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The objective of the study will be to determine the effects of Sequential Core Stability Corrective Exercise Approach for Alignment and Muscle Function in Lower Crossed Syndrome.
Lower Crossed Syndrome is one of common postural disorder which occurs due to the muscular imbalance. It refers to specific altered muscle activation and movement patterns along with some postural deviations. Alterations in muscle activation include overactivity of hip flexors and lower back muscles paired underactivity of abdominals and gluteus muscle. This pattern of imbalance creates dysfunction. Postural correction exercise with inner and outer core muscles are necessary. There are different traditional structural approach, functional approach and biomechanics and are presumed to lead to adjustments in the length and strength of local muscles while ignoring other related malalignments and core stability. The objective of the study will be to determine the effects of Sequential Core Stability Corrective Exercise Approach for Alignment and Muscle Function in Lower Crossed Syndrome.
It will be a randomized controlled trial. Sample size will be collected after running the pilot study. The participants will be recruited through convenient sampling technique and then allocated randomly to Groups. Outcome measures will be alignment and muscle function. Pre and post reading and after one month follow-up will be recorded. Data will be analyzed using statistical package for social sciences software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or nonparametric test will be use within a group or between two groups.
Keywords: Alignment, Core Stability, Diaphragm, Muscular Imbalance, Muscle thickness Pelvic floor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A: Control | Active Comparator | Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge. |
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| B: Sequential Core Stability Corrective Exercise Approach | Experimental | Sequential Core Stability Corrective Exercise Approach
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control | Other | Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge. |
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| Measure | Description | Time Frame |
|---|---|---|
| Photometry for Pelvic Tilt | Angle of Pelvic tilt will be measured Through a Reliable and validated camera. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Photometry for Chest Expansion | Angle of Chest expansion will be measured at Nipple line, Xiphoid level and at waist level, Through a Reliable and validated camera. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Photometry for Cervicothoracic level | Angle of C7-T1 will be measured Through a Reliable and validated camera. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Photometry for Lumber flexion | Angle of Lumber curve will be measured Through a Reliable and validated camera. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Diaphragmatic excursion | To assess the diaphragmatic motion by M-mode US a 2.5-5 megahertz (MHz) phase array will be used. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Levator ani Excursion | To assess the pelvic floor motion by M-mode US a 2.5-5 megahertz (MHz) array will be used. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Diaphragmatic thickness and thickening | diaphragmatic thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers |
| Measure | Description | Time Frame |
|---|---|---|
| Forced Vital Capacity (FVC) | Pulmonary function test through spirometer, It will be measured by digital spirometer. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Forced Expiratory Volume per second FEV1 |
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Inclusion Criteria:
• Age group between 18 to 28 years
Exclusion Criteria:
• Having any history of low back pain, spinal trauma,
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Kashif, PhD | Riphah International University | Study Chair |
| Wajeeha Zia, PhD* | Riphah International University , QIE, Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-khumeini Trust Hospital | Lahore | Punjab Province | 54000 | Pakistan |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| Sequential Core Stability Corrective Exercise Approach | Other | Sequential Core Stability Corrective Exercise Approach
|
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| Pre (0th week), Post (6th week), (12th week) Follow-up |
| Levator ani thickness and thickening | Levator ani thicknesses and thickening will be assessed by B-mode ultrasonography during various respiratory maneuvers | Pre (0th week), Post (6th week), (12th week) Follow-up |
| Core stability | It will be measured by Pressure biofeedback unit for the transverse abdomens. | Pre (0th week), Post (6th week), (12th week) Follow-up |
Pulmonary function test through spirometer, It will be measured by digital spirometer.
| Pre (0th week), Post (6th week), (12th week) Follow-up |
| Ratio of FEV1/ FVC | Pulmonary function test through spirometer, It will be measured by digital spirometer. | Pre (0th week), Post (6th week), (12th week) Follow-up |
| D013568 |
| Pathological Conditions, Signs and Symptoms |