Effects Of Jandas Approach Vs PNF Technique On Pain, ROM, Disability, Endurance And QOL In Patients With LCS

NCT06737900 | Recruiting

• 1 other identifier: REC/RCR&AHS/24/0107
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized clinical trial is to learn if the given interventions that is jandas approach versus Proprioceptive Neuromuscular Facilitation technique can treat pain, disability, range of motion, endurance and quality of life in patients with Lower cross syndrome on both genders and age group of 25-40 years. The main questions it aims to answer are: Does jandas approach versus Proprioceptive neuromuscular facilitation technique improves pain, disability, range of motion, endurance and quality of life in patients with lower cross syndrome? There is a comparison between two groups: Researchers will compare the jandas approach and proprioceptive neuromuscular facilitation technique to see if there is effects on pain, disability, range of motion, endurance and quality of life in patients with lower cross syndrome. Participants in group A will be given

• Heating pad for 10 minutes
• Core stability exercises for 20 minutes with 10 seconds of rest intervals
• Proprioceptive Neuromuscular Facilitation technique was used for stretching of erector spinae, quadratus lumborum, rectus femoris and iliopsoas and rhythmic stabilization technique for strengthening. Stretching was performed using contract-relax technique in supine, prone and side lying positions. The Contract-Relax method included the target muscle to be lengthened and held in lengthened position while the patient contracted the Target-Muscle to its maximum position isometrically 3 to 6 seconds.
• Rhythmic stabilization technique was used to strengthen and stabilize the postural trunk muscles of hip: Abdominals and gluteal muscles strengthening and Participants in group B will be given
• Heating pad for 10 minutes
• Core stability exercises for another 20 minutes.
• After which it was treated with the Janda's approach of musculoskeletal pain that includes strengthening of the weakened muscles and stretching of the tightened muscles including Stretching exercise for erector spinae and back extensors muscles Stretching exercises for iliopsoas muscle and rectus femoris muscle Strengthening exercise for abdominal muscle and gluteal maximus muscle

Conditions

Lower Cross Syndrome

Keywords

Disability, Muscle strength, Pain, Quality of life, range of motion

Outcome Measures

Primary Outcomes (2)

• numerical pain rating scale

  changes from baseline numerical pain rating scale is a scale that was used to measure pain of the patient and ranges from 0 to 10. 0 gives an indication of no pain and 10 gives an indication of worst pain.

  4th day

• owestry disability index

  changes from baseline in functional impairment and disability, Owestry Disability Index was used. ODI consist of 10 items that are related to daily living activities limitation with 6 levels being set in each dimension. The score of 0 indicates the disability of lowest level, while 5 is an indication of disability of highest level. The overall score is then converted in percentage out of 100%

  4th day

Secondary Outcomes (11)

• SF-36

  4th day

• ROM lumber spine (flexion)

  4th day

• ROM lumber spine (extension)

  4th day

• ROM lumber spine (lumber right lateral flexion)

  4th day

• ROM lumber spine (lumber left lateral flexion)

  4th day

Study Arms (2)

traditional physical therapy

ACTIVE COMPARATOR

Heating pad for 10 minutes and Core stability exercises for 20 minutes with 10 seconds of rest intervals.

Other: jandas approach

Proprioceptive Neuromuscular Facilitation technique

EXPERIMENTAL

Heating pad for 10 minutes and core stability exercises for 20 minutes along with Proprioceptive Neuromuscular Facilitation technique was used for stretching and rhythmic stabilization technique for strengthening. Stretching was performed using contract-relax technique.

Other: traditional physical therapy

Interventions

traditional physical therapy OTHER

* Heating pad for 10 minutes * Core stability exercises for 20 minutes with 10 seconds of rest intervals * Patients were advised to stretch for 5 minutes then perform lumber stability exercises. * These stability exercises included side bridges, supine extension bridge, straight leg raise in prone lying, alternate arm and leg raise from quadruped position and prone bridges. Both groups took sessions thrice a week for a total of 4 weeks.

Proprioceptive Neuromuscular Facilitation technique

jandas approach OTHER

* Stretching exercise for erector spinae and back extensors muscles * Stretching exercises for iliopsoas muscle and rectus femoris muscle * Strengthening exercise for abdominal muscle and gluteal maximus muscle Stretching exercise was performed actively for 3 repetitions x 1 set and 4 days a week Strengthening exercise was performed for 10 second hold and 10 repetitions. All Exercises was performed 3 times per week for total of 4 weeks

traditional physical therapy

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group of 25-40 years.
• Both genders male and female.
• NPRS score range from 4-7.
• Modified Thomas test positive , Back extensor test positive, prone hip extension strength test positive , Trunk flexion strength test positive.

You may not qualify if:

• Vertebral Fractures
• Tumors
• Pregnancy
• Diagnosed psychological disorders

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehab Training and Research Center

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• 1) authors: rajalaxmi v, nandhini g etc, article name: efficacy of jandas approach versus brueggers exercise in pelvic cross syndrome and its impact on quality of life, journal name: JK welfare and pharmascope foundation, publication date: 8 feb 2020, volume and pages were not mentioned

  BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Amna Shahid, t-DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

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

Model Details: there were total of 52 participants and were randomly assigned to two different groups. Group A received proprioceptive neuromuscular facilitation technique and Group B received jandas approach of stretching and strengthening. The aim of this study was to study the Effects of Jandas approach versus Proprioceptive Neuromuscular Facilitation technique on pain, disability, range of motion, endurance and quality of life in patients with lower crossed syndrome

Study Record Dates

• First Submitted: December 12, 2024
• First Posted: December 17, 2024
• Study Start: July 1, 2024
• Primary Completion: December 1, 2024
• Study Completion: January 1, 2025
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)