- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06482203
Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis
Comparison of Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis.
To compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis.
To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor endurance training and scapular mobilization on shoulder ROM in patient with thoracic kyphosis
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Iqbal Tariq, masters
- Phone Number: 03458236752
- Email: iqbal.tariq@riphah.edu.pk
Study Locations
-
-
Khyber Pakhutunkhuwa
-
Peshawar, Khyber Pakhutunkhuwa, Pakistan, 25000
- Recruiting
- Lady Reading Hospital(LRH)
-
Contact:
- Abid ullah, MS-OMPT
- Phone Number: 03002561075
- Email: dr.abidullahpt@yahoo.com
-
Principal Investigator:
- Uzma Akbar, MS-OMPT
-
Sub-Investigator:
- Shamaila Yaqub
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Both gender (Male and female)
- Age 20-40
- Postural kyphosis
- Kyphotic angle exceeds 40°
- Thoracic pain>3
Exclusion Criteria:
- Thoracic, Scapular and clavicle abnormalities
- Vertebral fractures, history of trauma or spinal surgery
- History of prolonged use steroid (more than 6 months),rheumatologic conditions
- Cardiac, autoimmune diseases
- Structural kyphosis(X-ray findings)
- Scoliosis(x-ray findings)
- Cancer, neurological disorders, metastasis, or inflammatory
- Osteoporosis, Pregnancy or any genetic conditions affecting their bones, muscles or cartilage.
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: Group 1(Trunk Extensor Endurance Training)
Trunk Extensor Endurance Training Level 1: Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Superman pose Level 5:Superman or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts)
|
Trunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Scapular Mobilization: Intervention program includes, supero-inferior, medio-lateral along with circumduction movements). 3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance |
Experimental: Group 2(Scapular Mobilization)
Patient side lying. This intervention program includes, supero-inferior, medio-lateral along with circumduction movements. Procedure: Patients were side lying with their arms in 90°flexion during scapula mobilization. The physiotherapist completed 3 sets of 10-15 repetitions of each of the supero-inferior, medio-lateral, and circumduction movements while holding the scapula from the medial border. Between each session, there was a 10 or 30-second break. The length of rests was adjusted depending on the patient's endurance and comfort. |
Trunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Scapular Mobilization: Intervention program includes, supero-inferior, medio-lateral along with circumduction movements). 3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Thoracic pain
Time Frame: 4 weeks
|
NPRS(Numeric pain rating scale)
|
4 weeks
|
kyphotic angle
Time Frame: 4 weeks
|
Inclinometer
|
4 weeks
|
Shoulder ROM
Time Frame: 4 weeks
|
Goniometer
|
4 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Shamaila Yaqub, masters, Riphah International University
Publications and helpful links
General Publications
- Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):920-6. doi: 10.1016/j.jse.2008.12.015. Epub 2009 Mar 17.
- Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg. 2014;24(4):455-65. doi: 10.5137/1019-5149.JTN.8940-13.0.
- Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.
- Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316.
- Yoo WG. Effects of thoracic posture correction exercises on scapular position. J Phys Ther Sci. 2018 Mar;30(3):411-412. doi: 10.1589/jpts.30.411. Epub 2018 Mar 2.
- Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial. Clin Rehabil. 2018 Jan;32(1):48-56. doi: 10.1177/0269215517714591. Epub 2017 Jun 14.
- Graham P. Scheuermann's Kyphosis. Orthop Nurs. 2023 Jan-Feb 01;42(1):53-55. doi: 10.1097/NOR.0000000000000914. No abstract available.
- Etemadifar MR, Mahdinezhad Yazdi M. Evaluation of changes in kyphosis angle, apex and quality of life of patients with Scheuermann kyphosis using Kyphologic brace. Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022.
- Sato T, Koizumi M, Kim JH, Kim JH, Wang BJ, Murakami G, Cho BH. Fetal development of deep back muscles in the human thoracic region with a focus on transversospinalis muscles and the medial branch of the spinal nerve posterior ramus. J Anat. 2011 Dec;219(6):756-65. doi: 10.1111/j.1469-7580.2011.01430.x. Epub 2011 Sep 29.
- Park SY, Yoo WG. Effect of sustained typing work on changes in scapular position, pressure pain sensitivity and upper trapezius activity. J Occup Health. 2013;55(3):167-72. doi: 10.1539/joh.12-0254-oa. Epub 2013 Apr 13.
- Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010 Mar 1;11:39. doi: 10.1186/1471-2474-11-39.
- Sibson BE, Tobolsky VA, Kistner TM, Holowka NB, Jemutai J, Sigei TK, Ojiambo R, Okutoyi P, Lieberman DE. Trunk muscle endurance, strength and flexibility in rural subsistence farmers and urban industrialized adults in western Kenya. Am J Hum Biol. 2022 Feb;34(2):e23611. doi: 10.1002/ajhb.23611. Epub 2021 May 14.
- Ogaya S, Suzuki M, Yoshioka C, Nakamura Y, Kita S, Watanabe K. The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomech. 2021 Apr 28:1-12. doi: 10.1080/14763141.2021.1906938. Online ahead of print.
- Zappala M, Lightbourne S, Heneghan NR. The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults. J Orthop Surg Res. 2021 Jul 9;16(1):447. doi: 10.1186/s13018-021-02592-2.
- Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH. Endurance training of trunk extensor muscles. Phys Ther. 1993 Jan;73(1):10-7.
- Chok B, Lee R, Latimer J, Tan SB. Endurance training of the trunk extensor muscles in people with subacute low back pain. Phys Ther. 1999 Nov;79(11):1032-42.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/MS-PT/01678
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
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