Effect of Kinesio Taping on Pulmonary Function and Forward Shoulder Posture FSP of Young Adults (FSP)

January 28, 2024 updated by: Riphah International University

Effect of Kinesio Taping on Pulmonary Function and Forward Shoulder Posture of Young Adults

The aim of the study is to evaluate the effect of kinesio taping on pulmonary function and forward shoulder posture in young adults. Limited literature shows an association between forward shoulder posture and pulmonary function but the effect of kinesio taping for correction of forward shoulder posture and its consequences on pulmonary function is lacking in previous studies.

Study Overview

Detailed Description

Electronic devices and gadgets are mostly used for official and personal needs in this modern era. This increased usage leads to poor posture, especially in young adults. The FSP is the most common incorrect posture in youngsters. A study on posture correction shows the prevalence of rounded shoulders is 84% in the young adult age group of (18 to 24 years). The misaligned posture causes changes in anatomical structure leading to many musculoskeletal problems. Along with the musculoskeletal system, FSP also decreases chest wall mobility, lung capacities, and overall respiratory function. The respiratory muscle's proper functions is need to expand the thoracic cavity . The pectoralis muscles function is to elevate the rib cage and its tightness leads to lower chest expansion. Rhomboids play a role in stabilizing the scapula which helps the serratus muscle in forced inspiration. Weakness of middle and lower trapezius muscles causes the inability to straighten the back, thus affecting the ability to raise and expand the chest properly. Currently, for posture correction, usually in the form of conservative treatments such as stretching and strengthening exercises, McKenzie's exercises, Pilates, shoulder support braces, electrical modalities, etc are used to correct or reduce FSP. It is a dire need to find out the best physiotherapy approach for the correction of forward shoulder posture as well as improvement in pulmonary function that is not time-consuming like other exercise interventions. If the effectiveness of kinesio taping on pulmonary function is verified it will contribute to future use as the most suitable and less time-consuming approach in youngsters with FSP.

Study Type

Interventional

Enrollment (Actual)

64

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

    • AL
      • Peshawar, AL, Pakistan, 44000
        • Northwest Institute of Health Sciences

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Both male and female participants
  • Age: 18 - 25 years
  • BMI within the normal range (18.5 to 24.9)
  • Healthy participants with FSP

Exclusion Criteria:

  • Skin allergies to elastic tape
  • Known case of smokers
  • Known cases of cardiovascular and pulmonary problems.
  • Subjects with musculoskeletal disorders
  • History of chronic neck or shoulder pain (NPRS >3)
  • Any deformities or any condition that make it difficult to apply the Kinesio-Tape
  • Those who refuse to participate
  • Previous experience in respiratory muscle training

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Kinesio Taping along with conventional physiotherapy protocol

All baseline measurements will be collected in the beginning. In participant of experimental group the K-tape will be first applied from the anterior aspect of the acromion process of the scapular to the spinous process of the fourth thoracic vertebra (T4). Then, the K-tape will be applied from same origin to the insertion at the spinous process of the tenth thoracic vertebra (T10). K-tape will be applied with 50% tension of its original length.

The K-tapes will be replaced with new ones every two days for six weeks. The outcome measures will be assessed after every two weeks i.e. pre-assessment, on week 2, week 4, and week 6.

Primary outcome measures include the effect of kinesio taping on pulmonary function (via Digital Spirometry) and chest expansion (via Measuring Tape).Secondary outcome measures include FSP and pectoralis minor index (via Digital Vernier Caliper)

Kinesio Taping will be applied for 6 weeks and it will be changed with new one after every two days

Stretching exercise for pectoralis minor and major:10 sets and 2 sessions per day for 6 weeks.

Strengthening of Rhomboids and Trapezius muscle: 10 sets and 2 sessions per day for 6 weeks.

Deep Breathing: 10 rep and 2 sessions per day for 6 weeks.

Active Comparator: Conventional physiotherapy protocol

Stretching exercise for Pectoralis Minor and Major muscle: Participant in supine lying try to touch the tip of shoulder with the bed surface e.g. retraction. Than in supine raise/abduct the arm at 90 and 120 degrees; try to drop down from the surface of the bed. Hold for 10 seconds 10 reps. 2 sessions per day for 6 weeks.

Strengthening of Rhomboids: Participant in sitting position instructed to depress and retract the shoulder at the same time .Hold for 20 seconds 10 reps. 2 sessions per day for 6 weeks.

Strengthening of lower and mid trapezius: In prone lying abduct arms to the side 90 degrees. Raise arms form surface of bed like an aero plane wings. Take a weight of 1 kg in hands and hold for 10 sec and 10 reps. 2 sessions per day for 6 weeks.

Deep Breathing exercise: participant instructed to take a slow and deep breath inhaling through nose and exhaling through mouth. 10 rep 3 sessions per day for 6 weeks.

Education regarding posture correction.

Stretching exercise for pectoralis minor and major:10 sets and 2 sessions per day for 6 weeks.

Strengthening of Rhomboids and Trapezius muscle: 10 sets and 2 sessions per day for 6 weeks.

Deep Breathing: 10 rep and 2 sessions per day for 6 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Peak expiratory flow rate (PEFR)
Time Frame: After 6 weeks
Peak expiratory flow rate (PEFR) Peak expiratory flow rate (PEFR) measured through digital spirometer. Peak Expiratory Flow Rate (PEFR) measured through digital spirometer. Three zones of measurement are commonly used to interpret peak flow rates. Normal value of PEFR is (80-100%). Green zone indicates 80 to 100 percent of the usual or normal peak flow reading, yellow zone indicates 50 to 79 percent of the usual or normal peak flow readings, and red zone indicates less than 50 percent of the usual or normal peak flow readings
After 6 weeks
Forced vital capacity (FVC)
Time Frame: After 6 weeks

Forced vital capacity (FVC) measured through digital spirometer. If the value of FVC is within 80% of the reference value, the results are considered normal.

Changes in FVC from baseline to 5th and after 15th day of intervention will be assessed.

After 6 weeks
Forced expiratory volume in 1sec (FEV1)
Time Frame: After 6 weeks
Forced expiratory volume in 1sec (FEV1) measured through digital spirometer. If the value of FEV1 is within 80% of the reference value, the results are considered normal.
After 6 weeks
Chest Expansion
Time Frame: After 6 weeks
Chest expansion is the difference in thoracic girth after maximum inspiration and maximum expiration, which is one indicator of chest wall mobility. As it is measured using a measuring tape, it is a simple, inexpensive, and noninvasive tool for assessing chest mobility.
After 6 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Forward Shoulder Posture
Time Frame: After 6 weeks
The forward shoulder posture (FSP) is characterized by downward rotation and anterior tilt of the scapula
After 6 weeks
Pectoralis Minor Index
Time Frame: After 6 weeks
Pectoralis Minor Index (PMI) is a proposed parameter to evaluate the pectoralis minor length (PML), eliminating the effect of subject's variability of height.
After 6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Suman Sheraz, PhD*, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2023

Primary Completion (Actual)

December 1, 2023

Study Completion (Actual)

January 1, 2024

Study Registration Dates

First Submitted

May 17, 2023

First Submitted That Met QC Criteria

May 17, 2023

First Posted (Actual)

May 25, 2023

Study Record Updates

Last Update Posted (Actual)

January 30, 2024

Last Update Submitted That Met QC Criteria

January 28, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • Saba Khan

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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