Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis

NCT06482203 | Recruiting

• 1 other identifier: REC/MS-PT/01678
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis. To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor endurance training and scapular mobilization on shoulder ROM in patient with thoracic kyphosis

Conditions

Thoracic Kyphosis

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale

  Thoracic pain will be measure through Numeric pain rating scale, 0 no pain 10 maximum pain

  4 weeks

• kyphotic angle

  Inclinometer will be used to measure the angle

  4 weeks

• Shoulder ROM

  Goniometer is used to measure the Shoulder all range of motion (ROM)

  4 weeks

Study Arms (2)

Group 1(Trunk Extensor Endurance Training)

EXPERIMENTAL

Trunk Extensor Endurance Training Level 1: Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Superman pose Level 5:Superman or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts)

Other: Trunk Extensor Endurance training & Scapular mobilization

Group 2(Scapular Mobilization)

EXPERIMENTAL

Patient side lying. This intervention program includes, supero-inferior, medio-lateral along with circumduction movements. Procedure: Patients were side lying with their arms in 90°flexion during scapula mobilization. The physiotherapist completed 3 sets of 10-15 repetitions of each of the supero-inferior, medio-lateral, and circumduction movements while holding the scapula from the medial border. Between each session, there was a 10 or 30-second break. The length of rests was adjusted depending on the patient's endurance and comfort.

Other: Trunk Extensor Endurance training & Scapular mobilization

Interventions

Trunk Extensor Endurance training & Scapular mobilization OTHER

Trunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Scapular Mobilization: Intervention program includes, supero-inferior, medio-lateral along with circumduction movements). 3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance

Group 1(Trunk Extensor Endurance Training); Group 2(Scapular Mobilization)

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both gender (Male and female)
• Age 20-40
• Postural kyphosis
• Kyphotic angle exceeds 40°
• Thoracic pain\>3

You may not qualify if:

• Thoracic, Scapular and clavicle abnormalities
• Vertebral fractures, history of trauma or spinal surgery
• History of prolonged use steroid (more than 6 months),rheumatologic conditions
• Cardiac, autoimmune diseases
• Structural kyphosis(X-ray findings)
• Scoliosis(x-ray findings)
• Cancer, neurological disorders, metastasis, or inflammatory
• Osteoporosis, Pregnancy or any genetic conditions affecting their bones, muscles or cartilage.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Lady Reading Hospital(LRH)

Peshawar, Khyber Pakhutunkhuwa, 25000, Pakistan

RECRUITING

Related Publications (16)

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• Etemadifar MR, Mahdinezhad Yazdi M. Evaluation of changes in kyphosis angle, apex and quality of life of patients with Scheuermann kyphosis using Kyphologic brace. Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022.

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  PMID: 21954879 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

• Park SY, Yoo WG. Effect of sustained typing work on changes in scapular position, pressure pain sensitivity and upper trapezius activity. J Occup Health. 2013;55(3):167-72. doi: 10.1539/joh.12-0254-oa. Epub 2013 Apr 13.

  PMID: 23585498 BACKGROUND

• Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.

  PMID: 32887287 BACKGROUND

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  PMID: 20193055 BACKGROUND

• Sibson BE, Tobolsky VA, Kistner TM, Holowka NB, Jemutai J, Sigei TK, Ojiambo R, Okutoyi P, Lieberman DE. Trunk muscle endurance, strength and flexibility in rural subsistence farmers and urban industrialized adults in western Kenya. Am J Hum Biol. 2022 Feb;34(2):e23611. doi: 10.1002/ajhb.23611. Epub 2021 May 14.

  PMID: 33988283 BACKGROUND

• Ogaya S, Suzuki M, Yoshioka C, Nakamura Y, Kita S, Watanabe K. The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomech. 2024 Aug;23(8):997-1008. doi: 10.1080/14763141.2021.1906938. Epub 2021 Apr 28.

  PMID: 33906577 BACKGROUND

• Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316.

  PMID: 31475938 BACKGROUND

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  PMID: 34243795 BACKGROUND

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  PMID: 19297202 BACKGROUND

• Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH. Endurance training of trunk extensor muscles. Phys Ther. 1993 Jan;73(1):10-7.

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  PMID: 10534796 BACKGROUND

Study Officials

• Shamaila Yaqub, masters

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Iqbal Tariq, masters

CONTACT

03458236752; iqbal.tariq@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 25, 2024
• First Posted: July 1, 2024
• Study Start: June 25, 2024
• Primary Completion: December 7, 2024
• Study Completion: December 7, 2024
• Last Updated: October 26, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)