- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07641959
Effects of Sahrmann's Approach in Patients With Cervical Extension Syndrome
Effects of Sahrmann's Approach on Pain, Range of Motion, Craniovertebral Angle and Function in Patients With Cervical Extension Syndrome
연구 개요
상세 설명
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Samrood Akram, PhD*
- 전화번호: 03324806143
- 이메일: samrood.akram@riphah.edu.pk
연구 장소
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Punjab Province
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Lahore, Punjab Province, 파키스탄, 54000
- University of Lahore Teaching Hospital, Lahore HOD Physio Department
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연락하다:
- Asim Arif, PhD*
- 전화번호: 03216597727
- 이메일: asimarif@uipt.uol.edu.pk
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Adults between 20-40 years, NPRS score 4-6 , positive tests cervical flexion, extension, protraction and retraction and Cervical Nodding Against Wall
Exclusion Criteria:
Scoliosis, Pregnant females, Any active infection or disese
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Sahrmann's exercises
Shirley Sahrmann's approach is based on the concept that repetitive movement and sustained postures can create movement impairments, leading to pain and dysfunction. Rather than simply strengthening weak muscles or stretching tight ones, Sahrmann focuses on identifying and correcting faulty movement patterns. Patients will receive Sahrmann's Corrective Exercises for Cervicale Extension Syndrome. |
capital flexion, capital flexion with and without head tilt, Shoulder flexion, Abduction And Lateral Rotation, Cervical Extensors Muscle strengthening along with baseline treatment moist heat pack and TENS.
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활성 비교기: Standard Physical therapy
this group will receive conventional physiotherapy.
receive muscle stretching of trapezius, pectoralis and levator scapulae.
and Active ROM as retractions of scapula and neck
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this group will receive conventional physiotherapy.
receive muscle stretching of trapezius, pectoralis and levator scapulae.
and Active ROM as retractions of scapula and neck.
along with baseline treatment moist heat pack and TENS.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Numerical Pain Rating Scale (NPRS)
기간: upto 4 weeks
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he NPRS is an 11-point self-reported scale used to assess the intensity of neck pain. Participants rate their average pain over the previous 24 hours on a scale from 0 to 10. Scoring: 0 = No pain 1-3 = Mild pain 4-6 = Moderate pain 7-10 = Severe pain Direction of Improvement: Lower scores indicate less pain and improvement. |
upto 4 weeks
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Craniovertebral Angle (CVA) - Forward Head Posture
기간: upto 4 weeks
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Description: The CVA is used to quantify forward head posture. It is measured as the angle formed between: A horizontal line passing through the spinous process of C7. A line connecting C7 to the tragus of the ear. Scoring: Smaller angle = Greater forward head posture. Larger angle = Better head-neck alignment. Typical values: <48° = Forward head posture ≥50° = More normal alignment Direction of Improvement: Increase in CVA indicates improvement. |
upto 4 weeks
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Neck Disability Index (NDI) - Functional Disability
기간: upto 4 weeks
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Description: The NDI is a self-administered questionnaire consisting of 10 items assessing the impact of neck pain on daily activities.Scoring: Each item scored from 0-5. Total score: 0-50 points Interpretation: 0-4 = No disability 5-14 = Mild disability 15-24 = Moderate disability 25-34 = Severe disability ≥35 = Complete disability Direction of Improvement: Lower scores indicate reduced disability and better function. |
upto 4 weeks
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Cervical Range of Motion (CROM)
기간: upto 4 weeks
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Description: Cervical ROM will be measured in: Flexion Extension Right lateral flexion Left lateral flexion Right rotation Left rotation The participant performs active cervical movements while the examiner records the maximum range in degrees. Units: Degrees (°) Typical Normal Values: Flexion: 45-50° Extension: 60-70° Lateral flexion: 45° Rotation: 70-90° Direction of Improvement: Greater ROM values indicate improvement. |
upto 4 weeks
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Thoracic Kyphosis Angle
기간: upto 4 weeks
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Description: Thoracic kyphosis will be measured in standing using a dual inclinometer technique. One inclinometer is placed over the spinous process of T1-T2 and the second over T12-L1. The difference between the two readings represents the thoracic kyphosis angle. Units: Degrees (°) Interpretation: Increased angle = Greater thoracic kyphosis Reduced angle = Improved thoracic posture Typical values: Approximately 20-40° in healthy adults Direction of Improvement: Reduction toward normal values indicates improvement. |
upto 4 weeks
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공동 작업자 및 조사자
수사관
- 수석 연구원: Komal Qayyum, MSPT*, Riphah International University
간행물 및 유용한 링크
일반 간행물
- Jabbar KM, Gandomi F. The comparison of two corrective exercise approaches for hyperkyphosis and forward head posture: A quasi-experimental study. J Back Musculoskelet Rehabil. 2021;34(4):677-687. doi: 10.3233/BMR-200160.
- Yu L-J, Kim T-H. The effect of cervical stabilization exercises with thoracic spine extension exercises on forward head posture. International Journal of Human Movement and Sports Sciences. 2021;9(5):852-7.
- Asadzadeh A, Salahzadeh Z, Samad-Soltani T, Rezaei-Hachesu P. An affordable and immersive virtual reality-based exercise therapy in forward head posture. PLoS One. 2024 Mar 6;19(3):e0297863. doi: 10.1371/journal.pone.0297863. eCollection 2024.
- Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
- Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-cross-sectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
- Ogura Y, Dimar JR, Djurasovic M, Carreon LY. Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg. 2021 Sep;7(3):422-433. doi: 10.21037/jss-21-54.
- Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-crosssectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
- Lim J-y, Nam S-h, Kim K-d. A Movement-System-Impairment Approach to the Evaluation and Treatment of a Patient Who had Cervical Flexion Syndrome with a Straight Neck: A Case Report. Journal of Musculoskeletal Science and Technology. 2024;8(1):49-56.
- K S, Kanthanathan S, P ALA. Effectiveness of diagnosis and treatment based on movement system impairment in individuals with cervical pain: A randomized controlled trial. J Bodyw Mov Ther. 2024 Apr;38:323-328. doi: 10.1016/j.jbmt.2024.01.024. Epub 2024 Feb 2.
- Caldwell C, Sahrmann S, Van Dillen L. Use of a movement system impairment diagnosis for physical therapy in the management of a patient with shoulder pain. J Orthop Sports Phys Ther. 2007 Sep;37(9):551-63. doi: 10.2519/jospt.2007.2283.
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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