Effects Of Down-Dog Yoga On Pain And Posture In Children With Nonspecific Low Back Pain

December 29, 2025 updated by: Riphah International University

To manage back pain and correct postural imbalances in children, Downward-Facing Dog (Adho Mukha Svanasana) promotes flexibility, core strength, and spinal alignment.

Traditional physiotherapy may seem repetitive and less engaging for kids. Yoga offers a developmentally appropriate, non-invasive, and enjoyable alternative. Studying its effectiveness could provide a simple, affordable, and accessible therapy option.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

School-aged children are increasingly experiencing nonspecific low back pain (NSLBP) as a result of sedentary lifestyles, bad posture, and inactivity. This illness frequently results in discomfort, decreased engagement in physical activities, and a lower standard of living. Preventing chronic pain and long-term incapacity requires early intervention.

The benefits of yoga as a physical and mental treatment for musculoskeletal issues are becoming more widely acknowledged. A basic yoga stance that develops the core muscles, improves spinal alignment, and extends the body's posterior chain is the Down-Dog pose. Research on its use in the paediatric population is few, despite the fact that its advantages in adults are widely established. The purpose of this study is to investigate how well Down-Dog yoga helps children with NSLBP with their pain management and posture. Participants in this randomized controlled experiment will be school-age children (8-14 years old) with a clinical diagnosis of nonspecific low back pain. A control group will get traditional stretching and posture correction activities, while an experimental group will practice Down-Dog yoga. Participants will be randomly assigned to either group.

During a six-week period, both interventions will be given three times a week for 30 minutes each. The Plumb Line Test and Modified Schober's Test will be used to assess postural alignment, and the Visual Analog Scale (VAS) will be used to gauge pain levels.

Children's everyday functioning will be evaluated as a result of the intervention using the Paediatric Quality of Life Inventory (PedsQL). Data will be gathered both before and after the intervention, and the proper statistical methods will be used for analysis.

Study Type

Interventional

Enrollment (Estimated)

58

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Children aged 8 to 14 years Actively enrolled in a regular school setting. Clinical diagnosis of non-specific low back pain Pain duration of at least 4 weeks but less than 6 months. Self-reported pain of ≥3 on a 10-point Visual Analog Scale or age-appropriate pain scale Presence of observable postural misalignment

Exclusion Criteria:

History or evidence of spinal deformity Structural abnormalities History of neuromuscular disorders, cerebral palsy, or epilepsy Trauma, fractures, or surgery to the spine or lower limbs in the last 6 months.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Down dog yoga with routine physical therapy group

Warm-Up Complementary Yoga Poses

Other supportive poses will be integrated to enhance the effects of Down-Dog Yoga:

Child's Pose Cool Down and Relaxation

experimenbtal group was given down dog yoga protocol along with back and trunk isometric and trunk streching control group wasa givcen standard phyiotherapy intervention total 2 session will given each week consisting of 30 mints
Other Names:
  • No intervention
Active Comparator: Routine physical therapy group
The control group will receive standard conventional physiotherapy designed for the management of nonspecific low back pain in children. This intervention focuses on general stretching, strengthening, and postural correction exercises that are commonly used in clinical pediatric rehabilitation Warm-Up Bird-dog Gentle stretching: Focus on back, hips, and hamstrings Deep breathing and relaxation: In seated or lying down position
experimenbtal group was given down dog yoga protocol along with back and trunk isometric and trunk streching control group wasa givcen standard phyiotherapy intervention total 2 session will given each week consisting of 30 mints
Other Names:
  • No intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
plumb line for posture correction
Time Frame: Baseline and after 6 weeks
the individual stands upright next to a vertical plumb line (or against a grid or wall) so that their posture can be visually evaluated. Key anatomical landmarks such as the ear lobe, shoulder, hip, knee, and ankle are observed in relation to the plumb line to detect deviations from normal alignment. It is a non-invasive, quick, and cost-effective method commonly used in physiotherapy and rehabilitation settings to identify postural imbalances.
Baseline and after 6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: muhammad haroon, dpt, Riphah International University, Lahore

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 20, 2025

Primary Completion (Estimated)

August 20, 2026

Study Completion (Estimated)

August 20, 2026

Study Registration Dates

First Submitted

December 29, 2025

First Submitted That Met QC Criteria

December 29, 2025

First Posted (Estimated)

January 12, 2026

Study Record Updates

Last Update Posted (Estimated)

January 12, 2026

Last Update Submitted That Met QC Criteria

December 29, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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