Effects of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific LBP.

Официальное название

Effectiveness of Global Postural Reeducation on Psychophysical Wellbeing in Housewives With Chronic Non-specific Low Back Pain

Обзор

This study aims to explore the multidimensional impact of Global postural reeducation in a population that is not only physically overburdened but also psychologically strained due to the demands of domestic life. Unlike conventional therapies that often focus solely on pain relief, GPR offers a comprehensive intervention model that may simultaneously enhance physical function, reduce psychological stress, and improve sleep quality. By targeting housewives with chronic non-specific LBP, this study seeks to fill a critical gap in the literature and provide evidence for a more inclusive, preventive, and non-pharmacological approach to musculoskeletal and mental health management

Подробное описание

Low back Pain (LBP) is a primary cause of disability among people of all ages and a major contributor to the global burden of diseases. Non-specific low back pain is a form of low back pain without any specific identified underlying disease or any anatomical abnormality. Global postural reeducation (GPR) is a physical therapy protocol that focuses on eccentrically stretching the muscular chains which are shortened due to behavioral, psychological and constitutional factors. For this method physical therapists guide the patients a series of gentle active movements and maintain postures aiming to stretch the shortened muscles, realign the joints and also enhance the contraction of antagonist muscles. It is a randomized control trial which will be conducted on 30 patients calculated using G\*power software. Patients fulfilling the inclusion criteria will be randomized into 2 groups i.e. GROUP A (global postural reeducation with conventional therapy) \& GROUP B (conventional therapy). Patients in Group A will receive global postural reeducation technique with conventional therapy and Group B will receive conventional therapy alone which includes hot pack for 15 minutes, Static stretching for iliopsoas and rectus femoris and other exercises two times a week.

Outcomes will be measured at baseline and at the end of 3rd week, at the end of 6th week.

Вмешательства

• Другое global postural reeducation with conventional therapy
  Global postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy. 1. Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles
• Другое conventional therapy
  conventional therapy given to this group will be * Hot pack for 15 minutes. * Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session). * Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.

Первичные конечные точки

• numeric pain rating scale [Срок оценки: Assessed at Baseline, 3 weeks, and 6-week follow-up.]
• lumber ROMs using inclinometer [Срок оценки: Assessed at Baseline, 3 weeks, and 6-week follow-up.]
• perceived stress scale [Срок оценки: Assessed at Baseline, 3 weeks, and 6-week follow-up.]
• Pittsburg sleep quality index [Срок оценки: Assessed at Baseline, 3 weeks, and 6-week follow-up.]

Критерии участия

Критерии включения

Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopedic Section of the American Physiotherapy Association.

• Housewives (Age 25-40 years)
• Chronic nonspecific LBP (more than 3 months)
• Experience mild to moderate stress (measured by perceived stress scale)
• Sleep disturbances or poor sleep quality (PSQI score>5)

Критерии исключения

Participant falling in this category would be excluded of the study.

• Pregnancy.
• Using NSAIDs.
• Acute, subacute LBP.
• Females having diagnosed irregular/prolonged menstrual cycles.
• History of recent Spinal surgery (within the past year).
• Neurological deficits (foot drop, motor weakness).
• Diagnosed severe psychiatric issues (e.g. severe depression, bipolar disorder, psychosis).
• Use of sleep medications, antidepressants, or anxiolytics during the study period.
• Specific causes of LBP (herniated disc, lumbar stenosis, spinal deformity, fracture, spondolysthesis).
• Systemic diseases (tumor, Rhematoid arthritis)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Dr Zushmaleen Ahmed Chughtai Physiotherapy Clinic — Kot Addu

Публикации

• Watanabe M, Tomiyama C, Nikaido T, Takeda T, Mandai N. Mental status is significantly associated with low back pain: a survey-based cross-sectional study among Japanese women. BMC Res Notes. 2023 Jan 30;16(1):8. doi: 10.1186/s13104-023-06276-4. PMID 36717870
• Gonzalez-Medina G, Perez-Cabezas V, Ruiz-Molinero C, Chamorro-Moriana G, Jimenez-Rejano JJ, Galan-Mercant A. Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis. J Clin Med. 2021 Nov 16;10(22):5327. doi: 10.3390/jcm10225327. PMID 34830609
• Kandil EA, Yamany AAER, Alsaka SSD, Abd El-Azeim AS. Effect of global postural reeducation on chronic low pain patients with lower cross syndrome. Bulletin of Faculty of Physical Therapy. 2024;29(1):8.
• Rodriguez-Aragon M, Varillas-Delgado D, Gordo-Herrera J, Fernandez-Ezequiel A, Moreno-Heredero B, Valle N. Effects of global postural re-education on stress and sleep quality in health sciences female students: a randomized controlled trial pilot study. Front Psychiatry. 2024 Aug 28;15:1404544. doi: 10.3389/fpsyt.2024.1404544. eCollection 2024. PMID 39262580
• Rodriguez-Aragon M, Barranco-Rodriguez D, de Mora-Martin M, Sanchez-Jorge S, Varillas-Delgado D, Valle-Benitez N. The effects of global postural re-education on sleep quality and stress in university women lecturers: a randomized controlled trial. Front Psychiatry. 2024 Jan 16;14:1321588. doi: 10.3389/fpsyt.2023.1321588. eCollection 2023. PMID 38298929

Идентификаторы

NCT: NCT07203950 · REC/F24C08G30004 Roha Farooqi

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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