Comparative Effects of Jandas's Approach With and Without Post Isometric Relaxation Technique

NCT06461507 | Completed

• 1 other identifier: REC/RCR & AHS/23/0194 Nimra
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Posterior lower crossed syndrome is a perplexing puzzle of muscular imbalance, manifests as an intricate interplay between weakened glutes and tight flexors. The aim of the study will be to determine the effects of Jandas's approach with and without post-isometric relaxation technique on pain, muscle flexibility, and functional disability in patients with the posterior lower crossed syndrome.

Conditions

PELVIS Syndrome

Keywords

disability; pain; flexibility

Outcome Measures

Primary Outcomes (3)

• Numerical pain rating scale (NPRS)

  o Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain. 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).

  upto 4 weeks

• Finger to floor test -Muscle flexibility test

  * The patient is asked to bend forward and attempt to reach for the floor with their fingertips. * The physical therapist then measures the distance between the patient's right long finger and the floor using a standard measuring tape * Ask the client whether pain, stiffness or both limit the movement(Fingertips to floor (FTF) test). * If the FTF test is limited by pain, the location and pain score out of 10 should be documented. * If the FTF test is 0 cm or the patient is able to place their palms to the floor with no pain, a different outcome measure should be considered.

  upto 4 weeks

• Modified Thomas Test- Muscle flexibility test

  * Have the patient lie supine on a firm surface, with their legs straight. * Place your hand under the patient's lower back to maintain a neutral spine. * Slowly flex the patient's hip, bringing their knee towards their chest, until their thigh is perpendicular to the table. * Assist the patient in flexing their hip further, keeping their knee bent at a 90-degree angle. * Measure the angle between the patient's thigh and the table using a goniometer or inclinometer. * Compare the measurement to the normal range (usually around 15-20 degrees) to determine if there is a restriction in iliopsoas flexibility.

  upto 4 weeks

Study Arms (2)

Group A: Muscle Energy Technique (METs)

EXPERIMENTAL

▪ Apply METs to the iliopsoas muscle by instructing the patient to do hip flexion and resist movement by pushing their leg down towards the table, activating their iliopsoas muscle. (This contraction is known as an isometric contraction). Maintain the isometric contraction for approximately 5-10 seconds, encouraging the patient to exert maximal effort. After the contraction, relax the patient's leg as they exhale, and take the muscle to its new, slightly increased, passive range of motion.

Other: Janda's Approach

Group B: Janda's Approach

ACTIVE COMPARATOR

For tightened structures stretching, use the Iliopsoas stretch and the Erector spinae stretch (5 repetitions of stretching with 30-s hold for each muscle) For Strengthening Weakened Structures: Glute bridge, Abdominal crunch (10 repetitions of each)

Other: Janda's Approach

Interventions

Janda's Approach OTHER

For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).

Group A: Muscle Energy Technique (METs); Group B: Janda's Approach

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age:20-60 years
• Gender: Both males and females
• NPRS (Numerical Pain Rating Scale): \< 7
• Positive Finger to Floor Test : \> 48cm in males, \>50cm for females
• Positive Modified Thomas Test: greater than zero
• Patients with anterior pelvic tilt

You may not qualify if:

• Preexisting spinal pathology
• Congenital abnormality
• Neurological deficits,
• Recent spinal or lower-limb trauma or surgery
• Spasm of the trunk or lower-limb muscles
• Lower-limb radiculopathy
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Shafeen medical complex Punjab Pakistan

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Key J. 'The core': understanding it, and retraining its dysfunction. J Bodyw Mov Ther. 2013 Oct;17(4):541-59. doi: 10.1016/j.jbmt.2013.03.012. Epub 2013 Jun 28.

  PMID: 24139017 BACKGROUND

• Roberts JM, Wilson K. Effect of stretching duration on active and passive range of motion in the lower extremity. Br J Sports Med. 1999 Aug;33(4):259-63. doi: 10.1136/bjsm.33.4.259.

  PMID: 10450481 BACKGROUND

• Kale, S. S. and S. Gijare (2019).

  BACKGROUND

• Ishida H, Hirose R, Watanabe S. Comparison of changes in the contraction of the lateral abdominal muscles between the abdominal drawing-in maneuver and breathe held at the maximum expiratory level. Man Ther. 2012 Oct;17(5):427-31. doi: 10.1016/j.math.2012.04.006. Epub 2012 May 16.

  PMID: 22595657 BACKGROUND

• Esakowitz, A. (2014). The effect of muscle energy technique versus chiropractic adjustive therapy in the treatment of chronic low back pain with lower cross syndrome, University of Johannesburg (South Africa).

  BACKGROUND

• Janda, V. (1987).

  BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Nimra Azhar, MSPT*

  Riphah International University,Lahore

  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

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: June 17, 2024
• Study Start: June 30, 2024
• Primary Completion: September 30, 2024
• Study Completion: October 10, 2024
• Last Updated: October 15, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)