Comparison of Brugger's Relief Exercises Versus Kinesio Taping at Craniovertebral Angle on Forward Head Posture

The aim of this research is to compare the effect of Brugger relief exercise versus Kinesio taping at craniovertebral angle on forward head posture. Randomized controlled trials done at we care physical therapy clinic Islamabad. The sample size was 28. The subjects were divided in two groups, 14 subjects in Kinesio taping group and 14 in Brugger relief exercise group. Study duration was of 6 months. Sampling technique applied was non probability purposive sampling technique. Only 20-40 years people with forward head posture having craniovertebral angle less than 50° degrees were included. Tools used in the study is protractor app. Data will be analyzed through SPSS 21

Study Overview

• Status: Recruiting
• Conditions: Forward Head Posture
• Intervention / Treatment: Other: kinesiotaping; Other: Brugger relief exercise

Detailed Description

Forward head posture (FHP) is a common condition characterized by abnormal cervical spine, leading to non-specific neck pain (NNP). FHP affects millions of people worldwide, causing pain, reduced productivity and quality of life. Current treatments for NNP associated with FHP include exercise programs and Kinesio taping, but there is limited evidence comparing their effectiveness.

The Brugger relief exercises (BRE) consist of a set of exercises designed to target the cervical spine and adjacent muscles with the goal of enhancing posture, alleviating discomfort, and improving functionality. In contrast, Kinesio taping (KT) is a non-invasive and painless method that involves applying gentle traction to the skin, purportedly leading to the reduction of pain and inflammation. This study aims to compare the effectiveness of BRE versus KT on CVA due to FHP. This research will offer important information on the effectiveness of BRE and KT, guiding healthcare providers and patients in selecting the best treatment for FHP-related NNP. The results will support the creation of evidence-backed protocols for addressing FHP-related NNP, ultimately leading to better treatment results and improved quality of life for those affected

• Study Type: Interventional
• Enrollment (Estimated): 28
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Asmar Fatima, MS-OMPT; Phone Number: 03336195644; Email: asmar.fatima@riphah.edu.pk

Study Locations

• Pakistan
  • Federal
    • Islamabad, Federal, Pakistan, 44000
      • Recruiting
      • We Care Physical Therapy Clinic
      • Contact: Asmar Fatima, MS-OMPT; Phone Number: 03336195644; Email: asmar.fatima@riphah.edu.pk
      • Sub-Investigator: Asmar Fatima, MS-OMPT
      • Contact: Mahjabeen saleem, MS-OMPT*; Phone Number: 03451367612; Email: mahasood98@gmail.com
      • Principal Investigator: Mahjabeen saleem, MS-OMPT*

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Both gender
• Patients whose age lies between 20 and 40
• Forward head posture with craniovertebral angle less than 50° degrees

Exclusion Criteria:

• Individuals with pre-existing musculoskeletal conditions affecting posture e.g. scoliosis, Scheuermann's disease.
• Those currently undergoing physical therapy or other posture correction treatments.
• Pregnant individuals, due to potential physiological changes affecting posture.
• Subjects with a history of significant spinal or neck injuries.
• No neurological disease (e.g. cervical radiculopathy, SCI).
• Patients were excluded who shows positive result to spurling test, ULTT, Allen test.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: kinesiotaping; Kinesio taping (KT) is a thin elastic tape which can be stretched up to 130-140% of its original length thereby providing constant shear force on the skin.KT has beneficial effects and possible useful mechanisms to suppress pain, relax muscles, support joints, and improve circulation.Kinesio taping is used for releasing tension on trapezius and erector spinal muscle and to correct the posture.	Other: kinesiotaping; Before applying the tape, the treated area was cleaned and shaved. A Y strip of the tape was used to facilitate muscle contraction of the semispinalis capitis with 15 -25% tension in elongated muscle position and three I strip are used in it to release tight upper trapezius, facilitate middle trapezius and to correct posture. 3 days a week for 4 weeks
Experimental: Bruggers relief exercise; Bruegger's postural relief position is an effective self-care exercise for correcting forward head posture. This exercise strengthens the muscles that retract the shoulder blades back while stretching the muscles that protract them forward. By pulling the shoulders back and holding the neck in a chin tuck position, the deep muscles in the neck also become stronger. Bruegger relief exercises (BRE) have been found to be very beneficial for patient rehabilitation	Other: Brugger relief exercise; This protocol includes that the patient is positioned on edge of a chair with his hips abducted, feet externally rotated, his head up, his forearms supinated, and wrists and fingers extended. the participants were instructed to perform scapular retraction with chin tucked in, shoulder external rotation, elbow extension, shoulder abduction, and extension. While actively moving their arms and spreading their fingers externally, patient exhaled through lips 12 reps 4 set for 3 days a week Intervention will be given for 4 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
CRANIOVERTEBRAL ANGLE	This angle is used to assess the forward head posture of the participants. It involves measuring the angle between a horizontal line and a line connecting the C7 vertebrae and the tragus of ear by protractor app.	from baseline to 4th week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Asmar Fatima, MS-OMPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): January 22, 2025
• Primary Completion (Estimated): September 20, 2025
• Study Completion (Estimated): September 20, 2025

Study Registration Dates

• First Submitted: February 20, 2025
• First Submitted That Met QC Criteria: February 20, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 20, 2025
• Last Verified: February 1, 2025

More Information

Terms related to this study

• Keywords: Kinesio taping; Craniovertebral angle; Forward head posture; Brugger reliefs exercise
• Other Study ID Numbers: REC/MS-OMPT/014522 Mahjabeen

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