Low Back PainNCT07203950
Effects of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific LBP.
A study testing global postural reeducation with conventional therapy and conventional therapy in people with Low Back Pain and Stress, run by Riphah International University at 1 site in Pakistan.
Trial summary
This study aims to explore the multidimensional impact of Global postural reeducation in a population that is not only physically overburdened but also psychologically strained due to the demands of domestic life. Read more about this study
- Who is it for?
- Ages 25 to 40 years, women only
- Conditions the study is for
- Low Back Pain, Stress, Sleep Quality
- What is being tested?
- global postural reeducation with conventional therapy and conventional therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- 30 Sep 2025to Apr 2026
- 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
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopedic Section of the American Physiotherapy Association.
- Housewives (Age 25-40 years)
- Chronic nonspecific LBP (more than 3 months)
- Experience mild to moderate stress (measured by perceived stress scale)
- Sleep disturbances or poor sleep quality (PSQI score>5)
Who cannot join
- Participant falling in this category would be excluded of the study.
- Pregnancy.
- Using NSAIDs.
- Acute, subacute LBP.
- Females having diagnosed irregular/prolonged menstrual cycles.
- History of recent Spinal surgery (within the past year).
Show all 11Show fewer
- Neurological deficits (foot drop, motor weakness).
- Diagnosed severe psychiatric issues (e.g. severe depression, bipolar disorder, psychosis).
- Use of sleep medications, antidepressants, or anxiolytics during the study period.
- Specific causes of LBP (herniated disc, lumbar stenosis, spinal deformity, fracture, spondolysthesis).
- Systemic diseases (tumor, Rhematoid arthritis)
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
Dr Zushmaleen Ahmed Chughtai Physiotherapy Clinic
Kot Addu, Punjab Province
Zushmaleen Ahmed, +923346022947, drzushmaleenkhanchughtai@gmail.com
Roha Farooqi, DPT
About this study
Official title: Effectiveness of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific Low Back Pain
This study aims to explore the multidimensional impact of Global postural reeducation in a population that is not only physically overburdened but also psychologically strained due to the demands of domestic life. Unlike conventional therapies that often focus solely on pain relief, GPR offers a comprehensive intervention model that may simultaneously enhance physical function, reduce psychological stress, and improve sleep quality. By targeting housewives with chronic non-specific LBP, this study seeks to fill a critical gap in the literature and provide evidence for a more inclusive, preventive, and non-pharmacological approach to musculoskeletal and mental health management
Read the detailed description
Low back Pain (LBP) is a primary cause of disability among people of all ages and a major contributor to the global burden of diseases. Non-specific low back pain is a form of low back pain without any specific identified underlying disease or any anatomical abnormality. Global postural reeducation (GPR) is a physical therapy protocol that focuses on eccentrically stretching the muscular chains which are shortened due to behavioral, psychological and constitutional factors. For this method physical therapists guide the patients a series of gentle active movements and maintain postures aiming to stretch the shortened muscles, realign the joints and also enhance the contraction of antagonist muscles. It is a randomized control trial which will be conducted on 30 patients calculated using G*power software. Patients fulfilling the inclusion criteria will be randomized into 2 groups i.e. GROUP A (global postural reeducation with conventional therapy) \& GROUP B (conventional therapy). Patients in Group A will receive global postural reeducation technique with conventional therapy and Group B will receive conventional therapy alone which includes hot pack for 15 minutes, Static stretching for iliopsoas and rectus femoris and other exercises two times a week.
Outcomes will be measured at baseline and at the end of 3rd week, at the end of 6th week.
- Conditions
- Low Back Pain, Stress, Sleep Quality
- Being tested
- global postural reeducation with conventional therapy, conventional therapy
- Keywords
- low back pain, stress, sleep quality, global postural reeducation
- Medical subject headings
- Low Back Pain, Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
global postural reeducation with conventional therapyOther
Global postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy.
- Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles of the feet together, heels close to the gluteal region, and hips in abduction between 30° and 45°.
- Coxofemoral Closure with Closed Arms. In this posture, participants will again lie supine, with the arms abducted to 90° and palms facing upward. The hips and knees will be flexed, with the soles of the feet pressed together and placed against a wall. with Controlled and slow diaphragmatic breathing technique
- Conventional therapy same as given to other group.
conventional therapyOther
conventional therapy given to this group will be
- Hot pack for 15 minutes.
- Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
- Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.
| Study group | Role | What they receive |
|---|---|---|
| Global Postural Reeducation | Experimental | Participants assigned to this arm will undergo Global Postural Reeducation (GPR) using standardized coxofemoral positions ( Opening and Closing). In the Opening position, the participant lies supine with the hip placed in gentle flexion, abduction, and external rotation to lengthen the medial/anterior muscle chain; in the Closing position, the hip is positioned in slight extension, adduction, and internal rotation to target the lateral/posterior chain. Each session lasts approximately 10 minutes, divided into 2-3 blocks of 3-5 minutes each, during which participants perform slow diaphragmatic breathing combined with gentle isometric contractions (2-3 seconds) on exhalation followed by relaxation into the posture. Sessions are delivered twice weekly for 6 weeks. Therapist monitoring ensures proper pelvic stabilization, safe range of motion, and avoidance of compensatory movements, while participants are encouraged to maintain comfortable stretch intensity without pain. Receives: Other: global postural reeducation with conventional therapy |
| Conventional Therapy | Active comparator | * Hot pack for 15 minutes.
* Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
* Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between. Receives: Other: conventional therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
numeric pain rating scale
The NPRS is an 11-point self-report scale ranging from 0 (no pain) to 10 (worst imaginable pain). Participants are asked to rate their average pain intensity in the lower back during daily activities over the past 24 hours.
Measured: Assessed at Baseline, 3 weeks, and 6-week follow-up.
lumber ROMs using inclinometer
Lumbar spine mobility will be assessed in flexion, extension, lateral flexion, and rotation using a digital inclinometer. The inclinometer will be placed at standardized anatomical landmarks (spinous process of T12 and sacrum for flexion/extension; along midline for lateral flexion/rotation).
Measured: Assessed at Baseline, 3 weeks, and 6-week follow-up.
perceived stress scale
The PSS-10 is a 10-item validated questionnaire that measures the degree to which participants perceive situations in their life as stressful over the past month. Items assess feelings of unpredictability, lack of control, and overload.
Measured: Assessed at Baseline, 3 weeks, and 6-week follow-up.
Pittsburg sleep quality index
The PSQI is a 19-item validated questionnaire assessing subjective sleep quality and disturbances over the past month. It generates 7 component scores (sleep duration, disturbance, latency, efficiency, quality, medication use, and daytime dysfunction).
Measured: Assessed at Baseline, 3 weeks, and 6-week follow-up.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2025
- Study start30 Sep 2025 (estimated)
- Primary completionMar 2026 (estimated)
- Study completionApr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Low Back PainStudies 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
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Ramsha Tariq, MSPT(OMPT), Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07203950
- Sponsor's protocol ID
- REC/F24C08G30004 Roha Farooqi
- Status last verified
- Sep 2025
- First submitted
- 25 Sep 2025
- Last updated
- 2 Oct 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Watanabe M, Tomiyama C, Nikaido T, Takeda T, Mandai N. Mental status is significantly associated with low back pain: a survey-based cross-sectional study among Japanese women. BMC Res Notes. 2023 Jan 30;16(1):8. doi: 10.1186/s13104-023-06276-4.
PubMed 36717870Gonzalez-Medina G, Perez-Cabezas V, Ruiz-Molinero C, Chamorro-Moriana G, Jimenez-Rejano JJ, Galan-Mercant A. Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis. J Clin Med. 2021 Nov 16;10(22):5327. doi: 10.3390/jcm10225327.
PubMed 34830609Kandil EA, Yamany AAER, Alsaka SSD, Abd El-Azeim AS. Effect of global postural reeducation on chronic low pain patients with lower cross syndrome. Bulletin of Faculty of Physical Therapy. 2024;29(1):8.
Rodriguez-Aragon M, Varillas-Delgado D, Gordo-Herrera J, Fernandez-Ezequiel A, Moreno-Heredero B, Valle N. Effects of global postural re-education on stress and sleep quality in health sciences female students: a randomized controlled trial pilot study. Front Psychiatry. 2024 Aug 28;15:1404544. doi: 10.3389/fpsyt.2024.1404544. eCollection 2024.
PubMed 39262580Rodriguez-Aragon M, Barranco-Rodriguez D, de Mora-Martin M, Sanchez-Jorge S, Varillas-Delgado D, Valle-Benitez N. The effects of global postural re-education on sleep quality and stress in university women lecturers: a randomized controlled trial. Front Psychiatry. 2024 Jan 16;14:1321588. doi: 10.3389/fpsyt.2023.1321588. eCollection 2023.
PubMed 38298929
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific Low Back Pain
- ClinicalTrials.gov ID
- NCT07203950
- Acronym / sponsor ID
- REC/F24C08G30004 Roha Farooqi
- Conditions
- Low Back Pain, Stress, Sleep Quality
- Keywords
- low back pain, stress, sleep quality, global postural reeducation
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 30 Sep 2025 (estimated)
- Primary completion
- Mar 2026 (estimated)
- Study completion
- Apr 2026 (estimated)
- First posted
- 2 Oct 2025 (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 aims to explore the multidimensional impact of Global postural reeducation in a population that is not only physically overburdened but also psychologically strained due to the demands of domestic life. Unlike conventional therapies that often focus solely on pain relief, GPR offers a comprehensive intervention model that may simultaneously enhance physical function, reduce psychological stress, and improve sleep quality. By targeting housewives with chronic non-specific LBP, this study seeks to fill a critical gap in the literature and provide evidence for a more inclusive, preventive, and non-pharmacological approach to musculoskeletal and mental health management
Detailed description
Low back Pain (LBP) is a primary cause of disability among people of all ages and a major contributor to the global burden of diseases. Non-specific low back pain is a form of low back pain without any specific identified underlying disease or any anatomical abnormality. Global postural reeducation (GPR) is a physical therapy protocol that focuses on eccentrically stretching the muscular chains which are shortened due to behavioral, psychological and constitutional factors. For this method physical therapists guide the patients a series of gentle active movements and maintain postures aiming to stretch the shortened muscles, realign the joints and also enhance the contraction of antagonist muscles. It is a randomized control trial which will be conducted on 30 patients calculated using G*power software. Patients fulfilling the inclusion criteria will be randomized into 2 groups i.e. GROUP A (global postural reeducation with conventional therapy) \& GROUP B (conventional therapy). Patients in Group A will receive global postural reeducation technique with conventional therapy and Group B will receive conventional therapy alone which includes hot pack for 15 minutes, Static stretching for iliopsoas and rectus femoris and other exercises two times a week.
Outcomes will be measured at baseline and at the end of 3rd week, at the end of 6th week.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Global Postural Reeducation | Experimental | Other: global postural reeducation with conventional therapyParticipants assigned to this arm will undergo Global Postural Reeducation (GPR) using standardized coxofemoral positions ( Opening and Closing). In the Opening position, the participant lies supine with the hip placed in gentle flexion, abduction, and external rotation to lengthen the medial/anterior muscle chain; in the Closing position, the hip is positioned in slight extension, adduction, and internal rotation to target the lateral/posterior chain. Each session lasts approximately 10 minutes, divided into 2-3 blocks of 3-5 minutes each, during which participants perform slow diaphragmatic breathing combined with gentle isometric contractions (2-3 seconds) on exhalation followed by relaxation into the posture. Sessions are delivered twice weekly for 6 weeks. Therapist monitoring ensures proper pelvic stabilization, safe range of motion, and avoidance of compensatory movements, while participants are encouraged to maintain comfortable stretch intensity without pain. |
| Conventional Therapy | Active comparator | Other: conventional therapy* Hot pack for 15 minutes. * Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session). * Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between. |
Who may qualify
- Ages
- 25 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopedic Section of the American Physiotherapy Association.
- Housewives (Age 25-40 years)
- Chronic nonspecific LBP (more than 3 months)
- Experience mild to moderate stress (measured by perceived stress scale)
- Sleep disturbances or poor sleep quality (PSQI score>5)
Key exclusion criteria (11 listed)
- Participant falling in this category would be excluded of the study.
- Pregnancy.
- Using NSAIDs.
- Acute, subacute LBP.
- Females having diagnosed irregular/prolonged menstrual cycles.
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 |
|---|---|---|
| global postural reeducation with conventional therapyGlobal postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy. 1. Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles of the feet together, heels close to the gluteal region, and hips in abduction between 30° and 45°. 2. Coxofemoral Closure with Closed Arms. In this posture, participants will again lie supine, with the arms abducted to 90° and palms facing upward. The hips and knees will be flexed, with the soles of the feet pressed together and placed against a wall. with Controlled and slow diaphragmatic breathing technique 3. Conventional therapy same as given to other group. | Other | Global Postural Reeducation |
| conventional therapyconventional therapy given to this group will be * Hot pack for 15 minutes. * Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session). * Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between. | Other | Conventional Therapy |
Primary outcome
numeric pain rating scale
Time frame: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The NPRS is an 11-point self-report scale ranging from 0 (no pain) to 10 (worst imaginable pain). Participants are asked to rate their average pain intensity in the lower back during daily activities over the past 24 hours.
lumber ROMs using inclinometer
Time frame: Assessed at Baseline, 3 weeks, and 6-week follow-up.
Lumbar spine mobility will be assessed in flexion, extension, lateral flexion, and rotation using a digital inclinometer. The inclinometer will be placed at standardized anatomical landmarks (spinous process of T12 and sacrum for flexion/extension; along midline for lateral flexion/rotation).
perceived stress scale
Time frame: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The PSS-10 is a 10-item validated questionnaire that measures the degree to which participants perceive situations in their life as stressful over the past month. Items assess feelings of unpredictability, lack of control, and overload.
Pittsburg sleep quality index
Time frame: Assessed at Baseline, 3 weeks, and 6-week follow-up.
The PSQI is a 19-item validated questionnaire assessing subjective sleep quality and disturbances over the past month. It generates 7 component scores (sleep duration, disturbance, latency, efficiency, quality, medication use, and daytime dysfunction).
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 2 Oct 2025.
- Background: PubMed 36717870Watanabe M, Tomiyama C, Nikaido T, Takeda T, Mandai N. Mental status is significantly associated with low back pain: a survey-based cross-sectional study among Japanese women. BMC Res Notes. 2023 Jan 30;16(1):8. doi: 10.1186/s13104-023-06276-4.
- Background: PubMed 34830609Gonzalez-Medina G, Perez-Cabezas V, Ruiz-Molinero C, Chamorro-Moriana G, Jimenez-Rejano JJ, Galan-Mercant A. Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis. J Clin Med. 2021 Nov 16;10(22):5327. doi: 10.3390/jcm10225327.
- BackgroundKandil EA, Yamany AAER, Alsaka SSD, Abd El-Azeim AS. Effect of global postural reeducation on chronic low pain patients with lower cross syndrome. Bulletin of Faculty of Physical Therapy. 2024;29(1):8.
- Background: PubMed 39262580Rodriguez-Aragon M, Varillas-Delgado D, Gordo-Herrera J, Fernandez-Ezequiel A, Moreno-Heredero B, Valle N. Effects of global postural re-education on stress and sleep quality in health sciences female students: a randomized controlled trial pilot study. Front Psychiatry. 2024 Aug 28;15:1404544. doi: 10.3389/fpsyt.2024.1404544. eCollection 2024.
- Background: PubMed 38298929Rodriguez-Aragon M, Barranco-Rodriguez D, de Mora-Martin M, Sanchez-Jorge S, Varillas-Delgado D, Valle-Benitez N. The effects of global postural re-education on sleep quality and stress in university women lecturers: a randomized controlled trial. Front Psychiatry. 2024 Jan 16;14:1321588. doi: 10.3389/fpsyt.2023.1321588. eCollection 2023.
- 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.
Ramsha Tariq, MSPT(OMPT) 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 global postural reeducation with conventional therapy and conventional therapy in people with Low Back Pain and Stress, 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 5 inclusion and 11 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: opening soon, as of the sponsor's last update on 2 Oct 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?
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 (+92 3324390125, 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?
numeric pain rating scale (time frame: Assessed at Baseline, 3 weeks, and 6-week follow-up.). 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?
On the ClinicalTrials.gov record for NCT07203950, which also lists 5 linked publications.
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 2 Oct 2025.