Posterior lower crossed syndrome is a perplexing puzzle of muscular imbalance, manifests as an intricate interplay between weakened glutes and tight flexors. The aim of the study will be to determine the effects of Jandas's approach with and without post-isometric relaxation technique on pain, muscle flexibility, and functional disability in patients with the posterior lower crossed syndrome.
A Randomized Controlled Trial will be conducted at physical therapy department of Rabia Welfare Hospital Lahore, FMH Physiotherapy Clinic Lahore and Shafaeen Physiotherapy Clinic Lahore through convenient sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with janda's approach and Group B will be treated with combination of post isometric relaxation technique for Illiopsoas and janda's approach at the frequency of 3 sets with 10 repetitions and twice a week. Outcome measures will be conducted through pain,muscle flexibility, pelvic tilt and disability questionnaire after 4 weeks. Data will be analysed using SPSS software version 25.After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or nonparametric test will be used within a group or between two groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
38
For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).
Shafeen medical complex Punjab Pakistan
Lahore, Punjab Province, Pakistan
Numerical pain rating scale (NPRS)
o Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain. The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: upto 4 weeks
Finger to floor test -Muscle flexibility test
* The patient is asked to bend forward and attempt to reach for the floor with their fingertips. * The physical therapist then measures the distance between the patient's right long finger and the floor using a standard measuring tape * Ask the client whether pain, stiffness or both limit the movement(Fingertips to floor (FTF) test). * If the FTF test is limited by pain, the location and pain score out of 10 should be documented. * If the FTF test is 0 cm or the patient is able to place their palms to the floor with no pain, a different outcome measure should be considered.
Time frame: upto 4 weeks
Modified Thomas Test- Muscle flexibility test
* Have the patient lie supine on a firm surface, with their legs straight. * Place your hand under the patient's lower back to maintain a neutral spine. * Slowly flex the patient's hip, bringing their knee towards their chest, until their thigh is perpendicular to the table. * Assist the patient in flexing their hip further, keeping their knee bent at a 90-degree angle. * Measure the angle between the patient's thigh and the table using a goniometer or inclinometer. * Compare the measurement to the normal range (usually around 15-20 degrees) to determine if there is a restriction in iliopsoas flexibility.
Time frame: upto 4 weeks
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