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CTRI Number  CTRI/2025/08/093729 [Registered on: 27/08/2025] Trial Registered Prospectively
Last Modified On: 26/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Link Between Back Muscle Tightness and Opposite Side Hip Muscle Strength in People with Long-Term Low Back Pain 
Scientific Title of Study   Correlation between latissimus dorsi muscle length and contralateral gluteus maximus muscle strength in patients with chronic mechanical low back pain: A cross-sectional study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PALAK BUNDELA 
Designation  Post graduate student 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Opp. Swaminarayan Temple, Unai Road, Vyara, Di. Tapi
Opp. Swaminarayan Temple, Unai Road, Vyara, Di. Tapi
Surat
GUJARAT
394650
India 
Phone  08238733490  
Fax    
Email  bundelapalak22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sapna Chaudhary 
Designation  Assistant Professor 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Shree Bharatimaiya College of Optometry and physiotherapy
Vesu Main Road Behind Big Bazar Street Vrudhashram Piplod, Surat Gujarat ·
Surat
GUJARAT
395007
India 
Phone  09714750652  
Fax    
Email  sapnakumari.112343@marwadiuniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  Sapna Chaudhary 
Designation  Assistant Professor 
Affiliation  Shree Bharatimaiya College of Optometry and Physiotherapy 
Address  Shree Bharatimaiya College of Optometry and physiotherapy
Vesu Main Road Behind Big Bazar Street Vrudhashram Piplod, Surat Gujarat ·

GUJARAT
395007
India 
Phone  09714750652  
Fax    
Email  sapnakumari.112343@marwadiuniversity.ac.in  
 
Source of Monetary or Material Support  
Shree Bharatimaiya college of physiotherapy 
 
Primary Sponsor  
Name  PALAK BUNDELA 
Address  Opp. Swaminarayan Temple, Unai Road, Vyara, Di. Tapi Vesu Main Road, Street Vrudhashram, behind Big Bazar, Piplod, Surat, Gujarat 395007 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr PALAK BUNDELA  Shree Ambikaniketan trust sanchalit physiotherapy clinic  Physiotherapy OPD, near Ambikaniketan Vrudhasram, Vesu, 395007.
Surat
GUJARAT 
08238733490

bundelapalak22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Shree Bharatimaiya College of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M629||Disorder of muscle, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  24.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. Participants aged between 24 to 55, both male and female.
2. Mechanical low back pain for more than 3 months.
3. Participants who have not received physiotherapy treatment for more than 1 week before
participation.
4. Participants who have a pain score more than 3 on the Numerical Pain Rating Scale (NPRS).  
 
ExclusionCriteria 
Details  1. Lumbar radiculopathy or any spinal cord injury.
2. Spinal deformities (e.g., scoliosis, spondylolisthesis) and lower extremity deformities.
3. Hip joint pathology (e.g., osteoarthritis, labral tear, femoroacetabular impingement) or hip
flexion contracture.
4. Sacroiliac (SI) joint dysfunction
5. Shoulder conditions (e.g., rotator cuff tear, adhesive capsulitis, shoulder instability).
6. History of trauma or surgery involving the spine, hip, or shoulder.
7. Participants who have taken pain relief medications (NSAIDs, opioids, or corticosteroids)
or muscle relaxants within the last 48 to 72 hours  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Correlation (Spearman’s rho) between latissimus dorsi muscle length (shoulder flexion angle in degrees measured with scapula/rib cage stabilized) and contralateral gluteus maximus muscle strength (MMT grade 0–5) assessed by Manual Muscle Testing  BASELINE 
 
Secondary Outcome  
Outcome  TimePoints 
Oswestry Disability Index  baseline 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The study, a cross-sectional study titled -Correlation between Latissimus Dorsi Muscle Length and Contralateral Gluteus Maximus Muscle Strength in Patients with Chronic Mechanical Low Back Pain. The study aims to investigate the relationship between latissimus dorsi (LD) tightness and contralateral gluteus maximus (GM) weakness in patients with chronic mechanical low back pain (CMLBP). Low back pain is one of the most common musculoskeletal problems globally, often linked to muscle imbalance, fascial dysfunction, and altered biomechanics. The thoracolumbar fascia (TLF) connects the LD and contralateral GM as part of the posterior oblique sling system, which plays a crucial role in spinal and pelvic stability. The posterior sling, which connects the latissimus dorsi muscle and the gluteus maximus muscle through the thoracolumbar fascia. Dysfunction in this system may lead to compensatory movement patterns, postural abnormalities, and persistent pain. While past studies have independently examined LD tightness and GM weakness in CMLBP, their direct correlation has not been established. This study plans to assess LD muscle length and GM strength bilaterally using standardized tests, alongside functional disability through the Modified Oswestry Low Back Pain Disability Questionnaire. Data from patients aged 24–55 years who have pain more than 3 according to the NPRS score and more than 3 months of lower back pain. The latissimus dorsi muscle tightness will be checked with the muscle length test, and the gluteus maximus muscle strength will be checked with a manual muscle test bilaterally. The results will be analyzed using appropriate statistical tests to determine whether a significant correlation exists, providing evidence for improved rehabilitation strategies that focus on both LD mobility and GM strengthening.

 
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