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Effects Of Posterior Oblique Sling Strengthening on Temporo-Spatial Gait Parameters in Young Adults
Sponsor: Riphah International University
Summary
The aim of this study is to determine the effects of posterior oblique sling strengthening on gait parameters (speed, stride length, and cadence), gluteus maximus strength, latissimus dorsi flexibility, and trunk rotation in young adults. A randomized clinical trial will be conducted at Riphah Internal university, Rawal General \& Dental Hospital and Rawal Institute of Rehabilitation \& Health Sciences. Recruiting 48 participants aged 18-30 years with unilateral or bilateral posterior oblique sling tightness. Participants will be randomly assigned into two groups through the sealed envelope method. The intervention will be performed four times per week for three weeks, followed by a home-based program from weeks 4 to 6. Assessments will be conducted at baseline, post-1st session, weekly during intervention, and at week 6. Tools used include Inclinometer (for lumbar range of motion), Goniometer (to assess latissimus dorsi length), Waistband Pedometer (to measure gait parameters such as cadence, walking speed, and stride length), Hand-held Dynamometer (to assess gluteus maximus strength), Inches Tape (for Pectoralis Minor Length Test to evaluate muscle flexibility and scapular positioning) and demographic measures..
Key Details
Gender
All
Age Range
18 Years - 30 Years
Study Type
INTERVENTIONAL
Enrollment
46
Start Date
2025-01-07
Completion Date
2026-01-31
Last Updated
2025-04-25
Healthy Volunteers
Yes
Conditions
Interventions
Group A myofascial technique
Group A with MET (latissimus dorsi), myofascial release (thoracolumbar fascia) and posterior oblique sling strengthening it will be a six-week protocol, with sessions conducted five times a week for 30-40 minutes, focusing on posterior oblique sling activation. Week 1: Myofascial release (thoracolumbar fascia, 60-90 sec), MET (latissimus dorsi, 7-10 sec isometric + 30-sec stretch, 5 reps), glute max strengthening (prone hip extensions, 10-sec holds ×5; bilateral bridges, 5-sec holds ×5). Week 2: Prone hip extension (3-kg resistance), arm extension (1-kg dumbbell, 5-sec holds ×5), bird-dog (5-sec holds ×10, 1 set). Weeks 3-4: Prone hip extensions (5-sec holds ×10), single-leg bridges (5-sec holds ×10), twice daily. Weeks 5-6: Increased intensity to 10-sec holds ×10 reps
Group B posterior sling exercises
A six-week conservative protocol, was conducted five times weekly for 30-40 minutes, focuses on core stability exercises. Week 1 includes static stretching of the latissimus dorsi (30-second hold, 3 reps) and prone hip extensions with knee flexed at 90° (5-second hold, 10 reps). By Week 2, bird-dog exercises are introduced (5-second hold, 10 reps per side). In Weeks 3-6, these exercises are maintained to provide a stable baseline for comparison with Group A's more intensive protocol. The latissimus dorsi stretch is performed 2-3 times daily for improved flexibility.
Locations (1)
Rawal Institute of Rehabilitation & Health Sciences (RIRH) & Rawal General & Dental Hospital. (RG&DH)
Islamabad, Capital, Pakistan