Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome

NCT06407700 | Completed

• 1 other identifier: REC/RCR & AHS/23/0185
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Conditions

Upper Crossed Syndrome

Keywords

Craniovertebral Anglle.; Exercise; Pain; Posture; Sterno-symphyseal Syndrome

Outcome Measures

Primary Outcomes (4)

• Numeric pain rating scale

  Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". Reliability is 0.76-0.96 .

  6th week.

• Measuring tape for Sterno-symphyseal syndrome.

  To measure distance between xiphoid process and pubic symphysis.

  6th week.

• Universal Goniometer (UG)

  3\. Universal Goniometer (UG) It is commonly a large universal goniometer having 12-inch arms and full-circle plastic body used for measuring AROM. It is used to measure joint ROM in clinics. Reliability is 0.9. It will measure range of motion of neck. It will measure Craniovertebral angle.

  6th week

• Image J Software

  Image J is an image Processing tool that processes photographs taken for the observation of Posture. Image J, a versatile software, has many capabilities and functions. This software is very simple and easily available. By Using JAVA, it is built on open architecture platform. Validity is 0.96 (31)

  6th week.

Study Arms (2)

Brugger's exercise with Kendall exercise.

EXPERIMENTAL

Participants in this group will receive Brugger's exercise with Kendall Exercise.

Procedure: Brugger's exercise.; Procedure: Kendall Exercise.

Brugger's exercise

ACTIVE COMPARATOR

Participants in this group will receive Brugger's exercise.

Procedure: Brugger's exercise.

Interventions

Brugger's exercise. PROCEDURE

Participant was in a high sitting position. An elastic resistance band was be wrapped on each hand of the participant leaving the palm open and instructed to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant were instructed to perform scapular retraction with chin tucked in ,shoulder external rotation, elbow extension, shoulder abduction, and extension. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds, 4 sets 12 times repetitions.

Brugger's exercise; Brugger's exercise with Kendall exercise.

Kendall Exercise. PROCEDURE

Kendall exercises with the frequency 5 sets of consisting of 12 repetitions of postures, each taking 30 seconds,3 times a week for total of 6 weeks.

Brugger's exercise with Kendall exercise.

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Gender: Male and Female both included (23).
• Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
• Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
• Subjects sitting more than 4 hours a day (12).
• Subjects with upper back pain with \< 7 score on Numeric Pain rating scale

You may not qualify if:

• Neoplasm on spine.
• Cervical disc prolapses.
• Subject with psychological disorder.
• Vertebro basilar insufficiency and Migraine are excluded (12).

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Umar Trust Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (17)

• Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean J Fam Med. 2020 Nov;41(6):365-373. doi: 10.4082/kjfm.20.0165. Epub 2020 Nov 19.

  PMID: 33242381 BACKGROUND

• Damen I, Brombacher H, Lallemand C, Brankaert R, Brombacher A, van Wesemael P, Vos S. A Scoping Review of Digital Tools to Reduce Sedentary Behavior or Increase Physical Activity in Knowledge Workers. Int J Environ Res Public Health. 2020 Jan 13;17(2):499. doi: 10.3390/ijerph17020499.

  PMID: 31941096 BACKGROUND

• Romero-Blanco C, Rodriguez-Almagro J, Onieva-Zafra MD, Parra-Fernandez ML, Prado-Laguna MDC, Hernandez-Martinez A. Physical Activity and Sedentary Lifestyle in University Students: Changes during Confinement Due to the COVID-19 Pandemic. Int J Environ Res Public Health. 2020 Sep 9;17(18):6567. doi: 10.3390/ijerph17186567.

  PMID: 32916972 BACKGROUND

• Moreira S, Criado MB, Santos PC, Ferreira MS, Goncalves C, Machado J. Occupational Health: Physical Activity, Musculoskeletal Symptoms and Quality of Life in Computer Workers: A Narrative Review. Healthcare (Basel). 2022 Dec 5;10(12):2457. doi: 10.3390/healthcare10122457.

  PMID: 36553981 BACKGROUND

• Lee S, DE Barros FC, DE Castro CSM, DE Oliveira Sato T. Effect of an ergonomic intervention involving workstation adjustments on musculoskeletal pain in office workers-a randomized controlled clinical trial. Ind Health. 2021 Mar 24;59(2):78-85. doi: 10.2486/indhealth.2020-0188. Epub 2020 Nov 28.

  PMID: 33250456 BACKGROUND

• He M, Wang X, Zhao Y. A calibrated deep learning ensemble for abnormality detection in musculoskeletal radiographs. Sci Rep. 2021 Apr 27;11(1):9097. doi: 10.1038/s41598-021-88578-w.

  PMID: 33907257 BACKGROUND

• Waongenngarm P, van der Beek AJ, Akkarakittichoke N, Janwantanakul P. Perceived musculoskeletal discomfort and its association with postural shifts during 4-h prolonged sitting in office workers. Appl Ergon. 2020 Nov;89:103225. doi: 10.1016/j.apergo.2020.103225. Epub 2020 Aug 2.

  PMID: 32755740 BACKGROUND

• Gallego-Izquierdo T, Arroba-Diaz E, Garcia-Ascoz G, Val-Cano MDA, Pecos-Martin D, Cano-de-la-Cuerda R. Psychometric Proprieties of a Mobile Application to Measure the Craniovertebral Angle a Validation and Reliability Study. Int J Environ Res Public Health. 2020 Sep 8;17(18):6521. doi: 10.3390/ijerph17186521.

  PMID: 32911612 BACKGROUND

• Jung KS, Jung JH, In TS, Cho HY. Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain. Medicina (Kaunas). 2020 Dec 23;57(1):3. doi: 10.3390/medicina57010003.

  PMID: 33374520 BACKGROUND

• Yoo WG. Effects of thoracic posture correction exercises on scapular position. J Phys Ther Sci. 2018 Mar;30(3):411-412. doi: 10.1589/jpts.30.411. Epub 2018 Mar 2.

  PMID: 29581661 BACKGROUND

• Celik S, Celik K, Dirimese E, Tasdemir N, Arik T, Buyukkara I. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors. Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111. doi: 10.13075/ijomeh.1896.00901. Epub 2017 Oct 2.

  PMID: 28972599 BACKGROUND

• Cote R, Vietas C, Kolakowski M, Lombardo K, Prete J, Dashottar A. Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform. Int J Telerehabil. 2021 Jun 22;13(1):e6346. doi: 10.5195/ijt.2021.6346. eCollection 2021.

  PMID: 34345337 BACKGROUND

• Sukari AAA, Singh S, Bohari MH, Idris Z, Ghani ARI, Abdullah JM. Examining the Range of Motion of the Cervical Spine: Utilising Different Bedside Instruments. Malays J Med Sci. 2021 Apr;28(2):100-105. doi: 10.21315/mjms2021.28.2.9. Epub 2021 Apr 21.

  PMID: 33958964 BACKGROUND

• Denton F, Power S, Waddell A, Birkett S, Duncan M, Harwood A, McGregor G, Rowley N, Broom D. Is It Really Home-Based? A Commentary on the Necessity for Accurate Definitions across Exercise and Physical Activity Programmes. Int J Environ Res Public Health. 2021 Sep 1;18(17):9244. doi: 10.3390/ijerph18179244.

  PMID: 34501833 BACKGROUND

• Yaghoubitajani Z, Gheitasi M, Bayattork M, Andersen LL. Corrective exercises administered online vs at the workplace for pain and function in the office workers with upper crossed syndrome: randomized controlled trial. Int Arch Occup Environ Health. 2022 Oct;95(8):1703-1718. doi: 10.1007/s00420-022-01859-3. Epub 2022 Apr 7.

  PMID: 35391580 BACKGROUND

• Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021 Feb 21;22(1):212. doi: 10.1186/s12891-021-04080-4.

  PMID: 33612123 BACKGROUND

• Chang KV, Wu WT, Chen MC, Chiu YC, Han DS, Chen CC. Smartphone Application with Virtual Reality Goggles for the Reliable and Valid Measurement of Active Craniocervical Range of Motion. Diagnostics (Basel). 2019 Jul 10;9(3):71. doi: 10.3390/diagnostics9030071.

  PMID: 31295869 BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus; Motor Activity; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Tooba Jamil, MS OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Blinding,refers to a practice where study participants are prevented from knowing certain information that may somehow influence them-thereby tainting the results.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants are assigned to one of the treatment arms at the beginning of the trial and continue in that arm throughout the length of the trial.

Study Record Dates

• First Submitted: May 6, 2024
• First Posted: May 9, 2024
• Study Start: May 2, 2024
• Primary Completion: July 1, 2024
• Study Completion: August 4, 2024
• Last Updated: December 27, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)