Lower Crossed Syndrome on Postural Control and Energy Expenditure

The Effect of Lower Crossed Syndrome on Postural Control and Energy Expenditure Level

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07825610

Enrollment

116

Registered

2026-09-17

Start date

2024-10-01

Completion date

2026-07-01

Last updated

2026-09-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lower Crossed Syndrome

Keywords

Lumbar stabilization, Postural control, Energy expenditure, Physical activity

Brief summary

The aim of this study was to compare postural control, lumbar stabilization, lower extremity proprioception, physical activity level, and energy expenditure level between individuals with Lower Crossed Syndrome (LCS) and healthy controls.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

25 Years to 40 Years

Healthy volunteers

Yes

Inclusion criteria

* Voluntary agreement to participate in the study, * Being between 25-40 years of age, * Not having any orthopedic or neurological problems, * Not having received a specific diagnosis that could cause spinal pain (lumbar disc herniation, radiculopathy, spinal tumor, bleeding, abscess, etc.), * Not having used any medication for spinal pain in the last 3 months, * Not currently receiving physical therapy for lumbar problems. * Positive results from at least three of the following tests applied to determine the presence of ACS: modified Thomas test, modified Schober test, lumbar erector spinae shortening test, prone hip extension test, and straight leg raise test.

Exclusion criteria

* Having a specific diagnosis causing spinal pain * Having a history of lumbar spine surgery * Having used any medication for spinal pain in the last 3 months

Design outcomes

Primary

Measure	Time frame	Description
Postural control	Enrollment	The Biodex Balance System (Biodex 945-302, Biodex Medical Systems Inc., Shirley, New York, USA) is used for the objective assessment of dynamic postural control. High scores on stability indices indicate greater postural sway and lower postural stability.
Energy Expenditure Level	Enrollment	Physiological cost (energy expenditure level) is assessed using the Physiological Cost Index during the 6-Minute Walk Test. The index is an indirect measure that allows for the assessment of physiological effort during submaximal activity based on heart rate and walking speed.

Secondary

Measure	Time frame	Description
Lumbar Stabilization	Enrollment	Lumbar stabilization is assessed using a Stabilizer Pressure Biofeedback Unit (Chattanooga Group, Hixson, TN, USA). Participants are asked to increase the pressure by 10 mmHg by performing the abdominal drawing-in maneuver and to maintain this pressure for 5 seconds.
Lower Extremity Proprioception	Enrollment	In the assessment of proprioception, joint position sense measurements are performed using a smartphone-based digital goniometer. After positioning the patients, the knee is placed at flexion angles of 30, 45, and 90 degrees, respectively, and patients are asked to estimate these same positions. These measurements are repeated three times, and the average is recorded.
Physical Activity Level	Enrollment	Participants' physical activity levels are assessed using the Physical Activity Index (FIT). The FIT score is calculated by multiplying the frequency, intensity, and duration of physical activity. An higher score indicates a higher level of physical activity.

Countries

Turkey (Türkiye)

Outcome results