NCT06303362

Brief Summary

• To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
28

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2023

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2024

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

March 4, 2024

Completed
8 days until next milestone

First Posted

Study publicly available on registry

March 12, 2024

Completed
Last Updated

March 12, 2024

Status Verified

March 1, 2024

Enrollment Period

6 months

First QC Date

March 4, 2024

Last Update Submit

March 4, 2024

Conditions

Keywords

forward head posturechest expansion

Outcome Measures

Primary Outcomes (3)

  • Cloth tape measurement

    The common tool in practice to measure chest expansion is non-elastic tape measurement technique. To measure Chest expansion there are three anatomical landmarks which are used to measure chest wall mobility. To measure upper chest, wall mobility landmark is axillary, to measure middle chest wall mobility landmark is 4th intercostal space and to measure lower chest wall mobility landmark is xiphoid process.According to general criteria its values are 1.4cm (poor), 3.1cm (moderate) and 5.1cm (good). Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks

    4 weeks

  • Neck Disability Index

    The neck disability index questionnaire accesses pain and associated disability. It is a 10 items of self-reported questionnaire. Each question has 5 score with a total maximum score of 50 points. The patient is advised to select one option for each question that best reflects the intensity of pain and their discomfort.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks

    4 weeks

  • Craniovertebral angle

    Two lateral photographs were taken to determine the craniovertebral angle (CVA) and to analyze these photographs a measuring instrument known as Web Plot Digitizer was used. Through this software craniovertebral angle(CVA) was measured. This mobile application assessing forward head posture(FHP) in the form of craniovertebral angle. The patient was instructed to stand in front of camera and picture was taken. One point was on C7 spinous process, one was on tragus of ear and other point is the intersection of a horizontal line passing through the C7 spinous process and then craniovertebral angle was formed.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks

    4 weeks

Study Arms (2)

Elastic band excercises

EXPERIMENTAL

Elastic band excercises and stretching is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius)

Other: Elastic band excercise

strengthening with conventional physical therapy

ACTIVE COMPARATOR

strengthening with conventional physicaltherapy is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius)

Other: strengthening with conventional physical therapy

Interventions

experimenatal group was given elastic band excercises along with stretching (pectoralis major, minor, trapezius, rhomboids and neck flexors) and conventional therapy. Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks.

Elastic band excercises

control group was given strengthening excercises and stretching (pectoralis major, minor, trapezius, rhomboids (Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks.

strengthening with conventional physical therapy

Eligibility Criteria

Age18 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Both genders
  • Age group Between 18 to 30 years
  • Forward head posture measured through craniovertebral angle less than 50 degrees
  • Chest expansion measurement values at axillary level less than 5.1 cm
  • MMT of upper limb greater than 4

You may not qualify if:

  • Any cardiopulmonary pathology
  • Recent rib fracture
  • Participants with other upper limb musculoskeletal pathologies
  • Spinal or any associated chest surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Railway hospital Rawalpindi

Rawalpindi, Punjab Province, 46060, Pakistan

Location

Related Publications (2)

  • Lin G, Zhao X, Wang W, Wilkinson T. The relationship between forward head posture, postural control and gait: A systematic review. Gait Posture. 2022 Oct;98:316-329. doi: 10.1016/j.gaitpost.2022.10.008. Epub 2022 Oct 14.

    PMID: 36274469BACKGROUND
  • Balthillaya GM, Parsekar SS, Gangavelli R, Prabhu N, Bhat SN, Rao BK. Effectiveness of posture-correction interventions for mechanical neck pain and posture among people with forward head posture: protocol for a systematic review. BMJ Open. 2022 Mar 9;12(3):e054691. doi: 10.1136/bmjopen-2021-054691.

    PMID: 35264350BACKGROUND

Study Officials

  • Asmar Fatima, MS OMPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 4, 2024

First Posted

March 12, 2024

Study Start

August 1, 2023

Primary Completion

January 30, 2024

Study Completion

January 30, 2024

Last Updated

March 12, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations