Effects of Cervical Spine Retraction Exercise With and Without Diaphragmatic Breathing in Forward Head Posture.

NCT06130969 | Unknown

• 1 other identifier: REC/RCR & AHS/23/0155
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to determine the effect of combining diaphragmatic exercises with cervical retraction exercise on pain, disability, active range of motions of cervical spine and craniovertebral angle in individuals with forward head posture.

Conditions

Forward Head Posture

Outcome Measures

Primary Outcomes (4)

• Photogrammetry for Craniovertebral Angle (CVA) by image j software

  CVA, can be measured using the lateral photos exposing C7 and the ear. The participants will maintain the natural head posture through the measurement method of self-balance posture. It is the angle made by the line that connects the seventh cervical spine with the tragus and the horizontal line of the seventh cervical spine in the sitting and standing positions. A CVA of \<49° is characterized as FHP (3). Image J is an image processing and analysis program that can read both image file formats and raw formats. It can display, edit, analyze, process, store, and print images, as well as measure distances and angles.

  6 weeks

• Numeric pain rating scale (NPRS):

  The NPRS is a subjective pain rating scale using an 11-point scale from 0 to 10, where 0 means 'no pain' and 10 means 'intolerable pain'. Participants select the whole number that best represents their level of pain.

  6 weeks

• Neck disability index (NDI):

  that restricts the activities of daily living (ADL); it also helps to determine self- assessed disability. NDI has 10 domains covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Scores range from 0 to 50, with 50 being the greatest levels of dysfunction.

  6 weeks

• Goniometer for Cervical Range of motion (CROM)

  Universal goniometer has fair inter-tester reliability ranging from 0.79-0.92. Validity of this tool is good i.e. 0.97-0.98 This tool is most commonly used in the clinical settings for evaluating joint ROM.

  6 weeks

Secondary Outcomes (1)

• Global rating of change (GRC)

  6 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Cervical Retraction exercise without diaphragmatic breathing along with baseline treatment

Other: Cervical Retraction Exercise; Other: Baseline Treatment

Group B

EXPERIMENTAL

Cervical Retraction exercise with diaphragmatic breathing along with baseline treatment

Other: Cervical Retraction Exercise; Other: Diaphragmatic Breathing; Other: Baseline Treatment

Interventions

Cervical Retraction Exercise OTHER

Participants will hold cervical retraction for 10 s up to 10 times. A break of 5 s will be provided per one movement and 30 s per one set. A total of three sets will be conducted. Therefore, the total exercise time will be \<10 mints.

Group A; Group B

Diaphragmatic Breathing OTHER

The diaphragmatic exercise will be performed in a supine position with 40° trunk flexion while holding 2.5 kg on the abdomen in the first 5 sessions and then 5 kg in the second 5 sessions. Participants will perform 3 sets with 10 repetitions at a ratio of one second of inspiration to two seconds of expiration, three sets of 15 repetitions at a ratio of two seconds of inspiration to four seconds of expiration, and three sets of 20 repetitions at a ratio of three seconds of inspiration to six seconds of expiration. The rest between rests will be 60 s.

Group B

Baseline Treatment OTHER

Hot fomentation will be given by applying cervical hot pack over the area in prone lying position for 10 mints and Isometric neck strengthening exercises (10 repetitions, each 5-second hold, 1 set) (20). • Nerve Stimulation (TENS) on the painful regions around the neck for 15 minutes with a TENS device. TENS parameters will be 150 μs square pulses with a frequency of 80 Hz. The intensity of the current will be adjusted to produce no contraction. • Posture education to keep upright posture during sitting.

Group A; Group B

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Primary complaint of neck pain (pain on the posterior part of the cervical spine to the beginning of the thoracic area with or without pain in the shoulder girdle)
• Age from 20 to 35 years
• Both gender
• CVA \<49° (16)

You may not qualify if:

• Any serious pathology such as tumor
• Had history of whiplash injury within 3 months of the examination,
• Underwent prior surgery to the cervical spine
• Currently using muscle relaxation medication.
• Degenerative conditions
• Exhibited positive neurologic signs consistent with nerve root compression.
• Patients with a history of respiratory disease, such as repeated bronchitis, pneumonia, asthma, pulmonary lymph nodes, pleurisy, cured tuberculosis and others

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Chiropractor & Physio Pain Relief Center

Lahore, Punjab Province, 54782, Pakistan

RECRUITING

Study Officials

• Ali Raza

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Aneeqa Manzoor

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

+923324390125; imran.amjad@riphah.edu.pk

Imran Amjad

CONTACT

051-5481826; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 14, 2023
• Study Start: May 10, 2023
• Primary Completion: January 15, 2024
• Study Completion: February 10, 2024
• Last Updated: December 27, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)