Authors :
Aman Hussain; Dr. Jaganjyoti Das; Dr. SajjanPal
Volume/Issue :
Volume 10 - 2025, Issue 2 - February
Google Scholar :
https://tinyurl.com/5yt3r9rk
Scribd :
https://tinyurl.com/3fy94jya
DOI :
https://doi.org/10.38124/ijisrt/25feb1611
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Lower Crossed Syndrome (LCS) is a condition marked by muscle imbalances, particularly involving tightness in the
hip flexors and lumbar extensors, alongside weakness in the abdominal and gluteal muscles. This imbalance often leads to
postural abnormalities such as anterior pelvic tilt and lumbar lordosis.
Methodology:
This review encompasses 13 studies conducted between 2006 and 2024, utilizing databases like PubMed and Scopus to
investigate the prevalence and diagnostic methods associated with LCS. The studies were selected based on specific
diagnostic criteria pertinent to LCS.
Results:
The analysis indicates a lack of consistency in diagnostic practices across the studies; however, prevalent indicators
include tight hip flexors and lumbar extensors, coupled with weakness in the abdominal and gluteal regions. Notable
diagnostic tools identified include the Thomas Test for assessing hip flexor tightness, manual muscle testing for evaluating
core strength, and the use of non-elastic tape to measure paraspinal extensibility.
Discussion:
To enhance diagnostic precision, a standardized criterion is recommended, emphasizing the evaluation of posture,
muscle flexibility, and strength. This methodology aims to assist clinicians in the early identification of LCS and the
implementation of targeted interventions.
Conclusion:
Implementing a standardized diagnostic framework for LCS has the potential to improve diagnostic accuracy and
treatment efficacy, thereby mitigating the prevalence and effects of chronic lower back pain in at-risk populations.
Keywords :
Lower Crossed Syndrome; Low Back Pain; Pelvic Tilt; Lumbar Lordosis; Flexibility; Strength.
References :
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- Puagprakong P, Kanjanasilanont A, Sornkaew K, Brady WS. The Effects of Lower Crossed Syndrome on Upper Body Posture during Sitting in Female Office Workers. Muscles Ligaments Tendons J. 2022 Oct 1;12(4):621–7.
- Peeler J, Anderson JE. Reliability of the Thomas test for assessing range of motion about the hip. Physical Therapy in Sport. 2007 Feb;8(1):14–21.
- Nourbakhsh MR, Arabloo AM, Salavati M. The relationship between pelvic cross syndrome and chronic low back pain. Vol. 19, Journal of Back and Musculoskeletal Rehabilitation. IOS Press; 2006.
- Yadav T, Kale SS, Jadhav A, Bathia 4 1 Intern K. Effect of Stretching and Strengthening Exercises (Janda’s Approach) in School Going Children with Lower Crossed Syndrome [Internet]. Vol. 11, 466 Indian Journal of Public Health Research & Development. 2020. Available from: https://www.researchgate.net/publication/377636246
- Burile G, Phansopkar P, Deshmukh NS. Prevalence of Lower Cross Syndrome in Housemaids. Cureus. 2024 Apr 2;
- Dhanani Sneha. A SURVEY ON PREVALENCE OF LOWER CROSSED SYNDROME IN YOUNG FEMALES. 2014.
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- Anna Chacko A, Sarah Jolly A, Unni A. Prevalence of Lower Crossed Syndrome among Collegiate Young Females in Kochi. International Journal of Science and Research [Internet]. 2020; Available from: www.ijsr.net
- Das S, Sarkar B, Sharma R, Mondal M, Kumar P, Sahay P. PREVALENCE OF LOWER CROSSED SYNDROME IN YOUNG ADULTS: A CROSS SECTIONAL STUDY. Int J Adv Res (Indore) [Internet]. 2017 Jun 30;5(6):2217–28. Available from: http://www.journalijar.com/article/18043/prevalence-of-lower-crossed-syndrome-in-young-adults:-a-cross-sectional-study./
- Pradeep S, Heggannavar A, Metgud S. Effect of sciatic nerve neurodynamic sustained natural apophyseal glides on individuals with pelvic crossed syndrome: A randomized controlled trial. Indian Journal of Physical Therapy and Research. 2020;2(1):35.
- Rahimi M, Piry H, Monajatipour E. Effect of Six Weeks of Pilates Exercises on the Function of Upper and Lower Extremities of Middle-aged Women With Lower Crossed Syndrome. Physical Treatments. 2022 Sep 1;12(4):269–78.
- Khan N, Nouman M, Iqbal MA, Anwar K, Sajjad AG, Hussain SA. Comparing the Effect of Stretching and Muscle Energy Technique in the Management of Lower Cross Syndrome. Pakistan Journal of Medical and Health Sciences. 2022 Jul 30;16(7):31–3.
- Vigotsky AD, Lehman GJ, Beardsley C, Contreras B, Chung B, Feser EH. The modified Thomas test is not a valid measure of hip extension unless pelvic tilt is controlled. PeerJ. 2016;2016(8).
- Hershkovich O, Grevitt MP, Lotan R. Schober Test and Its Modifications Revisited—What Are We Actually Measuring? Computerized Tomography-Based Analysis. J Clin Med. 2022 Dec 1;11(23).
- Janda, V. (1983). Muscle function testing in chronic pain syndromes. Pain Management Research, 10(3), 75-82.
- Page, P., et al. (2010). Muscle imbalances and movement dysfunction: Implications for rehabilitation. International Journal of Sports Physical Therapy, 5(3), 234-247.
- Dieèné, A., et al. (2022). Neuromuscular imbalances in lower crossed syndrome: Current perspectives. Journal of Physical Medicine & Rehabilitation, 18(3), 145-156
- Sahrmann, S. A. (2022). Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine. St. Louis: Elsevier
- Ebara, T., et al. (2021). The impact of prolonged sitting on pelvic tilt and lumbar lordosis: Implications for lower crossed syndrome. Ergonomics Research, 33(2), 211-218.
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- Cram, J. R., et al. (2020). Surface electromyography: Applications in the assessment of neuromuscular function. Journal of Electromyography and Kinesiology, 54(4), 102-110.
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- Lewis, C. L., & Sahrmann, S. A. (2009). Pelvic and hip kinematics in individuals with lower crossed syndrome. Physical Therapy Journal, 89(1), 35-45.
Background:
Lower Crossed Syndrome (LCS) is a condition marked by muscle imbalances, particularly involving tightness in the
hip flexors and lumbar extensors, alongside weakness in the abdominal and gluteal muscles. This imbalance often leads to
postural abnormalities such as anterior pelvic tilt and lumbar lordosis.
Methodology:
This review encompasses 13 studies conducted between 2006 and 2024, utilizing databases like PubMed and Scopus to
investigate the prevalence and diagnostic methods associated with LCS. The studies were selected based on specific
diagnostic criteria pertinent to LCS.
Results:
The analysis indicates a lack of consistency in diagnostic practices across the studies; however, prevalent indicators
include tight hip flexors and lumbar extensors, coupled with weakness in the abdominal and gluteal regions. Notable
diagnostic tools identified include the Thomas Test for assessing hip flexor tightness, manual muscle testing for evaluating
core strength, and the use of non-elastic tape to measure paraspinal extensibility.
Discussion:
To enhance diagnostic precision, a standardized criterion is recommended, emphasizing the evaluation of posture,
muscle flexibility, and strength. This methodology aims to assist clinicians in the early identification of LCS and the
implementation of targeted interventions.
Conclusion:
Implementing a standardized diagnostic framework for LCS has the potential to improve diagnostic accuracy and
treatment efficacy, thereby mitigating the prevalence and effects of chronic lower back pain in at-risk populations.
Keywords :
Lower Crossed Syndrome; Low Back Pain; Pelvic Tilt; Lumbar Lordosis; Flexibility; Strength.