POS Mobilization by 3-DRT Affect Functional Outcome in Layered Syndrome

Effects of Posterior Oblique Sling Mobilization by 3-D Release Technique on Pain, Range of Motion and Functional Disability in Layered Syndrome

I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome

Study Overview

• Status: Completed
• Conditions: Low Back Pain; Neck Pain; Shoulder Pain
• Intervention / Treatment: Other: POS Mobilization; Other: Conventional Physical Therapy

Detailed Description

In previous literature a placebo randomized control trial was conducted. To examine how 3D MFR affects lumbar range of motion and a lumbar lordosis angle in people with asymptomatic hyperlordosis. 30 participants with hyperlordosis who met the inclusion criteria were selected. Using a lottery approach, these individuals were randomly assigned to either the experiemental group or control group, keeping a 1:1 ratio. The experimental group received 3D MFR and the control group received sham 3D MFR for six sessions (3 alternate days for 2 weeks). Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.

• Study Type: Interventional
• Enrollment (Actual): 44
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab Province
    • Sialkot, Punjab Province, Pakistan, 51310
      • Imran Idrees teachingHospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• + Craniocervical flexion test
• + Fleshe test (Occiput to wall distance)
• + Thomas test
• + Straight leg raise (SLR)
• +Push Up test
• +Trunk Curl Up test

Exclusion Criteria:

• Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region).
• Presence of medical conditions such as cardiac disease, infections, coagulation disorder.
• The participants with any musculoskeletal injuries in the past 6 months
• Cervical dysfunctions affecting upper limbs
• Lumbar Dysfunctions
• Any fracture or other injury
• Any systemic illness
• Any neurological disease

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: POS mobilization; Posterior oblique sling mobilization by 3-D release technique along with conventional physiotherapy treatment for Upper cross and lower cross syndrome	Other: POS Mobilization; In experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching. POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total
Active Comparator: Coventional Physical therapy; Cervical isometrics and stretching, Lumbar isometrics and stretching	Other: Conventional Physical Therapy; Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Neck disability Index	Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability.	4rth week
Oswestry Disability Index	Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI).	4rth week
Shoulder Pain and Disability Index	Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research.	4rth week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain rating sclae (NPRS)	Changes from the baseline NPRS consists of an 11-point scale ranging from 0 to 10, where 0 represents "no pain" and 10 indicates the "worst imaginable pain."	4rth week
ROM Cervical Spine (Flexion)	Changes from the baseline ROM range of cervical spine flexion was taken	4rth week
ROM Cervical Spine (Extension)	Changes from the baseline ROM range of cervical spine extension was taken	4rth
ROM Cervical Spine (Lateral Flexion)	Changes from the baseline ROM range of cervical spine lateral flexion was taken	4rth
ROM Lumbar Spine (Flexion)	Changes from the baseline ROM range of lumbar spine flexion was taken	4rth
ROM Lumbar Spine (Extension)	Changes from the baseline ROM range of lumbar spine extension was taken	4rth
ROM Shoulder joint (Flexion)	Changes from the baseline ROM range of shoulder joint flexion was taken	4rth
ROM Shoulder joint (Abduction)	Changes from the baseline ROM range of shoulder joint abduction was taken	4rth
ROM Shoulder joint (External Rotation)	Changes from the baseline ROM range of shoulder joint external rotation was taken	4rth

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Saba Rafique, Phd*, Riphah International University

Publications and helpful links

General Publications

• Welling A, Patil A, Gunjal P, Naik P, Hubli R. Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial. Int J Ther Massage Bodywork. 2024 Jun 13;17(2):20-31. doi: 10.3822/ijtmb.v17i2.957. eCollection 2024 Jun.

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2025
• Primary Completion (Actual): May 1, 2026
• Study Completion (Actual): May 1, 2026

Study Registration Dates

• First Submitted: June 17, 2026
• First Submitted That Met QC Criteria: July 16, 2026
• First Posted (Actual): July 17, 2026

Study Record Updates

• Last Update Posted (Actual): July 17, 2026
• Last Update Submitted That Met QC Criteria: July 16, 2026
• Last Verified: July 1, 2026

More Information

Terms related to this study

• Keywords: Pain; Disability; Range of motion
• Additional Relevant MeSH Terms: Neurologic Manifestations; Musculoskeletal Diseases; Joint Diseases; Arthralgia; Back Pain; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Pain; Shoulder Pain; Low Back Pain; Neck Pain
• Other Study ID Numbers: REC/RCR&AHS/25/0127

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