EFFECTS OF CORE STRENGTHENING WITH RESISTIVE VERSUS NON-RESISTIVE DIAPHRAGMATIC TRAINING ON CORE ENDURANCE IN LOWER CROSS SYNDROME

EFFECTS OF CORE STRENGTHENING WITH RESISTIVE VERSUS NON-RESISTIVE DIAPHRAGMATIC TRAINING ON CORE ENDURANCE IN LOWER CROSS SYNDROME

This study is a randomised control trial and the purpose of this study is to determine the effects of core strengthening on trunk endurance after core strengthening with resistive versus non-resistive diaphragmatic training in lower cross syndrome.

The purpose of this study is to determine the effects of core strengthening on trunk endurance after core strengthening with resistive versus non-resistive diaphragmatic training in lower cross syndrome.

Core stability of young adults (age: 19-30 years) will be determined using McGill's muscular endurance test battery:

1. Flexor endurance test
2. Extensor endurance test
3. Right lateral endurance test
4. Left lateral endurance test Scores will be taken three times for each test; the average of each text will be noted for each participant.

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method. McGill's Torso Muscular Endurance Test Battery will be used and baseline and post-intervention scores will be recorded.

Inclusion Criteria:

• Age 19-30 years
• Both genders
• Positive modified Thomas test
• Positive prone hip extension strength test
• Positive trunk flexion strength test
• Tight erector spinae
• Asia pacific BMI normal and overweight (18.5-24.9 Kg/m2)
• Local intermittent lumbar pain
• Mild to moderate pain (NPRS 1-6)
• Painless movement and activity
• Pain only produced by sustained loading in relevant position, which is then relieved on moving from that posture

Exclusion Criteria:

• Shoulder pain
• Acute flare LBP
• Centralization and peripheralization of pain (21)
• Intermittent pain at limited end range (21)
• Leg symptoms when walking, eased in flexion (Signs of stenosis) (21)
• Pain due to repetitive movement (21)
• Paresthesia/numbness (21)
• Structural deformity (Kyphosis, lordosis, scoliosis, spondylosis, spondylolysis, spondylolisthesis)
• Curve reversal (21)
• Pregnancy
• Post surgery
• Degenerative and inflammatory spinal diseases