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Study aim
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To find out the evidence about the improvement in body weight and its impact on the biomechanical changes of pelvis and lumber spine after Dieting alone, Diet +Soft tissue release, Diet +Strength exercise, Diet +Aerobic exercise as well as comparing the biomechanical characteristics between these groups to find out the best method for the management of low back pain.
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Design
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This is a single blind randomized clinical trial study. 80 participants will be randomly allocated into 4 groups and total 6 weeks interventions would be given consisting of 5 sessions per week (30 sessions) for exercises and soft tissue release group along with continuous dieting.
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Settings and conduct
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Data would be collected randomly from Karachi, Pakistan population referred to physiotherapy clinic. Before and after 6 weeks interventions, outcome measurements will be assessed in each group.
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Participants/Inclusion and exclusion criteria
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Non specific low back pain; age between 25 to 40years; Anterior pelvic more than 13.5 degree; Grade I and II obesity
without Current dermatological or inflammatory illness,Recent fracture, Congenital lower extremity abnormalities, Breathing difficulties,Cardiovascular, pulmonary, hepatic, renal, and hematological disorders
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Intervention groups
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The participants aged between 25-40 years will be assigned in four groups according to their BMI. A comprehensive Rehabilitation plan would be formulated after assessment, incorporating diet only as control group, diet +soft tissue release, diet +strengthening exercise group and diet +aerobic exercise group, all following 500 kcal diet deficit in their daily caloric requirement.
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Main outcome variables
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Pain; disability; Quality of life; pelvic tilt; body fat percentage; muscle strength; muscle thickness; aerobic fitness,waist hip ratio; muscle length for rectus femoris and Iliopsoas