Lower Cross Syndrome
Conditions
Keywords
Extracorporeal Shock Wave, Electrophysiological changes, Pain, Lower Cross Syndrome
Brief summary
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.
Detailed description
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.
Interventions
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.
OTHERConventional physical therapy program
Stretching and strengthening of Iliopoas muscle and Stretching and strengthening of Lower back muscles
DEVICESham (No Treatment)
Sham extracorporeal shock wave will be introduced without real shock wave impulses.
Sponsors
Ahmed Alshimy
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
30 Years to 45 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | 4 weeks | Assess pain intensity |
| Electromyograph | 4 weeks | Assess activity of lower back muscles (Erector Spinae) |
Countries
Egypt
Outcome results
None listed