Effect of Extracorporeal Shock Wave on Electrophysiological Changes and Pain in Patients With Lower Cross Syndrome

Ahmed Alshimy40 enrolled

Overview

Lower Cross Syndrome happens when there is muscular imbalance between weak and tight muscles. The tight muscles are generally the hip flexors and erector spinae, and weak muscles are the abdominals and gluteal muscles. Shortening occurs in the hip flexors while weakening occurs in the abdominals and gluteal muscles.

Group I (Study): will consist of 20 patients with lower cross syndrome and will receive extracorporeal shock wave in addition to conventional physical therapy program. For 12 sessions every other day, each session for 1 hour. Group II (Control): will consist of 20 patients with lower cross syndrome and will receive sham extracorporeal shock wave in addition to conventional physical therapy program only same as group (I). For 12 sessions every other day, each session for 1 hour.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Lower Cross Syndrome

Interventions

Extracorporeal shock waveOTHER

Participants will receive (2.5 bars, 2000 pulses, 5 Hz, 7 min) rESWT with 1500 shock targeting the taut band of erector spinae, and 500 around the taut band, by using an EME S.r.l. via Degli Abeti 88/161122 Pesaro \[serial number: EM12681015\], Italy, shock wave generator.

Conventional physical therapy programOTHER

Stretching and strengthening of Iliopoas muscle and Stretching and strengthening of Lower back muscles

Sham (No Treatment)DEVICE

Sham extracorporeal shock wave will be introduced without real shock wave impulses.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Forty-four lower cross syndrome patients from both genders their ages ranged from 30-45 years old. 2. All patients in present study will be ambulant independently. 3. All patients will be medically stable. 4. The body mass index (BMI) will be ranged from 20:25 Kg/m2. Exclusion Criteria: 1. Patients with musculoskeletal deformities and disorders. 2. Patients with psychiatric disorders or seizures. 3. Patients with visual and auditory impairment or tremors influencing balance. 4. Patients with other neuromuscular disorders. 5. Patients with BMI more than 25 kg/m2. 6. Patients with cognitive impairment. 7. Patients with lower limb or head and brain surgeries.

Locations (1)

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Outcomes

Primary Outcomes

Visual Analog Scale

Assess pain intensity

Time frame: 4 weeks

Electromyograph

Assess activity of lower back muscles (Erector Spinae)

Time frame: 4 weeks

Data from ClinicalTrials.gov

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