Comparing Different Physiotherapy Interventions on APT in Non Specific Low Back Pain

Summary

Anterior pelvic tilt (APT) is a prevalent postural deviation characterized by excessive forward rotation of the pelvis, often resulting in increased lumbar lordosis. This condition is frequently associated with non-specific low back pain (NSLBP), which affects a significant portion of the global population and poses substantial challenges for individuals' well-being and healthcare systems worldwide. NSLBP is a multifactorial condition with various etiological factors, including poor posture, muscle imbalances, sedentary lifestyle, and biomechanical abnormalities such as APT. Understanding and effectively managing APT in the context of NSLBP is crucial for reducing pain, improving functional capacity, and enhancing quality of life for affected individuals .

Despite the prevalence and clinical significance of APT in NSLBP, there is a lack of comprehensive research comparing the effectiveness of different therapeutic interventions. Various approaches have been proposed, including core stability exercises, soft tissue release with manual therapy, stretching and flexibility exercises, and postural correction exercises . However, the relative efficacy of these interventions remains uncertain, hindering evidence-based decision-making in clinical practice.

A variety of therapeutic interventions have been proposed for managing APT and NSLBP, aiming to address underlying biomechanical imbalances, improve musculoskeletal function, and alleviate pain. Core stability exercises, focused on strengthening the deep stabilizing muscles of the spine and pelvis, have shown promise in improving postural alignment and reducing NSLBP symptoms. Soft tissue release techniques, such as manual therapy and myofascial release, target tight and restricted muscles associated with APT, promoting relaxation and improved range of motion. Stretching and flexibility exercises aim to elongate tight musculature, particularly in the hip flexors and lumbar extensors, thereby reducing excessive pelvic tilt and alleviating NSLBP. Additionally, postural correction exercises focus on retraining optimal alignment and body mechanics, promoting a more neutral pelvic position and reducing strain on the lumbar spine.

Conditions

• Anterior Pelvic Tilt
• Low Back Pain

Interventions

OTHER

Core stability exercises with electrotherapy

electrotherapy modalities for pain control will be used and exercises strengthening abdominal core muscles will be applied in two phases.

OTHER

Soft tissue release with manual therapy and stretching

Manual soft tissue release will be performed and then stretching of back muscles and thigh muscles will be added to treatemnet.

OTHER

Postural correction exercises with contrast therapy

Hot and cold packs will be used one after other for 10-15mins and specific exercises which are designed to improve posture will be taught and performed

OTHER

combination of electrotherapy with stretching and flexibility exercises

some pain reducing electrotherapy modality like TENS will be used and general stretching and flexibility exercises will be performed

Sponsors & Collaborators

• National Orthopedic and General Hospital

  lead OTHER

Principal Investigators

• Mazhar ALI, Phd · National orhtopedic and general hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

40 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-03-20

Primary Completion

2025-08-10

Completion

2025-10-15

Countries

• Pakistan

Study Locations