Lower Cross SyndromeNCT06737900
Effects Of Jandas Approach Vs PNF Technique On Pain, ROM, Disability, Endurance And QOL In Patients With LCS
A study testing traditional physical therapy and jandas approach in people with Lower Cross Syndrome, run by Riphah International University at 1 site in Pakistan.
Trial 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… Read more about this study
- Who is it for?
- Ages 25 to 40 years
- Conditions the study is for
- Lower Cross Syndrome
- What is being tested?
- traditional physical therapy and jandas approach
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 52 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Jul 2024to Jan 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 25 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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.
Who cannot join
- Vertebral Fractures
- Tumors
- Pregnancy
- Diagnosed psychological disorders
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Riphah Rehab Training and Research Center
Lahore, Punjab Province, 54000
Dr. Ali Raza, 03326099065, dralirazapt@gmail.com
Khizra Ashraf, DPT
About this study
Official title: Effects Of Jandas Approach Versus Proprioceptive Neuromuscular Facilitation Technique On Pain, Range of Motion, Disability, Endurance And Quality Of Life In Patients With Lower Cross Syndrome
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?
Read more
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
Read the detailed description
A Randomized Clinical Trial was conducted at Riphah Clinic Lahore. A total of 52 patients (N=52) were assessed for eligibility criteria through non-probability consecutive sampling technique. 6 participants were excluded from the research. These 6 patients rejected to be the part of the study and declined any treatment. Hence 46 participants were included in the study that were first assessed and diagnosed with lower cross syndrome and met the inclusion criteria. As a result, total of 46 patients including (females: 39, males: 7) were considered eligible for the study. They were randomized through computer generated software. The list was concealed by a sealed envelope. The group A was labeled as 1 and group B was labeled as 2. Patients enrolled in this study have age between 25-40 years. Consent form was filled before the start of the treatment. The participants were randomly enrolled into two groups named as group A and group B. Baseline assessment of pain, disability, quality of life, lumbar range of motion, hip range of motion and endurance was taken using NPRS, ODI, SF-36, inclinometer, goniometer and McGill test of endurance respectively, before the start of the treatment by an assessor. Both groups: A and B received baseline treatment that consisted of a heating pad for 10 minutes followed by 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.
Group A The group A first received the baseline treatment mentioned above then Proprioceptive Neuromuscular Facilitation technique for stretching and rhythmic stabilization technique for strengthening. PNF stretching was performed using contract-relax technique in supine, prone and side lying positions. The Contract-Relax method includes the target muscle to be lengthened and held in lengthened position while the patient will contract the Target-Muscle to its maximum position isometrically for an allotted amount of time that varies from 3 to 6 seconds. The muscle which is contracting is the agonist and the muscle which is relaxing is called the antagonist.
- Erector spinae stretching: Ask the patient to lie down and bring both the legs up to their chest by grabbing around their knees to stretch erector spinae muscle. Ask the patient to tuck in their chin and hold the stretch for 6 seconds of contraction with 80% force of the maximal isometric contraction on the erector spinae followed by a 15-second passive static stretching in the opposite direction of the muscle.
Quadratus lumborum stretching: the patient will perform active lateral flexion of the spine. To stretch the right QL the patient will laterally flex the spine to the left and vice versa. Ask the patient to hold the lateral flexion for 6 seconds of contraction with 80% force on the of the maximal isometric contraction on the muscle followed by a 15-second passive static stretching in the opposite direction of the muscle.
Rectus femoris stretching: the patient will lie in a side lying position on the treatment couch. The patient will flex the uppermost testing knee backwards and the therapist will hold onto above the foot of the patient, bend the knee to 90 degree and will pull the hip into extension and will ask the patient to hold a 6 second contraction with 80% force of the maximal isometric contraction of muscle followed by a 15-second passive static stretching in the opposite direction of the muscle.
Iliopsoas stretching: by using the modified Thomas test position, the patient will lie supine on the treatment table. Ask the patient to hold the unaffected leg towards their chest, the therapist will then hold the leg to be stretched above the knee and will provide a constant force to stretch and extend the leg. The contractions will be held for 6 seconds with 80% force of the maximal isometric contraction of muscle followed by a 15-second passive static stretching in the opposite direction of the muscle Rhythmic stabilization technique; is also a PNF technique that is shown to strengthen and stabilize the postural trunk muscles of hip and shoulder girdle. Therefore it will be used for the strengthening of the abdominal muscles and the gluteal muscles.
- Abdominals and gluteal muscles strengthening: Ask the patient to lie on the mat with both the knees flexed. The patient will raise their hips and perform a glute hold for 2 to 5 seconds against the resistance applied by the therapist. Hip rolls can also be performed by the patient in each direction against the resistance applied by the therapist.
Group B: The group B received heating pad for 10 minutes and 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. This approach included:
- 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 will be performed actively for 30 second hold and 3 repetitions.
Strengthening exercise will be performed for 10 second hold and 10 repetitions. All Exercise will be performed 3 times per week for total of 4 weeks
- Conditions
- Lower Cross Syndrome
- Being tested
- traditional physical therapy, jandas approach
- Keywords
- Disability, Muscle strength, Pain, Quality of life, range of motion
- Medical subject headings
- Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
traditional physical therapyOther
- 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.
jandas approachOther
- 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
| Study group | Role | What they receive |
|---|---|---|
| traditional physical therapy | Active comparator | Heating pad for 10 minutes and Core stability exercises for 20 minutes with 10 seconds of rest intervals. Receives: 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. Receives: Other: traditional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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%
Measured: 4th day
Secondary outcomes (11)
SF-36
Changes from baseline sf-36 was used to assess the quality of life. it consists of 8 domains covering physical and mental health. norm based scoring system is used with a mean of 50 ad standard deviation of 10. scores above 50 indicated a better health related quality and below 50 suggest below average health.
Measured: 4th day
ROM lumber spine (flexion)
changes from baseline lumber flexion range of motion was assessed by inclinometer
Measured: 4th day
ROM lumber spine (extension)
changes from baseline in lumber spine extension range of motion was assessed through inclinometer
Measured: 4th day
ROM lumber spine (lumber right lateral flexion)
changes from baseline in lumber right lateral flexion range of motion was assessed through inclinometer
Measured: 4th day
ROM lumber spine (lumber left lateral flexion)
changes from baseline in lumber left lateral flexion range of motion was assessed through inclinometer
Measured: 4th day
ROM hip (flexion)
changes from baseline in hip flexion range of motion was assessed through a goniometer
Measured: 4th day
ROM hip (extension)
changes from baseline in hip extension range of motion was assessed through a goniometer
Measured: 4th day
McGill trunk flexion endurance
changes from baseline in trunk flexion endurance was assessed by The McGill Torso Endurance Test. these are a useful battery of tests that assess all sides of the trunk allowing us to assess the endurance capacity of the torso muscles or if there is an imbalance between the muscle groups which can contribute to low-back dysfunction and core instability
Measured: 4th day
McGill trunk extension endurance
changes from baseline in trunk extension endurance was assessed by The McGill Torso Endurance Test. these are a useful battery of tests that assess all sides of the trunk allowing us to assess the endurance capacity of the torso muscles or if there is an imbalance between the muscle groups which can contribute to low-back dysfunction and core instability
Measured: 4th day
McGill trunk right lateral endurance
changes from baseline in trunk right lateral endurance was assessed by The McGill Torso Endurance Test. these are a useful battery of tests that assess all sides of the trunk allowing us to assess the endurance capacity of the torso muscles or if there is an imbalance between the muscle groups which can contribute to low-back dysfunction and core instability
Measured: 4th day
McGill trunk left lateral endurance
changes from baseline in trunk left lateral endurance was assessed by The McGill Torso Endurance Test. these are a useful battery of tests that assess all sides of the trunk allowing us to assess the endurance capacity of the torso muscles or if there is an imbalance between the muscle groups which can contribute to low-back dysfunction and core instability
Measured: 4th day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2024
- Study start1 Jul 2024
- Primary completionDec 2024 (estimated)
- Study completionJan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lower Cross SyndromeStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe 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
- 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
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 52 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Amna Shahid, t-DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06737900
- Sponsor's protocol ID
- REC/RCR&AHS/24/0107
- Status last verified
- Dec 2024
- First submitted
- 12 Dec 2024
- Last updated
- 17 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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
Study at a glance
From the registry record, last updated by the sponsor on 17 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects Of Jandas Approach Versus Proprioceptive Neuromuscular Facilitation Technique On Pain, Range of Motion, Disability, Endurance And Quality Of Life In Patients With Lower Cross Syndrome
- ClinicalTrials.gov ID
- NCT06737900
- Acronym / sponsor ID
- REC/RCR&AHS/24/0107
- Conditions
- Lower Cross Syndrome
- Keywords
- Disability, Muscle strength, Pain, Quality of life, range of motion
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 52 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Jul 2024 (actual)
- Primary completion
- Dec 2024 (estimated)
- Study completion
- Jan 2025 (estimated)
- First posted
- 17 Dec 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.
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
Detailed description
A Randomized Clinical Trial was conducted at Riphah Clinic Lahore. A total of 52 patients (N=52) were assessed for eligibility criteria through non-probability consecutive sampling technique. 6 participants were excluded from the research. These 6 patients rejected to be the part of the study and declined any treatment. Hence 46 participants were included in the study that were first assessed and diagnosed with lower cross syndrome and met the inclusion criteria. As a result, total of 46 patients including (females: 39, males: 7) were considered eligible for the study. They were randomized through computer generated software. The list was concealed by a sealed envelope. The group A was labeled as 1 and group B was labeled as 2. Patients enrolled in this study have age between 25-40 years. Consent form was filled before the start of the treatment. The participants were randomly enrolled into two groups named as group A and group B. Baseline assessment of pain, disability, quality of life, lumbar range of motion, hip range of motion and endurance was taken using NPRS, ODI, SF-36, inclinometer, goniometer and McGill test of endurance respectively, before the start of the treatment by an assessor. Both groups: A and B received baseline treatment that consisted of a heating pad for 10 minutes followed by 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.
Group A The group A first received the baseline treatment mentioned above then Proprioceptive Neuromuscular Facilitation technique for stretching and rhythmic stabilization technique for strengthening. PNF stretching was performed using contract-relax technique in supine, prone and side lying positions. The Contract-Relax method includes the target muscle to be lengthened and held in lengthened position while the patient will contract the Target-Muscle to its maximum position isometrically for an allotted amount of time that varies from 3 to 6 seconds. The muscle which is contracting is the agonist and the muscle which is relaxing is called the antagonist.
- Erector spinae stretching: Ask the patient to lie down and bring both the legs up to their chest by grabbing around their knees to stretch erector spinae muscle. Ask the patient to tuck in their chin and hold the stretch for 6 seconds of contraction with 80% force of the maximal isometric contraction on the erector spinae followed by a 15-second passive static stretching in the opposite direction of the muscle.
Quadratus lumborum stretching: the patient will perform active lateral flexion of the spine. To stretch the right QL the patient will laterally flex the spine to the left and vice versa. Ask the patient to hold the lateral flexion for 6 seconds of contraction with 80% force on the of the maximal isometric contraction on the muscle followed by a 15-second passive static stretching in the opposite direction of the muscle.
Rectus femoris stretching: the patient will lie in a side lying position on the treatment couch. The patient will flex the uppermost testing knee backwards and the therapist will hold onto above the foot of the patient, bend the knee to 90 degree and will pull the hip into extension and will ask the patient to hold a 6 second contraction with 80% force of the maximal isometric contraction of muscle followed by a 15-second passive static stretching in the opposite direction of the muscle.
Iliopsoas stretching: by using the modified Thomas test position, the patient will lie supine on the treatment table. Ask the patient to hold the unaffected leg towards their chest, the therapist will then hold the leg to be stretched above the knee and will provide a constant force to stretch and extend the leg. The contractions will be held for 6 seconds with 80% force of the maximal isometric contraction of muscle followed by a 15-second passive static stretching in the opposite direction of the muscle Rhythmic stabilization technique; is also a PNF technique that is shown to strengthen and stabilize the postural trunk muscles of hip and shoulder girdle. Therefore it will be used for the strengthening of the abdominal muscles and the gluteal muscles.
- Abdominals and gluteal muscles strengthening: Ask the patient to lie on the mat with both the knees flexed. The patient will raise their hips and perform a glute hold for 2 to 5 seconds against the resistance applied by the therapist. Hip rolls can also be performed by the patient in each direction against the resistance applied by the therapist.
Group B: The group B received heating pad for 10 minutes and 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. This approach included:
- 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 will be performed actively for 30 second hold and 3 repetitions.
Strengthening exercise will be performed for 10 second hold and 10 repetitions. All Exercise will be performed 3 times per week for total of 4 weeks
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- 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
| Arm | Type | Receives |
|---|---|---|
| traditional physical therapy | Active comparator | Other: jandas approachHeating pad for 10 minutes and Core stability exercises for 20 minutes with 10 seconds of rest intervals. |
| Proprioceptive Neuromuscular Facilitation technique | Experimental | Other: traditional physical therapyHeating 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. |
Who may qualify
- Ages
- 25 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (4 listed)
- Vertebral Fractures
- Tumors
- Pregnancy
- Diagnosed psychological disorders
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 |
|---|---|---|
| traditional physical therapy* 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. | Other | Proprioceptive Neuromuscular Facilitation technique |
| jandas approach* 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 | Other | traditional physical therapy |
Primary outcome
numerical pain rating scale
Time frame: 4th day
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.
owestry disability index
Time frame: 4th day
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%
11 secondary outcomes
SF-36
Time frame: 4th day
ROM lumber spine (flexion)
Time frame: 4th day
ROM lumber spine (extension)
Time frame: 4th day
ROM lumber spine (lumber right lateral flexion)
Time frame: 4th day
ROM lumber spine (lumber left lateral flexion)
Time frame: 4th day
ROM hip (flexion)
Time frame: 4th day
ROM hip (extension)
Time frame: 4th day
McGill trunk flexion endurance
Time frame: 4th day
McGill trunk extension endurance
Time frame: 4th day
McGill trunk right lateral endurance
Time frame: 4th day
McGill trunk left lateral endurance
Time frame: 4th day
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Dec 2024.
- Background1) 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
- Individual participant dataSharing planned: No
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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.
Amna Shahid, t-DPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing traditional physical therapy and jandas approach in people with Lower Cross Syndrome, run by Riphah International University 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 4 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 17 Dec 2024. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Imran Amjad, Phd (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
numerical pain rating scale (time frame: 4th day). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06737900, which also lists 1 linked publication.
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 17 Dec 2024.