The aim of the study is to compare effects Comparison of Pilate exercises with and without whole body vibration on posture, disability and pain in patients with upper cross syndrome. A randomized contro ltrial will beconductedat PESSI. Non-probability convenience sampling will be used, and 62 subjects, age 20-40 years will be allocated into two groupsby the computer generated software after meeting the inclusion criteria. Both groups will receive hot pack for 15-20 minutes and Pilate exercises perform both groups as common treatment.Group A will be treated with Pilate exercisesandGroupB will be treated with Pilate exercise with whole body vibration both groups received two sessions per week for four consecutive weeks by another well trained physical therapist. Session duration for both groups ranged from 55 minutes to 1 hour. 2 sessions for 4 weeks will be given. The outcome measures will be conducted through NPRS, NDI, RSP WAS MEASURED IN SUPINE POSITION AND THEN PML AND TSD and J APP/ software before and after 4 weeks. Data will be analyzed using SPSS software version 26.After assessing normality of data by kolmo-grove test, it will be decided either parametric or non-parametric test will be used within a group or between two groups. Data will be collected at baseline and after 4 weeks of follow up.
Age group between 18 to 45 years
Both gender male and female
individuals with mechanical lower back pain
active trigger point in the quadratus lumborum muscle
Acute muscular injuries
localized or systemic infections
lumbar disc herniation
spinal abnormalities, any prior history of spinal
Parallel
Pilates exercise program
Other interventionPilates exercise program Will be treated with WBV with Pilate Exercises. Before applying exercise, hot pack will be applied for 15-20minutes
Traditional physical therapy program
Other interventionTraditional physical therapy program in form of stretching, strengthening and postural correction exercises
Numeric Pain Rating Scale (NPRS)
The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a unidimensional measure of pain intensity in adults,Numeric Pain Rating Scale (NRS-11), which is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10)
Universal Goniometer (UG)
Universal Goniometer (UG) The measurement of joint range of motion (ROM) is an essential procedure used in physical therapy, known as goniometry\[24\].Goniometry, the measurement of joint angles, traditionally performed with a universal goniometer (UG), is a commonly utilized assessment tool in monitoring problems of the musculoskeletal system, as well as the progression of rehabilitation interventions
Modified Oswestry Disability Index (MODI)
The Oswestry Disability Index (ODI) a patient-completed questionnaire .It provides patients receiving low back pain rehabilitation with a subjective percentage score of their degree of function (disability) in everyday activities. it has become one of the most widely used outcome measures for low back pain
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