- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06340477
Effect of Thoracic SNAGS on Vitals Among Individuals With Forward Head Posture
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Forward head posture (FHP) leads to abnormal activation of neck muscles. This leads to respiratory complications and changes in blood pressure. Due to regional interdependence Upper thoracic spine can restrict the movement of cervical spine Thoracic spine is is closely related to Sympathetic nervous system. T1-T5 spinal sympathetic neurons provide sympathetic innervation to the vessels that supply to the heart tissues and upper portion of the body. Thus, thoracic mobilization can regulate main body vitals as well as other visceral activities that maintain homeostasis
There is a manual therapy technique called sustained natural apophyseal glides (SNAGs) in which patient performs active movements along with the passive movements performed by the physiotherapist. It not only has biomechanical efficacy which includes pain reduction and improvement in ROM, but it also has neurophysiologic effects. Previous studies lack to provide how thoracic SNAGs can affect vitals. Thus, this study aims to determine the effect of thoracic SNAGs on vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation . Furthermore, this research will add to growing body of knowledge that how thoracic SNAGs can influence the correction of forward head posture
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Maria Khalid, MSOMPT
- Phone Number: 03315369768
- Email: maria.khalid@riphah.edu.pk
Study Locations
-
-
Punjab
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Rawalpindi, Punjab, Pakistan, 46000
- Recruiting
- Pakistan Railway Hospital
-
Contact:
- Maria Khalid, MSOMPT
- Phone Number: 03315369768
- Email: maria.khalid@riphah.edu.pk
-
Contact:
- Mahnoor arif, MSOMPT*
-
Principal Investigator:
- mahnoor arif, MSOMPT*
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Both males and females
- Age 30-50yrs.
- Craniovertebral angle <50°
- Mild to moderate neck pain ranging between 3-6 on NPRS scale.
- Individuals with normal vitals:
- Heart rate (60-100 beats per minute)
- Respiratory rate (12-20 breaths per minute)
- Systolic BP (100- 139mmHg)(30).
- Diastolic BP (70-89 mmHg) (30).
- Oxygen saturation ≥96%
Exclusion Criteria:
- History of cervical/thoracic spine surgery
- Cardiopulmonary disorder or Hypertension ≥140/90mmHg (30).
- Vertebral instability
- Smokers
- Any infection or tumor
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Thoracic SNAGs with conventional therapy
Thoracic (T1- T5) SNAGs 3 repetitions x 1 set, 2 days/week Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week |
Thoracic (T1- T5) SNAGs 3 repetitions x 1 set, 2 days/week Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week |
Other: Conventional therapy
Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week |
Hot pack for 10 minutes Stretching of upper trapezius, levator scapulae, 5 reps x 1 set x 15 sec hold 2 days/week and Pectoralis Major 10 reps x 1 set x 10 sec hold Strengthening of deep neck flexors and shoulder retractors (rhomboids) 10 reps x 1 set x 10 sec hold 2 days/week 2 days/week |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Aneroid sphygmomanometer
Time Frame: 4 weeks
|
Aneroid sphygmomanometer has more sensitivity and specificity (86.7% and 98.7%) than a digital device (80% and 67.7%) in the measurement of blood pressure, so it is considered to be more precise than a digital one
|
4 weeks
|
Pulse oximeter
Time Frame: 4 weeks
|
Hypoxemia can be ruled out by pulse oximeter.
It has high reliability and validity for heart rate calculation with ICC> 0.93 in healthy individuals.
|
4 weeks
|
Respiratory rate
Time Frame: 4 weeks
|
Respiratory rate or the number of breaths per minute is defined as one breath to each movement of air in and out of the lungs.
In general, the respiratory rate for an adult sits between 12 and 20 breaths per min.
60second count is more accurate than short duration i.e 15 and 30 second
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
NPRS (Numeric Pain Rating Scale)
Time Frame: 4 weeks
|
Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain.
The NPRS is an eleven-point scale from 0 to 10. "0" = no pain and "10" = the most intense pain imaginable while the NPRS exhibited moderate reliability (ICC = 0.27-0.84)
|
4 weeks
|
Inclinometer
Time Frame: 4 weeks
|
An inclinometer is used to measure the range of motion (ROM) of joints.
It has a housing that contains a sensor.
The sensor is sensitive to gravity and measures the angle of the housing.
The angle is then displayed on a digital display or a dial.
It is placed on the joint and then move the joint through its range of motion.
The angle of the inclinometer will change as the joint moves.
The maximum angle reached is the ROM of the joint.
ICC values of inclinometer range between 0.89-0.94 in measuring cervical range of motion including flexion, extension, lateral flexion, and rotation; making it a reliable tool.
|
4 weeks
|
Photogrammetric method for craniovertebral angle
Time Frame: 4 weeks
|
FHP can be measured by craniovertebral angle which measures natural head neck posture in the sagittal plane and is determined by the intersection of a line extending from tragus of ear to C7 and horizontal line passing through C7.
Kinovea software will be used for measurement of Cranio vertebral angle.
Inter-rater reliability ranged from an intraclass correlation coefficient value of 0.95 to 0.98, whereas the intrarater reliability ranged from an intraclass correlation coefficient value of 0.98 to 0.99
|
4 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: maria Khalid, MSOMPT, Riphah International University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Mahnoor Arif/ REC -01802
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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