Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome

December 20, 2024 updated by: Riphah International University

Comparative Effects of Brugger's Exercise With and Without Kendall Exercises on Pain, Craniovertebral Angle and Range of Motion in Patients With Sterno-Symphyseal Syndrome

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers. It is basically the approximation between the sternum and pubic symphysis. This syndrome has been given several names including posterior cervical-dorsal syndrome and more commonly Computer back or Student syndrome. This posture is associated with increased muscular tension and faulty respiration habit. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome.

A Randomized Clinical Trial will be conducted at Umar Hospital Lahore through convenience sampling technique on patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted through pain, Craniovertebral angle and neck range of motion at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Study Type

Interventional

Enrollment (Actual)

32

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 Locations

  • Pakistan
    • Punjab
      • Lahore, Punjab, Pakistan, 54000
        • Umar Trust Hospital

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

No

Description

Inclusion Criteria: • Age Group between 18-35 years old

  • Gender: Male and Female both included (23).
  • Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
  • Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
  • Subjects sitting more than 4 hours a day (12).
  • Subjects with upper back pain with < 7 score on Numeric Pain rating scale

Exclusion Criteria: • Subjects with Untreated fractures on cervical and upper thorax spine.

  • Neoplasm on spine.
  • Cervical disc prolapses.
  • Subject with psychological disorder.
  • Vertebro basilar insufficiency and Migraine are excluded (12).

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Brugger's exercise with Kendall exercise.
Participants in this group will receive Brugger's exercise with Kendall Exercise.
Procedure: Brugger's exercise.
Participant was in a high sitting position. An elastic resistance band was be wrapped on each hand of the participant leaving the palm open and instructed to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant were instructed to perform scapular retraction with chin tucked in ,shoulder external rotation, elbow extension, shoulder abduction, and extension. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds, 4 sets 12 times repetitions.
Procedure: Kendall Exercise.
Kendall exercises with the frequency 5 sets of consisting of 12 repetitions of postures, each taking 30 seconds,3 times a week for total of 6 weeks.
Active Comparator: Brugger's exercise
Participants in this group will receive Brugger's exercise.
Procedure: Brugger's exercise.
Participant was in a high sitting position. An elastic resistance band was be wrapped on each hand of the participant leaving the palm open and instructed to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant were instructed to perform scapular retraction with chin tucked in ,shoulder external rotation, elbow extension, shoulder abduction, and extension. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds, 4 sets 12 times repetitions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric pain rating scale
Time Frame: 6th week.
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". Reliability is 0.76-0.96 .
6th week.
Measuring tape for Sterno-symphyseal syndrome.
Time Frame: 6th week.
To measure distance between xiphoid process and pubic symphysis.
6th week.
Universal Goniometer (UG)
Time Frame: 6th week

3. Universal Goniometer (UG) It is commonly a large universal goniometer having 12-inch arms and full-circle plastic body used for measuring AROM. It is used to measure joint ROM in clinics. Reliability is 0.9.

It will measure range of motion of neck. It will measure Craniovertebral angle.
6th week
Image J Software
Time Frame: 6th week.
Image J is an image Processing tool that processes photographs taken for the observation of Posture. Image J, a versatile software, has many capabilities and functions. This software is very simple and easily available. By Using JAVA, it is built on open architecture platform. Validity is 0.96 (31)
6th week.

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Tooba Jamil, MS OMPT, 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.

General Publications

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)

May 2, 2024

Primary Completion (Actual)

July 1, 2024

Study Completion (Actual)

August 4, 2024

Study Registration Dates

First Submitted

May 6, 2024

First Submitted That Met QC Criteria

May 8, 2024

First Posted (Actual)

May 9, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

December 20, 2024

Last Verified

December 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/23/0185

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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