Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis

February 17, 2026 updated by: Riphah International University

Comparative Effects of Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis

The study was conducted to compare the effective of thoracic extension exercises and global postural corrective exercises on pain, range of motion and posture among hyperkyphotic individuals.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

30

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
        • Imran Idrees Teaching 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 and 48 years

    • Both gender male and female
    • Cobb angle ≥42°to<60 degree
    • NPRS > 3
    • Mild to moderate scoring according to KSAQ

Exclusion Criteria:

  • Congenital spinal deformity

    • Spinal, rib and clavicle fracture
    • Discogenic Disease
    • Autoimmune Disorder
    • History of spinal surgery
    • Structural Deformity
    • Systemic disease or inflammatory condition of spine

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Thoracic Extension Exercises
Other: Thoracic Extension Exercises

The TEE comprised of three exercise programs as follows:

TEE Ⅰ: The therapist had located the restricted thoracic spinal segment on a foam roller, and the patient lied on it with their knees flexed. Both hands was crossed on the chest, and the buttocks be lifted slightly from the floor. The foam roller was rolled slowly up and down the thoracic spinal segment.

TEE Ⅱ: Patient was be sitting with the knees flexed; a Swiss ball was placed in front. The ball was pushed forward to a distance with both hands on it.

TEE Ⅲ: In the prone position, patient had performed the lifting up and putting down of the upper body and repeat it with the support of both elbows.

Each exercise was performed with two sets of 15 reps, 10 sec per rep.

Other: Standard Physical Therapy

Hot pack for 10 min.

  • TENS for 10min.
  • Myofascial release MFR.
Experimental: Global Corrective Exercises
Other: Standard Physical Therapy

Hot pack for 10 min.

  • TENS for 10min.
  • Myofascial release MFR.
Other: Global Postural corrective Exercises
Exercise Volume Chin tuck exercise Active from 15 to 30 s holds / from 10 to 15 repetitions L to Y exercises Active from 15 to 30 s holds / from 6 to 12 repetitions Pectoralis muscle stretching exercise Active from 15 to 30 s holds / from 6 to 12 repetitions Spinal mobilization Active from 15 to 30 s holds / from 6 to 12 repetitions Quadruped arm and lower extremity lift Active from 15 to 30 s holds / from 6 to 12 repetitions Side-bridge exercise Active from 15 to 30 s holds / from 6 to 12 Repetitions Unilateral bridge exercise Active from 15 to 30 s holds / from 6 to 12 repetitions

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Inclinometer
Time Frame: From enrollment to the end of treatment at 6 weeks
An inclinometer was used to measure the range of motion at the spine. Instead of using a goniometer, we used this gadget on the spine.
From enrollment to the end of treatment at 6 weeks
Numeric Pain Rating Scale (NPRS)
Time Frame: From enrollment to the end of treatment at 6 weeks
The NPRS used to gauge the patient's degree of pain. On a 0-10 scale, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain, and 7-10 represents severe pain, this tool is frequently used to gauge intensity of pain. Patients rate how much pain they are currently experiencing as well as how much pain they have experienced in the past 24 hours.
From enrollment to the end of treatment at 6 weeks
Kyphosis Specific Spinal Appearance Questionnaire (K-SAQ)
Time Frame: From enrollment till the end of treatment at 6 weeks
A modified SAQ was used to create the K-SAQ, which measures characteristics of appearance unique to kyphosis. Excellent test-retest reliability (ICC = 0.84) and internal consistency (Cronbach's α = 0.91) were demonstrated by the K-SAQ total averages.
From enrollment till the end of treatment at 6 weeks
Cobb meter
Time Frame: From enrollment till the end of treatment at 6 weeks
Excellent correlation was found between the CobbMeter application and the usual approach using the protractor, as evidenced by the intraclass correlation coefficient of 0.963 for all measures.
From enrollment till the end of treatment at 6 weeks

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Saba Rafiq, 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)

January 13, 2025

Primary Completion (Actual)

May 31, 2025

Study Completion (Actual)

October 31, 2025

Study Registration Dates

First Submitted

February 17, 2026

First Submitted That Met QC Criteria

February 17, 2026

First Posted (Actual)

February 23, 2026

Study Record Updates

Last Update Posted (Actual)

February 23, 2026

Last Update Submitted That Met QC Criteria

February 17, 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/24/01107

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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