COMPARATIVE EFFECTS OF ELDOA VERSES UPPER THORACIC MOBILIZATION AND MOBILITY EXERCISE FOR THE TREATMENT OF FHP

NCT06440720 | Active Not Recruiting DMC

• 1 other identifier: TUF/DR/SA/MSPP/2024/380
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study will compare the effectiveness of the Elongation Longitudinaux Avec Decoaptation Osteo Articulaire (ELDOA) method and upper thoracic mobilization and mobility exercises in correcting forward head posture (FHP). This study aims to evaluate the effectiveness of these methods in reducing forward head posture. The total sample size will be 36, with each group consisting of 18 participants. This study will be a randomized clinical trial. Participants who meet the inclusion criteria will be selected through screening and then assessed for outcomes using NPRS, a goniometer, the Neck Disability Index (NDI), and Web Plot Digitizer (WPD) Software. Statistical analysis will be conducted using SPSS version 27.

Conditions

Postural, Thoracic Kyphosis; Postural; Defect

Keywords

Thoracic Mobilization; ELDOA; Mobility Exercise; Posture correction

Outcome Measures

Primary Outcomes (1)

• Craniovertebral angle

  The primary outcome measure was the CVA, which was calculated using each participant's profile photo. The self-balanced posture assessment method was used to force the participants to maintain their typical head posture. By drawing a vertical line from Targus to the seventh cervical vertebrae and a horizontal line across them, the angle between them may be calculated to determine the CVA angle. The CVA measurement was shown to have excellent reliability in a prior research.

  5 Minutes

Secondary Outcomes (3)

• Cervical ranges of motion

  20 Minutes

• Numeric Pain Rating Scale

  5 Minutes

• Neck disability Index

  10 minutes

Study Arms (2)

Group A

EXPERIMENTAL

Group A will receive ELDOA exercises. At first hot pack will applied for 7-8 minutes after that participants will explain specific body movements. Four ELDOA positions will once shown to the participants then ask them to maintain that positions. Once they make these positions stop watch will be set for one minute for each position. these positions will apply for three times per week for four weeks.

Other: ELDOA ,UPPER THORACIC MOBILIZATION AND MOBILITY EXERCISE

Group-B

EXPERIMENTAL

Group B will receive the UPPER THORACIC MOBILIZATION AND MOBILITY exercise. At first, a hot pack will be applied for 7-8 minutes after that participants will be in a prone position and the physiotherapist will stand toward the side where mobilization will be applied and the index and middle finger of the left hand of the physiotherapist will be placed on the vertebral transverse processes of the participants to the caudal side. The lateral side of the palm of the right hand will be placed over the left-hand index and middle finger and then thoracic mobilization after that mobility exercise will be performed.

Other: ELDOA ,UPPER THORACIC MOBILIZATION AND MOBILITY EXERCISE

Interventions

ELDOA ,UPPER THORACIC MOBILIZATION AND MOBILITY EXERCISE OTHER

Already mentioned

Group A; Group-B

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Both males and females.
• Age between 20 to 40 years.
• Patients having complain of neck pain
• Patients having forward head posture
• Patients having limited Cervical range of motion
• Patients having Craniovertebral angle CVA less than 50.
• Pain more than 3 on NPRS scale with FHP

You may not qualify if:

• History of whiplash injury within 3 months of examination.
• History of tumor
• History of surgery of cervical or thoracic spine.
• Positive neurological signs
• Congenital deformity
• Patients having pathology and infection in spine.
• Patients having severe osteoporosis

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

Govt Teaching Hospital GM Abad

Faisalābad, Punjab Province, 38000, Pakistan

Location

Related Publications (5)

• Kripa S KH. Identifying relations between posture and pain in lower back pain patients: a narrative review. Bulletin of Faculty of Physical Therapy.

  BACKGROUND

• Waqar S, Faculty of Rehabilitation & Allied Health Sciences RIU, Islamabad. Pakistan, Khalid M, Faculty of Rehabilitation & Allied Health Sciences RIU, Islamabad. Pakistan, Khalid N, Islamabad Physiotherapy & Rehabilitation Centre BT. EFFECTIVENESS OF ELONGATION LONGITUDINAUX AVEC DECOAPTION OSTEOARTICULAIRE IN CORRECTING FORWARD HEAD POSTURE. The Rehabilitation Journal. 2022;volume no.6.

  BACKGROUND

• Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC Musculoskelet Disord. 2017 Dec 12;18(1):525. doi: 10.1186/s12891-017-1889-2.

  PMID: 29233164 BACKGROUND

• Weon JH, Oh JS, Cynn HS, Kim YW, Kwon OY, Yi CH. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010 Oct;14(4):367-74. doi: 10.1016/j.jbmt.2009.06.006. Epub 2009 Jul 22.

  PMID: 20850044 RESULT

• Farooq M, Bashir MS, Arif A, Kashif M, Manzoor N, Abid F. Effects of elongation longitudinaux avec decoaption osteo-articulaire and post-facilitation stretching technique on pain and functional disability in mobile users with text neck syndrome during COVID-19 pandemic: A randomized controlled trial. Medicine (Baltimore). 2023 Mar 24;102(12):e33073. doi: 10.1097/MD.0000000000033073.

  PMID: 36961169 RESULT

Study Officials

• Faiza Khalid, MSPT

  The University of Faisalabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: FAIZA KHALID

Model Details: Study Design: Parallel Two-Group Randomized Controlled Trial Objective: To compare the effectiveness of the Elongation Longitudinaux Avec Decoaptation Osteo Articulaire (ELDOA) method versus upper thoracic mobilization and mobility exercises in treating forward head posture (FHP). Participants: Total sample size: 36 (18 in each group) Inclusion: Males and females, ages 20-40 years Exclusion: History of neck surgery, severe neck trauma Randomization: Participants will be randomly assigned to either the ELDOA group or the upper thoracic mobilization group using a computer-generated sequence. Interventions: Group A (ELDOA): Specific ELDOA exercises for FHP Group B (Upper Thoracic Mobilization): Exercises targeting thoracic mobility and FHP Outcome Measures: Primary outcomes: Numeric Pain Rating Scale (NPRS), goniometer measurements, Neck Disability Index (NDI), Web Plot Digitizer (WPD) Software

Study Record Dates

• First Submitted: May 23, 2024
• First Posted: June 4, 2024
• Study Start: February 1, 2024
• Primary Completion: June 1, 2024
• Study Completion: June 1, 2024
• Last Updated: June 4, 2024

Record last verified: 2024-05

Locations

PA (1)