Muscular imbalance due to prolonged sitting or standing posture leads to a condition lower cross syndrome(LCS) or lumbopelvic syndrome. Several stretching and strengthening regimens are used to treat cross pattern of muscular tightness and weakness in LCS. This study aims to compare the effects of Sahrmann's versus Janda's approach on pain, pelvic tilt and lumbar lordosis in lower crossed syndrome patients.
• Gender (both)
Age (18 to 40)
Participants who fulfilled the criteria of lower cross syndrome
• Any serious pathology i.e. Neoplasm
Any history of trauma
Spinal malalignment i.e. Scoliosis
Receiving any other form of Physical therapy treatment
Parallel
Sahrmann's approach
Other intervention1. single knee to chest and double knee to chest 2. Rectus femoris stretching 3. kneeling psoas stretch 4. piriformis stretch in pigeon pose 5. lying piriformis stretch 6. Sit and reach stretch 1.Clamshell (side lying) strengthening of gluteus medius 2.Hip abduction gluteus medius strengthening 3.Extension of femur 4.isometric abdominal contraction(top to floor) 5. abdominal contraction(cat exercise)
Jandas approach
Other intervention1.50 to 70 degrees of trunk flexion 2.Pelvis tilting 3.One leg standing 4.Quadreped position (forward and backward movement) 5. Quadruped position (raising opposite arm and leg) 6. pelvic bridging 7.One leg bridge 8.Side Plank 9.Abdominal bracing 10. Knee active bending 90 degrees 11. Half Crunch
Numeric pain rate scale (NPRS) for pain
The Numeric Pain Rating Scale (NRS) is an 11-point, standardized assessment tool used to measure subjective pain intensity. Ranging from 0 ("no pain") to 10 ("the worst pain imaginable"), it provides healthcare providers with a quick and reliable method to evaluate pain severity, track symptom changes, and measure treatment effectiveness
Flexible Ruler for lumbar Lordosis (degree)
To measure lumbar lordosis using a flexible ruler (flexicurve), mold it to the curvature of your spine from T12 to S2. Trace the curve onto paper to find the curve's length (\\(L\\)) and the maximum perpendicular height (\\(H\\)). Calculate the angle in degrees using the equation: \\(\\theta = 4 \\times \\arctan(2H/L)\\).
I Handy Level for Pelvic tilt(degree)
The examiner performed the process three times, and during those three trials, the best view was acquired, the normal average anterior pelvic tilt angle is 9.6±3.5 and 11.7±3.8° in males and females, respectively
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