Effect of Posture and Breathing Exercises in Forward Head Posture

NCT06197919 | Unknown

• 1 other identifier: REC/RCR &AHS/23/0169
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to compare the effects of postural exercises with and without breathing exercises in the subjects having forward head posture.

Conditions

Forward Head Posture

Keywords

breathing exercises

Outcome Measures

Primary Outcomes (1)

• photogrammetry for CVA and cervical range of motion(ROM) (image j)

  CVA, can be measured using the lateral photo 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 7th cervical spine in the standing position. A CVA is of ,49 is characterized as Forward head posture. image j is an image processing and analysis program that can read both image file formats and raw formats. it has been introduces as a reliable assessment tool used to measure cervical angle in several studies on forward head posture.

  6 weeks

Secondary Outcomes (2)

• Numeric pain rating scale (NPRS):

  6 weeks

• Goniometer

  6 weeks

Study Arms (2)

postural exercises with breathing exercises

EXPERIMENTAL

The postural exercise program consisted of two strengthening and stretching exercises. The exercises involved chin tucks in, shoulder retraction , and unilateral and bilateral pectoralis stretches alternating each 2-week period. 36 Participants were instructed to complete 3 sets of 12 repetitions of the strengthening exercises and 3 stretching exercises held for 30 seconds each. For the breathing exercises in experimental group, breathing program includes respiratory muscle training, relaxation techniques, breathing techniques, e.g., deep breathing, hand controlled abdominal/diaphragmatic breathing, aimed stretching and strengthening exercises are combined with each other. Deep breathing, controlled diaphragmatic breathing, slow relaxed exhalation with pursed lips technique, direct apnoea exercises and segmental breathing techniques. exercise protocol will be continued for 10 weeks with and initial, after 5 weeks and final assessment of pain and CVA.

Other: postural exercises with breathing exercises

postural exercises without breathing exercises

EXPERIMENTAL

In this study forward head posture will be defined as CVA\<49°, which was diagnosed by photogrammetry method. The postural exercise program consisted of two strengthening and stretching exercises. The exercises involved (a) chin tucks in (c) shoulder retraction , and (d) unilateral and bilateral pectoralis stretches alternating each 2-week period. 36 Participants were instructed to complete 3 sets of 12 repetitions of the strengthening exercises and 3 stretching exercises held for 30 seconds each. This program was to be repeated 4 times per week. They also returned for a consultation every 2 weeks to be checked for exercise technique and progression, if appropriate. Progress to the next exercise level was indicated if the participant could complete 12 repetitions, 3 times easily with correct form.

Other: postural exercises

Interventions

postural exercises OTHER

In this study forward head posture will be defined as CVA\<49°, which was diagnosed by photogrammetry method. The postural exercise program consisted of two strengthening (deep cervical flexors and shoulder retractors) and two stretching (cervical extensors and pectoral muscles) exercises based on Kendall et al's approach. The exercises involved 1. chin tucks ins 2. a chin drop in sitting 3. shoulder retraction 4. unilateral and bilateral pectoralis stretches Participants were instructed to complete 3 sets of 12 repetitions of the strengthening exercises and 3 stretching exercises held for 30 seconds each. This program was to be repeated 4 times per week. They also returned for a consultation every 2 weeks to be checked for exercise technique and progression, if appropriate. Progress to the next exercise level was indicated if the participant could complete 12 repetitions, 3 times easily with correct form

postural exercises without breathing exercises

postural exercises with breathing exercises OTHER

The postural exercise program consisted the exercises i.e chin tucks in, a chin drop in sitting, shoulder retraction. Participants were instructed to complete 3sets of 12repetitions of these exercises. This program was to be repeated 4times per week. They also returned for a consultation every 2weeks to be checked for exercise technique and progression, if appropriate. Progress to the next exercise level was indicated if the participant could complete 12repetitions, 3times easily with correct form. For the breathing exercises in experimental group, breathing program includes respiratory muscle training, relaxation techniques, breathing techniques, e.g., deep breathing, hand controlled diaphragmatic breathing, relaxation technique, deep breathing, controlled diaphragmatic breathing, slow relaxed exhalation with pursed lips technique, and segmental breathing techniques. exercise protocol will be continued for 6 weeks with and initial, after 3weeks and final assessment of pain and CVA.

postural exercises with breathing exercises

Eligibility Criteria

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

You may qualify if:

• Individuals with 20 to 35 years of age, both male and female
• Individuals with CVA \<49.

You may not qualify if:

• History of Surgery of thorax or spine or both.
• Traumatic neck injury.
• Acute or chronic neuro-muscular pain.
• Clinical deformity present in thoracic cage or spine

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Sehat Medical Complex

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Shalamar Hospital

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

MeSH Terms

Interventions

Breathing Exercises

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• Ali Raza, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

• izzah ijaz

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

imran amjad, PhD

CONTACT

03324390125; imran.amjad@ripha.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: participants of both group are informed about possible risk and potential benefits but don't know which group they are placed in. assessors are also masked. concealment will be done via sealed opaque method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: January 9, 2024
• Study Start: May 10, 2023
• Primary Completion: January 10, 2024
• Study Completion: January 10, 2024
• Last Updated: January 9, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)