Comparison of Thoracic Mobility Exercise Versus Manual Release Technique in Minimizing Upper Back Pain

NCT06340542 | Completed DMC

• 1 other identifier: UDhaka
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

Methodology: study aims to evaluate the effectiveness of thoracic mobility exercise and manual release technique in terms of pain intensity, thoracic mobility, muscle strength and improving disability. Study Design: Study was conducted in Service unit of Department of Physiotherapy at university of peradeniya. Undergraduates who are currently having upper back pain for more than seven days was selected as sample. It is a randomized Controlled trail, Double blinded study. Participants allowed randomly to both groups which are experimental group which will receive thoracic mobility exercises and control group which will receive myofascial release and joint mobilization treatment. Total sample size was 60.

Conditions

Upper Back Pain

Keywords

Upper Back Pain; Undergraduates; Muscle strength; Thoracic Spine Pain

Outcome Measures

Primary Outcomes (4)

• Pain Intensity

  Visual Analogue Scale is used to measure the pain intensity in base line and after intervention in two groups in the following instances, present pain intensity and during sitting, forward bending, standing, walking, sleeping, transferring and performing day to day activities. Its 10 point grading scale, Here maximum value of the scale 10 indicates an unbearable pain and minimum value denotes no pain at all.

  at base line and after two weeks

• Range of Motion

  Range of Motion of thoraco-Lumbar Flexion and Extension (Tape Measurement). Normal range of Thoraco lumbar flexion in tape measurement 2.7 cm is normal and for extension 2.5cm is normal

  at baseline and after two weeks

• Muscle strength

  Muscle strength of spinal extensors examined by using Manual Muscle Test- Oxford Grading Scale. It is a 6 point grading scale which includes, 0 is considered as no contraction, 1 is palpable contraction, 2 movement with gravity eliminated, 3 is movement against gravity only, 4 movement against gravity with some resistance and 5 is movement against with full resistance

  at base line and after two week

• Disability level - self perception

  Pain-Self-Efficacy-Questionnaire is used to analyse how participants feel confident despite the pain. Total score is 60. If the total score indicates more than 45 patient has a stronger self efficacy believe to the pain and if its less than 30 weak or less self efficacy believe to the pain

  at baseline and after two week

Study Arms (2)

Exercise Group

EXPERIMENTAL

Thoracic mobility exercises were given to the participants. Exercises has to be performed with combination of breathing which involve holding time 10 seconds 5 repetition per set, 3 sets Each exercise has to perform 5 days in a week for 2 weeks two times a day.

Other: Thoracic Mobility exercises

Manual Release technique group

ACTIVE COMPARATOR

Manual therapy including trigger point release and thoracic mobilization were applied for 3 times a week for two weeks.

Other: Manual Release technique

Interventions

Thoracic Mobility exercises OTHER

Exercises which focus on improve the mobility of the spine especially thoracic region was administered to the patients in different position including quadruped and standing position.

Exercise Group

Manual Release technique OTHER

Interventions include release the muscle tension, trigger point release and reducing stiffness of spine was administered

Manual Release technique group

Eligibility Criteria

• Age: 20 Years - 26 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Undergraduates who are currently having upper back pain for more than seven days will be selected as sample.
• Participants who will have sub-acute and chronic pain which means who will have pain more than a week or seven days will be selected as sample

You may not qualify if:

• Participant who have subjected to any recent surgeries, recent fractures, accidents or injuries in upper back will be excluded from the study.

Sponsors & Collaborators

• University of Dhaka: lead

Study Sites (1)

Vithursha Sivakumar

Jaffna, Northern Province, 40001, Sri Lanka

Location

Related Publications (4)

• Felemban RA, Sofi RA, Alhebshi SA, Alharbi SG, Farsi NJ, Abduljabbar FH, Farsi JMA. Prevalence and Predictors of Musculoskeletal Pain Among Undergraduate Students at a Dental School in Saudi Arabia. Clin Cosmet Investig Dent. 2021 Feb 17;13:39-46. doi: 10.2147/CCIDE.S292970. eCollection 2021.

  PMID: 33633467 RESULT

• Lee KS, Lee JH. Effect of maitland mobilization in cervical and thoracic spine and therapeutic exercise on functional impairment in individuals with chronic neck pain. J Phys Ther Sci. 2017 Mar;29(3):531-535. doi: 10.1589/jpts.29.531. Epub 2017 Mar 22.

  PMID: 28356648 RESULT

• Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. J Exerc Rehabil. 2017 Feb 28;13(1):12-22. doi: 10.12965/jer.1732824.412. eCollection 2017 Feb.

  PMID: 28349028 RESULT

• Niemi SM, Levoska S, Rekola KE, Keinanen-Kiukaanniemi SM. Neck and shoulder symptoms of high school students and associated psychosocial factors. J Adolesc Health. 1997 Mar;20(3):238-42. doi: 10.1016/S1054-139X(96)00219-4.

  PMID: 9069025 RESULT

MeSH Terms

Conditions

Back Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Anwar Hossain, PhD

  Head of Department of Physiotherapy, Professor of Bangladesh Health Professional Institute

  STUDY CHAIR

• Vithursha Sivakumar, B.Sc

  Student of Master of Rehabilitation Science at Bangladesh Health professional Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Participants' allocation was concealed by using lottery method whether there are in exercise group or manual therapy group. Accessors was blinded which means they were not aware about the treatment or therapy which was obtained by the participants
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This study is a Randomized Control Trial, Double- Blinded study. Participants and accessors was blinded. Participants were allocated randomly in to two groups which are experimental group which will receive thoracic mobility exercises and control group which will receive myofascial release and joint mobilization treatment by using lottery method.

Study Record Dates

• First Submitted: March 25, 2024
• First Posted: April 1, 2024
• Study Start: November 1, 2023
• Primary Completion: December 31, 2023
• Study Completion: January 31, 2024
• Last Updated: April 2, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

SR (1)