Physical Therapy Treatment Once a Month Versus Once a Week for Posture Improvement in Children and Adolescents

NCT03046472 | Completed Results

• 1 other identifier: Assuta-0133-16-ASMC-AP-CTIL
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This study is design in a clinical setting for testing whether physical therapy treatment that includes postural awareness exercises for strength flexibility and endurance is improving low back pain and postural behavior. The study will consist of two groups, basic treatment that will get one on one treatment once a month for 3 months and the intervention group, will get an additional group therapy once a week.

Conditions

Postural Kyphosis, Thoracic Region

Keywords

thorax curve angle

Outcome Measures

Primary Outcomes (3)

• Thoracic Kyphosis Angle

  Normal thoracic kyphosis angle ranges between 25°-40°. Measuring by Digital Inclinometer by placing it on the spinous process of T1 and T12 and the outcome off subtraction the two numbers is our out come. The participant is to stand how ever he think is the best posture.

  2 time points. before starting intervention and after 3 months.

• Low Back Pain

  VAS Scale 0-10 0 no pain 1-2 very mild pain 2-3 mild pain 4-6 moderate pain 7-8 high pain 9-10 very high pain

  2 time points. before starting intervention and after 3 months.

• Back Postural Behavior

  the investigator observes the participant in 8 different positions: sitting in the waiting room, walking to the treatment room, sitting in front of the therapist, placing a mattress on the floor, exercising in six position, exercising in sitting position, exercising in standing position, and changing between positions. Each position get a subscore as 0-bad posture 1-fair 2-good. Overall postural behavior: was comprised of all 8 observations including: grades 0 to 16. An higher score is a better behavior. spontaneous behavior was comprised of 4 sob score that ha a spontaneous characteristics: sitting waiting for treatment, walking into the room, sitting during treatment and transition between exercises. summation of these 4 would range 0-8 . an Higher score is a better behavior.

  2 time points. before starting intervention and after 3 months.

Study Arms (2)

Once a month and once a week.

EXPERIMENTAL

Personally meeting once a month of Physical Therapy treatment for Postural Behavior. In addition exercise group meeting once a week. The intervention program will include physical awareness by using a mirror and practice for good posture, and exercises for flexibility, strength and muscle endurance. All participants will get 10-15 minutes of exercise for performing every day. The Participants in this group will get also a group exercise meeting once a week That meeting will long 45 minutes and will include the exercise that were given as home work and more. Total duration 12 weeks/3 months

Other: Physical Therapy treatment for Postural Behavior

Once a month only.

ACTIVE COMPARATOR

Personally meeting once a month only for Physical Therapy treatment for Postural Behavior. The intervention program will include physical awareness by using a mirror and practice for good posture, and exercises for flexibility, strength and muscle endurance. All participants will get 10-15 minutes of exercise for performing every day. Total duration 12 weeks/3 months

Other: Physical Therapy treatment for Postural Behavior

Interventions

Physical Therapy treatment for Postural Behavior OTHER

Physical Therapy treatment for Postural Behavior: intervention program will include physical awareness by using a mirror and practice for good posture, and exercises for flexibility, strength and muscle endurance. All participants will get 10-15 minutes of exercise for performing every day.

Once a month and once a week.; Once a month only.

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Children and Adolescent who referred by their pediatrician or orthopedic doctor to Physical Therapy treatment due to bad posture or Low Back Pain
• At the Physical Therapy clinic was found that this is truly the condition of bad posture or low back pain with bad posture.
• age 10-18 years
• they signed on informed consent.

You may not qualify if:

• Children and Adolescent who suffer from risk of structural deterioration as structural scoliosis(Cob angle above 20° and Risser sign equal or below 3) or structural Kyphosis (above 40° Risser sign equal or below 3 or Scheuermann Disease)
• Any sever health condition neurologic internal or orthopedic like Cerebral Palsy, Juvenile rheumatoid arthritis or Malignancy.

Sponsors & Collaborators

• Assuta Hospital Systems: lead

Study Sites (1)

Phisical Therapy Clinic Maccabi Health Services

Modiin, Jerusalem-Hashfela, 7177806, Israel

Location

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Results Point of Contact

• Title: Neta Vitman
• Organization: Maccabi Health services and Wingate college

vitmanan@gmail.com

0508955529

Study Officials

• Asaf Peretz, MD

  Deputy Medical Director-Maccabi Health Services-Jerusalem hashfela

  PRINCIPAL INVESTIGATOR

• Neta Vitman, PT BA

  Phisical Therapy Maccabi Health services-Modiin Clinic

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: One of the investigators has the role of examining the participants before and after the intervention. She will be blinded from the group allocation.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study will consist of two groups: a Treatment group and a control group. Both groups will get personal meeting once a month and a program of exercising at home every day. Treatment group will have in addition group meeting once a week and control group not.

Study Record Dates

• First Submitted: February 5, 2017
• First Posted: February 8, 2017
• Study Start: February 15, 2017
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2018
• Last Updated: January 18, 2020
• Results First Posted: January 18, 2020

Record last verified: 2017-02

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)