Effect of Lumber Hyperlordosis Correction on Craniovertebral Angle in Low Back Pain Patients. Randomized Controlled Trial - Trial PACTR202001841385725

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Summary

The vertebral column is the main axis in the human body and plays an important role in maintaining an upright posture.Spinal curvature in the sagittal plane, especially lumbar lordosis, is necessary for effective weight bearing, increasing efficiency of paraspinal muscles, and maintaining erect posture.Abnormal curvature of the spine can create increased stress on the body which can, overtime , lead to muscle imbalance. One of the most important postural deformities of the spinal column is lumbar hyperlordosis which means exaggerated curve of lumber spine.Excessive lordosis has been advocated as the major cause of postural pain, facet pain and radiculopathy .All the segments in the axial skeleton and lower limbs, function as parts of a closed chain; movement at one joint will create movement in at least one other linkage in the chain .The relationship between cervical and lumber posture is more complex than is generally acknowledged clinically. As the position of lumber spine move toward extension, the cervical spine move toward flexion, and vice versa.This study is designed to investigate whether lumber hyperlordosis correction is associated with changes in craniovertebral angle which will help in predicting and preventing degenerative changes in cervical spine. Patients will be assigned randomly into 2 groups Group A: 15 patients will receive lumbar hyperlordosis correction by muscle energy technique.Group B: 15 patients will receive no intervention.X-ray will be used to measure the lumbar lordotic angle using cobbs anglePhotographic analysis methods will be used to assess Craniovertebral angle .Treatment program will be three sessions per week for four weeks and all measurement will be taken pre and post the treatment period.

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