POS Mobilization by 3-DRT Affect Functional Outcome in Layered Syndrome

NCT07710079 | Completed

• 1 other identifier: REC/RCR&AHS/25/0127
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome

Conditions

Shoulder Pain; Neck Pain; Low Back Pain

Keywords

Disability; Pain; Range of motion

Outcome Measures

Primary Outcomes (3)

• Neck disability Index

  Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability.

  4rth week

• Oswestry Disability Index

  Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI).

  4rth week

• Shoulder Pain and Disability Index

  Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research.

  4rth week

Secondary Outcomes (9)

• Numeric Pain rating sclae (NPRS)

  4rth week

• ROM Cervical Spine (Flexion)

  4rth week

• ROM Cervical Spine (Extension)

  4rth

• ROM Cervical Spine (Lateral Flexion)

  4rth

• ROM Lumbar Spine (Flexion)

  4rth

Study Arms (2)

POS mobilization

EXPERIMENTAL

Posterior oblique sling mobilization by 3-D release technique along with conventional physiotherapy treatment for Upper cross and lower cross syndrome

Other: POS Mobilization

Coventional Physical therapy

ACTIVE COMPARATOR

Cervical isometrics and stretching, Lumbar isometrics and stretching

Other: Conventional Physical Therapy

Interventions

Conventional Physical Therapy OTHER

Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total

Coventional Physical therapy

POS Mobilization OTHER

In experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching. POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total

POS mobilization

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \+ Craniocervical flexion test
• \+ Fleshe test (Occiput to wall distance)
• \+ Thomas test
• \+ Straight leg raise (SLR)
• +Push Up test
• +Trunk Curl Up test

You may not qualify if:

• Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region).
• Presence of medical conditions such as cardiac disease, infections, coagulation disorder.
• The participants with any musculoskeletal injuries in the past 6 months
• Cervical dysfunctions affecting upper limbs
• Lumbar Dysfunctions
• Any fracture or other injury
• Any systemic illness
• Any neurological disease

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Imran Idrees teachingHospital

Sialkot, Punjab Province, 51310, Pakistan

Location

Related Publications (1)

• Welling A, Patil A, Gunjal P, Naik P, Hubli R. Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial. Int J Ther Massage Bodywork. 2024 Jun 13;17(2):20-31. doi: 10.3822/ijtmb.v17i2.957. eCollection 2024 Jun.

  PMID: 38873188 BACKGROUND

MeSH Terms

Conditions

Shoulder Pain; Neck Pain; Low Back Pain; Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Back Pain

Study Officials

• Saba Rafique, Phd*

  Riphah International University

  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 17, 2026
• First Posted: July 17, 2026
• Study Start: December 1, 2025
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: July 17, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)