Effects of Klapp Method Exercises in Breast Feeding Females With Kyphotic Posture

February 23, 2026 updated by: Riphah International University

Effects of Klapp Method Exercises on Pain, Posture Correction and Self-efficacy in Breast Feeding Females With Kyphotic Posture

Group A will be given Klapp method exercises to the participant for a period of 1 month twice in a week for 50min. Group B will be given printed information on an at-home exercise program, such, posture correction,corrective exercises and breathing exercises. They will be asked to perform the exercises twice weekly during the study and follow-up period. All these sessions will be of 50 minute for 2 session per week for 4 weeks

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The Klapp exercises program, is an active therapeutic exercise that aims to stretch, mobilize, and strengthen the spine, offering both pain reduction and postural improvement. This method is widely applied, for the correction of vertebral deformities such as kyphosis, lordosis and scoliosis, to the treatment of thoracic cage abnormalities and thoracic cage shape changes after thoracoplasty, as well as in the treatment of spinal muscle interference from polio and spinal osteochondrosis.

The aim of this study to investigate the effects of klapp method exercises on pain, posture correction and self-efficacy in breast feeding females with kyphotic posture.

This will be a randomized Controlled trial conducted on (32) participants. Data will be collected from Civil hospital and Al-siddique hospital, Sialkot by using non-probability convenience sampling technique. Breast feeding females between the age of 22 to 30 with kyphotic posture. Participants who had a history orthopedic disorder, orthopedic surgery, history of recent fracture, non-lactating females will be excluded from this study. A sample of (32) will be divided in to two groups with (16) participants in each group. Group A will be given Klapp method exercises to the participant for a period of 1 month twice in a week for 50min. Group B will be given printed information on an at-home exercise program, such, posture correction, corrective exercises and breathing exercises. They will be asked to perform the exercises twice weekly during the study and follow-up period. All these sessions will be of 50 minute for 2 session per week for 4 weeks. Pre and post assessment of pain, pain will be assessed by visual analogue scale, posture will be evaluated by inclinometer, self-efficacy breast feeding will be assessed self-efficacy breastfeeding scale (BSES-SF). Data will be analyzed by using SPSS version 26.0

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 Province
      • Sialkot, Punjab Province, Pakistan, 6400
        • Civil hospital and Al-siddique 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

Yes

Description

Inclusion Criteria:

  • Primiparous females
  • Female who had C-Section
  • Lactating females (females who have had feed their babies for last 6 months)
  • Pain in neck (pain score 4-6 in visual analogue scale)
  • Female with kyphotic angle greater than 45 degrees (assess by inclinometer)

Exclusion Criteria:

  • history of orthopedic surgery (spinal fusion)
  • orthopedic disorder (disk degeneration, osteoporosis)
  • history of vertebral fracture
  • Female who had given vaginal birth
  • Breast feeding issues (lactation failure, nipple failure)

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: Klapp method exercises
Four pointwalk followedby twopointwalk&backwalk: This exercise is basic, it is a mobility exercise and always applied at the beginning of the program. Breathing exercise from a kneeling position: (raising hands with inhalation lowering hands with exhalation). Simple bounce glide with simultaneous breathing: (a stretching,strengthening and corrective exercises) Bunny hop: (for stretching and strengthening). Greeting: (Stretching and mobilization of thalamus)
Other: Klapp method exercises
The researcher will administer Klapp method exercises to the participant for a period of 1 month (twice in a week for 50 min .The researcher will perform stretching of upper limb, neck and thoracic region to the participants as a baseline treatment. Klapps exercises program include four point walk followed by two point walk and back walk, breathing exercise from kneeling position, breathing exercise from quadrapedal position, simple bounce glide with simulanteos breathing, bunny hop greeting. Each exercise will be performed with 10 repetitions
Active Comparator: At-Home exercises program
The researcher will prescribe stretching of neck, upper limb and thoracic region of participants as a baseline treatment. The control group will continue with their normal activities and pain relief methods. Additionally, they will be given printed information on an at-home exercise program, such corrective exercises (Chin tuck, stretching of neck extensor muscles and pectoral muscle groups in standing and supine positions) (16), posture correction exercises (This exercise program consisted of 2 strengthening (of the deep cervical flexors and shoulder retractors), and breathing exercises (Deep breathing is an exercise that can regulate breathing patterns and improve posture. The deep breathing that is done repeatedly can overcome stiffness in the thoracic cage and straighten the curve of thoracic kyphosis).They will be asked to perform the period of 1-month twice in a week for 50 min with10 repetitions of each exercise
Other: At-Home exercise program
theywill begiven printed information on an at-home exercise program, such corrective exercises (Chin tuck, stretchingof neck extensormuscles andpectoral musclegroups instandingandsupinepositions) (16) ,posturecorrection exercises(Thisexerciseprogramconsistedof2strengthening(of thedeep cervical flexorsandshoulderretractors)(26) ,andbreathingexercises(Deep breathing is an exercise that can regulate breathing patterns and improve posture. The deep breathing that is done repeatedly can overcome stiffness in the thoracic cage and straighten the curve of thoracic kyphosis)(27).Theywillbeaskedtoperformtheperiodof1month twiceinaweekfor50minwith10repetitionsofeachexercise.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analogue Scale
Time Frame: 4th week
The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity between patients with similar conditions. moderate to good reliability for disability in patients with chronic musculoskeletal pain VAS is widely used as a measure of pain intensity in globally. It has been shown that VAS is valid, reliable and interval scale. The majority of the studies showed that visual analogue scale is a valid and reliable scale. . High reliability when it is used for acute musculoskeletal pain and ICC = 0.99 [95%CI 0.989 to 0.992], and moderate to good reliability for disability in patients with chronic musculoskeletal pain. Also, it is an interval scale. So, in clinical practice we can use this scale in case of measurement as an outcome measure tool.
4th week
inclinometer
Time Frame: 4th week
The gravity-dependent (analogue) inclinometer produces angles that are comparable to the modified Cobb angle obtained from radiographs, establishing its criterion validity as a safe clinical tool for measuring thoracic kyphosis. Inclinometer has high validity with (r=0.85-0.95) and high inter-rater reliability (ICC=0.85-0.98)
4th week
Self-efficacy breast feeding scale (BSES-S F questionnaire)
Time Frame: 4th week
Breastfeeding self-efficacy is defined as a mother's confidence in ability to breastfeed and predicts "whether a mother chooses to breastfeed, how much effort she will expend, whether she will persevere in her attempts until mastery is achieved, whether she will have self enhancing or self-defeating thought patterns, and how she will emotionally respond to breastfeeding difficulties" BSES (n = 5 studies) or BSES-SF (n = 36studies) among demographically or culturally diverse populations. All versions of the instrument demonstrated good reliability, with Cronbach's alphas ranging from .72 to .97
4th week

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: hina gul, MSOMPT, 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)

August 1, 2024

Primary Completion (Actual)

July 1, 2025

Study Completion (Actual)

August 1, 2025

Study Registration Dates

First Submitted

December 20, 2024

First Submitted That Met QC Criteria

December 20, 2024

First Posted (Actual)

December 27, 2024

Study Record Updates

Last Update Posted (Actual)

February 25, 2026

Last Update Submitted That Met QC Criteria

February 23, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR&AHS/24/0526

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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