Effect of Extracorporeal Shock Wave on Electrophysiological Changes and Pain in Patients With Lower Cross Syndrome

NCT06531746 | Completed

• 1 other identifier: P.T.REC/012/005231
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Lower Cross Syndrome happens when there is muscular imbalance between weak and tight muscles. The tight muscles are generally the hip flexors and erector spinae, and weak muscles are the abdominals and gluteal muscles. Shortening occurs in the hip flexors while weakening occurs in the abdominals and gluteal muscles.

Conditions

Lower Cross Syndrome

Keywords

Extracorporeal Shock Wave; Electrophysiological changes; Pain; Lower Cross Syndrome

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale

  Assess pain intensity

  4 weeks

• Electromyograph

  Assess activity of lower back muscles (Erector Spinae)

  4 weeks

Study Arms (2)

Study group (I)

EXPERIMENTAL

Will consist of 20 patients with lower cross syndrome and will receive extracorporeal shock wave in addition to conventional physical therapy program. For 12 sessions every other day, each session for 1 hour.

Other: Extracorporeal shock wave; Other: Conventional physical therapy program

Control group (II)

EXPERIMENTAL

Will consist of 20 patients with lower cross syndrome and will receive sham extracorporeal shock wave in addition to conventional physical therapy program only same as group (I). For 12 sessions every other day, each session for 1 hour.

Other: Conventional physical therapy program; Device: Sham (No Treatment)

Interventions

Extracorporeal shock wave OTHER

participants will receive 2000 ESWT impulses, with 1500 targeting the taut band and 500 surrounding the taut band, with an energy flux density of 0.10 mJ/mm and frequency of 8 Hz, by using an EME S.r.l. via Degli Abeti 88/161122 Pesaro \[serial number: EM12681015\], Italy, shock wave generator.

Study group (I)

Conventional physical therapy program OTHER

Stretching and strengthening of Iliopoas muscle and Stretching and strengthening of Lower back muscles

Control group (II); Study group (I)

Sham (No Treatment) DEVICE

Sham extracorporeal shock wave will be introduced without real shock wave impulses.

Control group (II)

Eligibility Criteria

• Age: 30 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Forty-four lower cross syndrome patients from both genders their ages ranged from 30-45 years old.
• All patients in present study will be ambulant independently.
• All patients will be medically stable.
• The body mass index (BMI) will be ranged from 20:25 Kg/m2.

You may not qualify if:

• Patients with musculoskeletal deformities and disorders.
• Patients with psychiatric disorders or seizures.
• Patients with visual and auditory impairment or tremors influencing balance.
• Patients with other neuromuscular disorders.
• Patients with BMI more than 25 kg/m2.
• Patients with cognitive impairment.
• Patients with lower limb or head and brain surgeries.

Sponsors & Collaborators

• Ahmed Alshimy: lead

Study Sites (1)

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Location

MeSH Terms

Conditions

Pain

Interventions

Extracorporeal Shockwave Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Ultrasonic Therapy; Diathermy; Hyperthermia, Induced; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Physical Therapy for Neurology and its Surgery Faculty of Physical Therapy - Al Ryada University for Science and Technology

Study Record Dates

• First Submitted: July 29, 2024
• First Posted: August 1, 2024
• Study Start: February 2, 2025
• Primary Completion: November 28, 2025
• Study Completion: November 29, 2025
• Last Updated: December 5, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)