Effects of Lumber Sustained Natural Apophyseal Glides on Lower Cross Syndrome

NCT06707805 | Recruiting

• 1 other identifier: REC/MS-PT/01879 Amreen Shabbir
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome. The specific muscle imbalance seen in PCS gives rise to specific joint dysfunction, particularly in the L4-L5 and L5-S1 segment of the vertebral column. Over time, this causes stress at the L5-S1 segment of the vertebral column leading to pain and irritation in the lower back Lumber SNAGs encourage improvement of these repositioning error, posture, alleviate discomfort and enhance overall functioning. This research aims to offer patients a noninvasive and personalized approach to managing LCS, ultimately contributing to their overall well-being and movement quality

Conditions

Lower Cross Syndrome

Keywords

pain; lumber SNGS

Outcome Measures

Primary Outcomes (1)

• Oswestry disability index

  The Oswestry Low Back Pain Disability Questionnaire is an adequate apparatus used to measure disability caused by low back pain in the general population. The questionnaire examines the level of disability in 10 everyday activities of daily living. Each item consist of 6 statements which are scored from 0 to 5. With 0 indicating the least disability and 5 the greatest then the total score is calculated as a percentage, with 0% indicating no disability and 100% indicating the highest level of disability.

  from baseline to 4th week

Secondary Outcomes (2)

• Numeric pain rating sacle

  from baseline to 4th week

• Lumber Range of motion

  AT baseline and 3rd week

Study Arms (2)

lumber SNAGS

EXPERIMENTAL

A sustained natural apophyseal glide (SNAG) is a mobilization technique commonly used in the treatment of painful movement restrictions of the spine.Studing the effect of Lumber SNAGs in lower cross syndrome hold significance due to its potential to correct pain, hypomobility and biomechanical changes i.e hyperlordotic curve and anterior pelvic tilting caused by lower cross syndrome

Other: lumber SNAGS

Conventional group

OTHER

Exercises ,Tens and hotpack

Other: Traditional Physical therapy

Interventions

Traditional Physical therapy OTHER

Conventional treatment protocol including moist Heating pad for low back pain for 15 minutes. TENS for pain for 10 minutes. Stretchings of tight muscles would be 1 set of 5-7 reps with 5 sec. hold 3 times a week. Strengthing of weak muscles would be 2-3 times a weak with 10-15 reps.Stretching protocol will be followed for Iliopsoas and erector spinae muscles. Strengthening protocol will be followed for weak abdominals and Gluteus maximus muscles

Conventional group

lumber SNAGS OTHER

: Lumber mobilizations with conventional treatment protocol. * Lumber Mulligan(SNAGs) technique * Technique applied at L4-L5, L5-S1 level. * Techniques applied for flexion ,extension, side bending and rotation 6 to 8 cycles per session

lumber SNAGS

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 30 to 50 years.
• Both genders
• Patient came with the complain of low back pain.
• Participants had to present with pain and hypomobility due to lower cross syndrome
• Participants had to meet the criteria for lower cross syndrome indicating tight hip flexors and erector spinae along with weak abdominals and glutei muscles
• Participants with hyperlordotic curve due to lower cross syndrome
• Participants presenting with anterior pelvic tilting greater than angle \>7-10 degrees
• Willing to provide informed consent to participate in study

You may not qualify if:

• Musculoskeletal pathologies affecting the lower back, pelvis, hips, or lower extremities (e.g., herniated disc, lumbar radiculopathy, lumbar stenosis, hip labral tear).
• Participants who had undergone any lumber or pelvic surgery, as it will affect sacroiliac joint mechanics.
• Generalized inflammatory or infective connective tissue disorder
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Orthopaedic hospital

Kotli, Azad Kashmir, 0001, Pakistan

RECRUITING

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Asmar Fatima, MS OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Asmar Fatima, MS-OMPT

CONTACT

03336195644; asmar.fatima@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: May 1, 2024
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: February 21, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)