stabilize the pelvis, gluteal amnesia can lead to lower back pain and hip pain, as well as knee and ankle issues, as the body tries to compensate for the imbalance.

Conditions

Lower Crossed Syndrome

Keywords

gluteal weakness; disability; pain; gluteal amnesia

Outcome Measures

Primary Outcomes (3)

• Numerical Pain Rating scale (NPRS)

  The numerical Pain Rating scale (NPRS) assesses the pain in the gluteal region. Pain is assessed using a Numeric pain rating (NPRS). The scale ranges from 0 to 10. 0 indicates "no pain", and 10 indicates "worst Pain. mild pain score 1 to 3 moderate pain score 4 to 7 severe pain score with interference with functioning. 8 to 10

  upto 4 weeks

• Oswestry disability score

  Oswestry Disability score is used to measure low back disability. Each ten item is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP. Oswestry Disability Index will evaluate disability for disability. This questionnaire will be used to assess disability. It comprises 10 items, 7 related to daily activities, 2 related to pain, and 1 related to concentration. Each item scores from 0 to 5. The total score is expressed as a percentage with higher scores related to more significant disability

  upto 4 weeks

• Quality of Life EQ-5D

  EQ-5D Health-Related Quality of Life Question checked the quality of life of the patients. Descriptive system for health-related quality of life states in adults, consisting of five dimensions (Mobility, Self-care, Usual activities, Pain \& discomfort, Anxiety \& depression), each with five severity levels described by statements appropriate to that dimension. The scale ranges from 100 ('the best imaginable health state' or 'the best health state you can imagine') to 0 ('the worst imaginable health state' or 'the worst health you can imagine'). This is used to obtain a respondent's stated preference values, not to record their own health state.

  upto 4 weeks

Study Arms (2)

Group A: Clamshell Exercise

ACTIVE COMPARATOR

Group A will be treated with baseline treatment and clamshell exercises. Lie on your side with your knees slightly bent and with one leg on top of the other. Keep your feet together and lift your top knee until its parallel with your hip. Lower your knee back to the initial position, repeat, and then switch sides. In 1st week 1 sets 10 repetitions. In 2nd week 2 sets of 10 repetitions. In 3rd and 4th week and onwards 3 sets of 10 repetitions.

Other: clamshell exercise

Group B: Gluteal Bridge exercise

ACTIVE COMPARATOR

Group B will be treated with baseline treatment and Gluteal Bridge exercises. Start flat on your back with your legs bent at a 90-degree angle and feet placed flat on the ground. Make sure your toes are turned outward at 45-degree angles and your knees are facing in the same direction as your toes. Drive down through your feet and push your hips up. You should feel this variation fatiguing the outer portion of your thighs. Make sure you keep your knees over your toes throughout the entire movement. Don't let them move forward over the toes. In a controlled motion, let your hips sink back down toward the ground. This completes 1 repetition. Perform 3 sets of 15 repetitions, or 3 rounds of a 30-second hold.

Other: Gluteal Bridge exercises

Interventions

clamshell exercise OTHER

For clamshell exercises, Lie on your side with your knees slightly bent and with one leg on top of the other. Keep your feet together and lift your top knee until its parallel with your hip. Lower your knee back to the initial position, repeat, and then switch sides. In 1st week 1 sets 10 repetitions. In 2nd week 2 sets of 10 repetitions. In 3rd and 4th week and onwards 3 sets of 10 repetitions

Group A: Clamshell Exercise

Gluteal Bridge exercises OTHER

Start flat on your back with your legs bent at a 90-degree angle and feet placed flat on the ground. Make sure your toes are turned outward at 45-degree angles and your knees are facing in the same direction as your toes. Drive d

Group B: Gluteal Bridge exercise

Eligibility Criteria

• Age: 20 Years - 40 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female between the ages of 20 to 40 years
• Prolonged sitting hours \>4 hours.
• Examination- Symptoms provoked by low back movement.
• Positive Gluteal strength test
• Positive SLR for hamstring tightness
• Positive Thomas test for Rectus femoris tightness.

You may not qualify if:

• Osteoporosis
• Malignancy
• Vertebral fractures
• Pervious or scheduled surgery
• Trauma
• Pregnancy
• Psychological conditions

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Jinnah hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Samrood Akram, Mphil

  Riphah International University,Lahore

  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: June 27, 2023
• First Posted: August 3, 2023
• Study Start: October 5, 2023
• Primary Completion: March 8, 2024
• Study Completion: March 10, 2024
• Last Updated: April 30, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)