An interventional study of Control and Sequential Core Stability Corrective Exercise Approach in Low Back Pain, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 28 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-15.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
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.
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.
2,818 studies on the registry are indexed under Low Back Pain; 482 are open to participants now.
This study's enrollment of 40 is below the median of 60 across 2,268 interventional studies indexed under Low Back Pain.
Browse Low Back Pain studies →Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.
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Age group between 18 to 28 years
Exclusion Criteria:
Having any history of low back pain, spinal trauma,
Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.
Other: Control
Sequential Core Stability Corrective Exercise Approach 1. Corrective Exercises 2. Diaphragm Training Program 3. Pelvic floor Muscle training 4. Core Stability exercises
Other: Sequential Core Stability Corrective Exercise Approach
Corrective Exercises: Hip Flexor Stretch, Thoracolumbar Extensor Stretch, Abdominal Curl, and Glute Bridge.
Sequential Core Stability Corrective Exercise Approach 1. Corrective Exercises 2. Diaphragm Training Program 3. Pelvic floor Muscle training 4. Core Stability exercises 1. Beginning 2. Progressing 3. Advanced
Photometry for Pelvic Tilt
Angle of Pelvic tilt will be measured Through a Reliable and validated camera.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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.
Time frame: 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
Time frame: 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
Time frame: Pre (0th week), Post (6th week), (12th week) Follow-up
Core stability
It will be measured by Pressure biofeedback unit for the transverse abdomens.
Time frame: Pre (0th week), Post (6th week), (12th week) Follow-up
Forced Vital Capacity (FVC)
Pulmonary function test through spirometer, It will be measured by digital spirometer.
Time frame: 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.
Time frame: 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.
Time frame: Pre (0th week), Post (6th week), (12th week) Follow-up
Plan to share: No
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Riphah International University