Sequential Core Stability Corrective Exercise Approach in Lower Crossed Syndrome (SCSCRLCS)

Sequential Core Stability Corrective Exercise Approach for Alignment And Muscle Function In Lower Crossed Syndrome

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.

Study Overview

• Status: Completed
• Conditions: Low Back Pain
• Intervention / Treatment: Other: Control; Other: Sequential Core Stability Corrective Exercise Approach

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab Province
    • Lahore, Punjab Province, Pakistan, 54000
      • Al-khumeini Trust Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 28 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• • Age group between 18 to 28 years

  • No current incidence of low back pain or past history of low back dysfunction
  • Kendall double leg lowering test: Abdominal muscle weakness to the extent of not being able to maintain posterior pelvic tilt during a double leg lowering test in supine position.
  • Diagnosed with lower cross syndrome through assessment criteria of Janda muscle testing and assessment

Exclusion Criteria:

• • Having any history of low back pain, spinal trauma,

  • Joint dysfunction in past 3 months
  • Congenital deformities at hip or lumbar region,
  • Recent fracture to related joints in past 6 months
  • Any family history of cardiopulmonary disease
  • Any disease or urogenital tract
  • Participants having BMI above 30.
  • Recent history of hepatitis or Fatty liver or
  • Any athlete having high physical activity.
  • History of abdominal, hip or lumbar surgeries in past 3 months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: A: Control; Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.	Other: Control; Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.
Experimental: B: Sequential Core Stability Corrective Exercise Approach; Sequential Core Stability Corrective Exercise Approach; Corrective Exercises; Diaphragm Training Program; Pelvic floor Muscle training; Core Stability exercises	Other: Sequential Core Stability Corrective Exercise Approach; Sequential Core Stability Corrective Exercise Approach; Corrective Exercises; Diaphragm Training Program; Pelvic floor Muscle training; Core Stability exercisesBeginningProgressingAdvanced

What is the study measuring?

Primary Outcome Measures

Outcome Measure	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	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

Secondary Outcome Measures

Outcome Measure	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	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

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Wajeeha Zia, PhD*, Riphah International University , QIE, Campus; Study Chair: Muhammad Kashif, PhD, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): February 10, 2024
• Primary Completion (Actual): December 1, 2025
• Study Completion (Actual): December 1, 2025

Study Registration Dates

• First Submitted: May 23, 2022
• First Submitted That Met QC Criteria: August 17, 2022
• First Posted (Actual): August 18, 2022

Study Record Updates

• Last Update Posted (Estimated): December 15, 2025
• Last Update Submitted That Met QC Criteria: December 8, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Dysfunction; Diaphragm; Alignment; Pelvic floor; Core Stability
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Low Back Pain
• Other Study ID Numbers: REC/RCR & AHS/22/1104

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No