Lower Cross SyndromeNCT06613620
Additional Effects of Surface Electromyographic Biofeedback on Post Facilitation Stretching and Strengthening in Lower Crossed Syndrome;A Randomized Control Trial
A study testing Standard Treatment, Visual and auditory feedback on SEMG biofeedback unit and Electrical muscle stimulation in people with Lower Cross Syndrome, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
This study is a randomised control trial and the purpose of this study is to determine the additional effects of surface electromyographic biofeedback on post facilitation stretching and strengthening in lower crossed syndrome. . Read more about this study
- Who is it for?
- Ages 19 to 35 years
- Conditions the study is for
- Lower Cross Syndrome
- What is being tested?
- Standard Treatment, Visual and auditory feedback on SEMG biofeedback unit and Electrical muscle stimulation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 sitePakistan
- Study dates
- 18 Jul 2024to 20 Jun 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age 19-35 years
- Both genders
- Positive modified Thomas test
- Positive prone hip extension strength test
- Positive trunk flexion strength test
- Tight erector spinae
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- BMI normal (18.5-24.9 Kg/m2)
- Local intermittent lumbar pain
- moderate pain (NPRS 3-7)
- Painless movement and activity
- Pain only produced by sustained loading in relevant position, which is then relieved on moving from that pos
Who cannot join
- Acute flare of LBP
- Centralization and peripheralization of pain
- Signs of stenosis(leg symptoms when walking that are eased upon flexion)
- Pain due to repetitive movements
- Paresthesia/Numbness
- Structual deformity(Kyphosis, spondylosis, spondylolisthesis,scoliosis and joint contractures)
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- Curve reversal
- Pregnancy
- Post surgery
- Degenerative and inflammatory spine diseases
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Foundation University College of Physical Therapy
Punjāb Chak, Punjab Province, 46000
About this study
This study is a randomised control trial and the purpose of this study is to determine the additional effects of surface electromyographic biofeedback on post facilitation stretching and strengthening in lower crossed syndrome.
.
Read the detailed description
Participants will be recruited into their respective groups using a sealed envelope method. Lower crossed syndrome will be assessed using the following tests:
Prone hip extension test Trunk flexion strength test Tightness in erector spinae Modified Thomas test
- Conditions
- Lower Cross Syndrome
- Being tested
- Standard Treatment, Visual and auditory feedback on SEMG biofeedback unit, Electrical muscle stimulation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standard TreatmentOther
All participants will receive 4 weeks of intervention with a frequency of 3 times/week i.e. 10minutes of hot pack followed by post facilitation stretching and strengthening protocol.
The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.
Visual and auditory feedback on SEMG biofeedback unitOther
Patients will receive SEMG biofeedback assisted post facilitation stretching and strengthening. Patients will receive 50-80%of their maximum voluntary contraction as per the biofeedback and gradually the contraction time will be increased.
Electrical muscle stimulationOther
Electrical muscle stimulation will be provided in addition to visual and auditory feedback by the SEMG biofeedback unit to the weak muscles until the patients achieve the desired level of contractions.
| Study group | Role | What they receive |
|---|---|---|
| Post Facilitation Stretching and Strengthening | Experimental | Group A will recieve standard treatment of post facilitation stretching and strengthening.
Strengthening will be divided into following phases
1. Warm up phase:
2. Strengthening phase:
3. Cool down phase: Receives: Other: Standard Treatment |
| Visual and auditory biofeeback | Experimental | Group B will receive surface EMG biofeedback(visual and auditary) in addition to standard treatment. Receives: Other: Standard Treatment; Other: Visual and auditory feedback on SEMG biofeedback unit |
| Electrical stimulation along with visual and auditory feedback | Experimental | Group C will receive 3 types of feedbacks (electrical, visual and auditory) in addition to standard treatment Receives: Other: Standard Treatment; Other: Visual and auditory feedback on SEMG biofeedback unit; Other: Electrical muscle stimulation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Lumber lordotic angle
It will be measured using a mobile application. One sensor will be placed at the T12-L1 and other at L5-S1 spinous processes. The two angles will be recorded and their sum will be considered as the lumber lordotic angle.
Measured: 4 weeks
Joint position sense
One sensor will be placed at T12-L1 and the other placed at L5-S1 simultaneously. Patient will be asked to flex and then extend maximally; his end ranges will be recorded. Within the middle range, therapist will decide the targeted angle for individualized patient. Patient will be asked to memorize the target position for 5seconds. The absolute error will measure by subtracting the actual angle and the target angle.
Measured: 4 weeks
pain intensity
It will be measured on a numeric pain rating scale in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced.
Measured: 4 weeks
Functional disability
It will be measured using a Modified Oswestry lower back Disability Index. It is a 10item based questionnaire and each item is further divided into 6statements. The score of '0-4' indicated no disability while 35-50 indicate complete disability.
Measured: 4 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Sep 2024
- Study start18 Jul 2024
- Primary completion2 Jun 2025
- Study completion20 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lower Cross SyndromeStudies of the same condition, open and under way.
- More trials run by Foundation University IslamabadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized Control Trial
- Masking
- None (open label)
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06613620
- Sponsor's protocol ID
- FUI/CTR/2024/33
- Status last verified
- Dec 2025
- First submitted
- 23 Sep 2024
- Last updated
- 22 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Additional Effects of Surface Electromyographic Biofeedback on Post Facilitation Stretching and Strengthening in Lower Crossed Syndrome;A Randomized Control Trial
- ClinicalTrials.gov ID
- NCT06613620
- Acronym / sponsor ID
- FUI/CTR/2024/33
- Conditions
- Lower Cross Syndrome
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 18 Jul 2024 (actual)
- Primary completion
- 2 Jun 2025 (actual)
- Study completion
- 20 Jun 2025 (actual)
- First posted
- 26 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a randomised control trial and the purpose of this study is to determine the additional effects of surface electromyographic biofeedback on post facilitation stretching and strengthening in lower crossed syndrome.
.
Detailed description
Participants will be recruited into their respective groups using a sealed envelope method. Lower crossed syndrome will be assessed using the following tests:
Prone hip extension test Trunk flexion strength test Tightness in erector spinae Modified Thomas test
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Randomized Control Trial
| Arm | Type | Receives |
|---|---|---|
| Post Facilitation Stretching and Strengthening | Experimental | Other: Standard TreatmentGroup A will recieve standard treatment of post facilitation stretching and strengthening. Strengthening will be divided into following phases 1. Warm up phase: 2. Strengthening phase: 3. Cool down phase: |
| Visual and auditory biofeeback | Experimental | Other: Standard Treatment, Other: Visual and auditory feedback on SEMG biofeedback unitGroup B will receive surface EMG biofeedback(visual and auditary) in addition to standard treatment. |
| Electrical stimulation along with visual and auditory feedback | Experimental | Other: Standard Treatment, Other: Visual and auditory feedback on SEMG biofeedback unit, Other: Electrical muscle stimulationGroup C will receive 3 types of feedbacks (electrical, visual and auditory) in addition to standard treatment |
Who may qualify
- Ages
- 19 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (11 listed)
- Age 19-35 years
- Both genders
- Positive modified Thomas test
- Positive prone hip extension strength test
- Positive trunk flexion strength test
Key exclusion criteria (10 listed)
- Acute flare of LBP
- Centralization and peripheralization of pain
- Signs of stenosis(leg symptoms when walking that are eased upon flexion)
- Pain due to repetitive movements
- Paresthesia/Numbness
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Standard TreatmentAll participants will receive 4 weeks of intervention with a frequency of 3 times/week i.e. 10minutes of hot pack followed by post facilitation stretching and strengthening protocol. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance. | Other | Electrical stimulation along with visual and auditory feedback, Post Facilitation Stretching and Strengthening, Visual and auditory biofeeback |
| Visual and auditory feedback on SEMG biofeedback unitPatients will receive SEMG biofeedback assisted post facilitation stretching and strengthening. Patients will receive 50-80%of their maximum voluntary contraction as per the biofeedback and gradually the contraction time will be increased. | Other | Electrical stimulation along with visual and auditory feedback, Visual and auditory biofeeback |
| Electrical muscle stimulationElectrical muscle stimulation will be provided in addition to visual and auditory feedback by the SEMG biofeedback unit to the weak muscles until the patients achieve the desired level of contractions. | Other | Electrical stimulation along with visual and auditory feedback |
Primary outcome
Lumber lordotic angle
Time frame: 4 weeks
It will be measured using a mobile application. One sensor will be placed at the T12-L1 and other at L5-S1 spinous processes. The two angles will be recorded and their sum will be considered as the lumber lordotic angle.
Joint position sense
Time frame: 4 weeks
One sensor will be placed at T12-L1 and the other placed at L5-S1 simultaneously. Patient will be asked to flex and then extend maximally; his end ranges will be recorded. Within the middle range, therapist will decide the targeted angle for individualized patient. Patient will be asked to memorize the target position for 5seconds. The absolute error will measure by subtracting the actual angle and the target angle.
pain intensity
Time frame: 4 weeks
It will be measured on a numeric pain rating scale in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced.
Functional disability
Time frame: 4 Weeks
It will be measured using a Modified Oswestry lower back Disability Index. It is a 10item based questionnaire and each item is further divided into 6statements. The score of '0-4' indicated no disability while 35-50 indicate complete disability.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Dec 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Standard Treatment, Visual and auditory feedback on SEMG biofeedback unit and Electrical muscle stimulation in people with Lower Cross Syndrome, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Lumber lordotic angle (time frame: 4 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2025.