Effect of Global Postural Reeducation on Low Back Pain Patients With Lower Cross Syndrome

Effect of Global Postural Reeducation on Low Back Pain Patients With Lower Cross Syndrome. Randomized Controlled Trial

This study will be conducted toinvestigate the effect of Global Postural Re-education on low back pain patients with Lower cross syndrome

Lower cross syndrome is common, with up to 85% of low back pain cases due to long-term postural faults (Lower crossed syndrome) and it has a negative result on our society. Global Postural Re-education (GPR) is an intervention that is used frequently for chronic low pain to improve pain and function. 50 low back pain patients with lower cross syndrome will be assigned randomly into 2 groups, Group A will receive a Global Postural Re-education approach and consists of 15 treatment sessions of Global Postural Re-education approach, performed 2times/week for 1 hour including patient education. Each treatment is individualized for every patient and for his/her pain-related limitation. Each session includes only 2-3 postures to increase the standardization of treatment. Group B will receive the conventional treatment in form of exercise program of (abdominal and pelvic floor strengthening) and (stretching exercise of back and hip flexor muscles) to improve pain and function in chronic low back pain patients

Inclusion Criteria:

• 50 patients.
• Both sexes will be included.
• Patients' age range will be 25 to 40 years old (Esakowitz., 2014).
• Participants will have to meet the criteria for lower crossed syndrome indicating tight hip flexors and erector spinae together with weak glutei and abdominals with low back pain will be presented three months or longer and level of pain intensity more than 3 on VAS.

Exclusion Criteria:

• On other forms of treatment that may interfere with the study including other physical therapy or medication specific to back pain.
• Enrolled in another interventional clinical research trial
• Pregnancy
• Nerve entrapment, bowel or bladder dysfunction and kidney disease.
• Surgery on the back, pelvis or sacrum is indicated or has previously occurred.