Comparison of Pilate Exercises With and Without Whole Body Vibration in Patient With Upper Cross Syndrome

Comparison of Pilate Exercises With and Without Whole Body Vibration on Posture, Disability and Pain in Patient With Upper Cross Syndrome

Nowadays, bad habits brought about by technology such as overuse of mobile phones, televisions, computers, and tablets, resulted in negative impacts on health. Bending in abnormal positions while using these devices causes various mechanical loads on the neck and upper back area, rounded shoulders from increased thoracic kyphosis etc., and this leads to poor posture that can cause UCS. Because of high prevalence of RSP especially in modern societies , proper treatment of this problem is necessary for prevention of further complications.There are different exercise regimes for RSP such as strengthening of lengthened muscles, scapular stabilizers, stretching of shorten muscles especially pectoral muscles, and soft tissue mobilization but Whole-Body Vibration (WBV) is a new method introduced since the last decade and there is no comparison available in the literature of upper cross syndrome between WBV with Pilate exercises on postural correction

The aim of the study is to compare effects Comparison of pilot exercises with and without whole body vibration on posture , disability and pain in patients with upper cross syndrome A randomized clinical trial will be conducted at PESSI.. Non-probability convenience sampling will be used, and 56 subjects, age 20-40 years will be randomly allocated into two groups by lottery method after meeting the inclusion criteria. Both groups will receive hot pack for 15-20 minutes and Pilate exercise perform both group as common treatment. Group A will be treated with pilate exercises and Group B will be treated with pilate exercise with whole body vibration Both groups received two sessions per week for four consecutive weeks by another well trained physical therapist. Session duration for both groups ranged from 55 minutes to 1 hour. 2 sessions per week and total 8 sessions for 4 weeks. The outcome measures will be conducted through NPRS,NDI,RSP WAS MEASURED IN SUPINE POSITION AND THEN PML AND TSD before and after 4 weeks. Data will be analyzed using SPSS software version 26.

Study Overview

• Status: Recruiting
• Conditions: Upper Cross Syndrome
• Intervention / Treatment: Other: Pilate Exercises; Device: Hot Pack; Other: Whole-body vibration

• Study Type: Interventional
• Enrollment (Estimated): 56
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Affifa Sher Muhammad, DPT; Phone Number: 0305 4049540; Email: afifa@gmail.com

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 54000
      • Recruiting
      • Punjab Employees Social Security Institution
      • Contact: Affifa Sher Muhammad, DPT; Phone Number: +92 305 4049540; Email: afifa@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patient with rounded shoulder
• Forward head
• Having a moderate level of physical activity
• RSP measurement in supine n>1 inch(12)
• NPRS >3(18)
• NDI > 10(19)

Exclusion Criteria:

• Pregnant, having untreated wounds, joint or artificial limb
• Suffering from diseases such as-malignancy, diabetes, epilepsy, acute thrombosis, acute migraine, acute infectious conditions, and tumor having history of neurological diseases like vestibulr disease, stroke, kidney or bladder stones, and finally reporting history of back problems such as herniated disk and deformities like scoliosis. experienced any recent trauma (within three months of the initial consultation)
• Chief complaint of headaches or facial pain , hypertension, osteoporosis, and presence of any structural abnormality in the upper and middle back (e.g., scoliosis or presence of positive Adam's test) .
• Participants on anti-inflammatory or muscle relaxant medications were given a three-day period "wash out" before participating in the study (13).

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; Group A: Will be treated with Pilate Exercises. Before applying exercise, hot pack will be applied for 15-20minutes.	Other: Pilate Exercises; PILATES EXERCISE METHODS: The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction .; Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula.; Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position.; Diamond press: repeat above but add lateral arm movement to back extension .; Arm slides 90°: lies supine on mat with arms bent at 90° and thumbs on floor. Slide elbows on floor toward waistline while contracting serratus anterior muscle.Repeat on the floor with other fingers. Always maintain proper neck alignment .; Arm circles on a tiny barrel while lying on back with the head and neck supported by the barrel. Opened chest, then link the scapula to the barrel. Hold this position while performing arm circles.; Device: Hot Pack; for 10 to 15 minutes
Active Comparator: Group B; Group B: Will be treated with WBV with Pilate Exercises. Before applying exercise, hot pack will be applied for 15-20minutes.	Other: Pilate Exercises; PILATES EXERCISE METHODS: The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction .; Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula.; Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position.; Diamond press: repeat above but add lateral arm movement to back extension .; Arm slides 90°: lies supine on mat with arms bent at 90° and thumbs on floor. Slide elbows on floor toward waistline while contracting serratus anterior muscle.Repeat on the floor with other fingers. Always maintain proper neck alignment .; Arm circles on a tiny barrel while lying on back with the head and neck supported by the barrel. Opened chest, then link the scapula to the barrel. Hold this position while performing arm circles.; Device: Hot Pack; for 10 to 15 minutes; Other: Whole-body vibration; Subjects were placed in a modified push-up position , put their hands in the middle of the platform, shoulder width apart, elbows slightly flexed, and their lower extremities were supported by kneeling on the floor . Vibration protocol included 5 sets of 60 s duration, at 5 mm amplitude and 30 Hz frequency, with a rest period of 60 s between sets . The subjects were reminded kneeling but upright and detached from the platform between sets.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale (NPRS)	Numeric Pain Rating Scale (NRS-11), which is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10). NPRS-11 pain severity score of "4" is frequently given special significance in this regard, suggesting it as a potential threshold value for pain severity in clinical practice(20). scale has high reliability (0.95-0.96)(21).	baseline, after 4 weeks
NDI for neck disability (Urdu version)	In 1991, Howard Vernon developed the Neck Disability Index (NDI)(22). The Neck Disability Index (NDI) was the first tool to measure self-reported disability in patients with neck pain. It is used extensively in literature and its psychometric properties have been well established. It has been translated and cross-culturally adapted to many languages. The index has 10 neck-related functional activities scored on a 0-5 scale for each item and a total raw score of 50. The higher the score, the greater the disability(23). NDI-U is a reliable, valid and responsive questionnaire to measure disability in Urdu- speaking patients with CMNP(24).	baseline, after 4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Rounded Shoulder Posture Was Measured In Supine Position And Then Pml And Tsd ( By measuring tape manually)	Supine measurement of RSP: Iis the distance between the posterior aspect of the lateral acromion process and the exam table in the supine position . An investigator marks the posterior aspect of the lateral acromion process while the subject is in the supine position, with the shoulder in neutral position to avoid measurement variations due to humeral rotation . The investigator then measures the distance from the table to the posterior aspect of the lateral acromion process by using a straight ruler and records the value in inches PML: Is the distance from the inferomedial aspect of the coracoid process to the caudal edge of the fourth rib at the sternum . The investigator marks the distance between the inferomedial aspect of the coracoid process and the caudal edge of the fourth rib at the sternum while the subject stands in a relaxed position then records the distanc between the two marked points in inches with a tapeline .	baseline, after 4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Humera Mubashar, MS, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): February 4, 2024
• Primary Completion (Estimated): February 7, 2025
• Study Completion (Estimated): February 7, 2025

Study Registration Dates

• First Submitted: January 22, 2025
• First Submitted That Met QC Criteria: January 22, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 22, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Whole Body Vibration; Young Adult; Upper Cross Syndrome; Rounded Shoulder Posture; Pilates Exercise
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome
• Other Study ID Numbers: Dr Affifa

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