High Intensity Interval Inspiratory Training Effect on Ventilatory Functions and Diaphragmatic Excursion in Forward Head Posture

NCT06571578 | Completed

• 1 other identifier: IMT for FHS
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

PURPOSE: ……… The purpose of the study is to investigate the effect of interval inspiratory muscle training on respiratory functions in subjects with forward head posture associated with chronic nonspecific neck pain BACKGROUND: Alteration of head and neck positions can have an immediate negative effect on respiratory function. Clinicians should be prompted to assess respiratory function when assessing individuals with FHP and decrease the tension on respiratory system to avoid consequence. Also FHP has a negative effect on chest expansion and diaphragmatic function the incidence of forward head posture increases nowadays due to increase using of smartphones HYPOTHESES:: There will be no a significant effect of interval inspiratory muscle training on respiratory functions in chronic forward head posture subjects. RESEARCH QUESTION: Will the interval inspiratory muscle training improve respiratory functions in subjects forward head posture associated with chronic nonspecific neck pain?

Conditions

FHD

Outcome Measures

Primary Outcomes (3)

• improve ventilatory functions

  measure ventilatory functions in percentage from predictied using spirometery (Digital-CONTEC-SP10-Spirometer-Lung Breathing-Diagnostic (Made in China), to measure ventilatory function test parameters.changes * Forced expiratory volume in the first second (FEV1) * Forced vital capacity (FVC). * FEV1/FVC ratio * Peak expiratory flow rate (PEFR).

  3 months

• Diaphragmatic execursion

  Diaphragmatic sonography model (LOG IQ E10S) for measuring diaphragmatic excursion changes.in centimeter

  3 months

• chest expansion tests

  Using tape Measurement tool: To measure chest expansion changes in centimetres at the suprasternal notch, at the nipple and xiphoid levels.

  3 months

Secondary Outcomes (2)

• craniocervical angle

  3 months

• Body mass index

  3 months

Study Arms (2)

exoerimental Group

EXPERIMENTAL

Thirty subjects will receive combined program containing interval inspiratory muscle training and conventional exercise program for FHP 12 weeks (3 sessions/ week).

Device: Threshold Inspiratory muscle trainer; Other: posture correction exercises

Control Group

OTHER

control group Thirty subjects will receive a conventional exercise program for FHP for 12 weeks (3 sessions/ week).

Other: posture correction exercises

Interventions

Threshold Inspiratory muscle trainer DEVICE

threshold inspiratory muscle trainer device Each subject will breathe through a separate mouthpiece through attach the mouthpiece firmly While putting a nose clip and inhale deeply through the mouthpiece to generate an inspiratory pressure greater than the indicated presetting threshold pressure to compress the spring and open the valve. Using High - intensity interval training technique

Also known as: posture correction exercises

exoerimental Group

posture correction exercises OTHER

conventional exercise consists of * Cervical isometric exercises will be performed in the sitting position by resisting at the forehead (cervical flexion, extension, rotation and side bending) for 10 seconds with 15 seconds breaks between holds with 10-15 repetitions in a progressive manner 3time/week for 12 weeks. * Postural correction exercise consists of gently rolling of pelvis forward to an upright neutral sitting position, followed by scapular correction and occipital lift. Also, for the sub-occipital muscles stretching * stretching exercises for scalene and levator muscles

Control Group; exoerimental Group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Gender Eligibility Details: female subjects from 18 to 25 years old with FHP
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Sixty subjects (female) have forward heads and Their craniocervical angle is from 30 to 50°
• Their body mass index ranged from (24.9 -29.9) kg/m2

You may not qualify if:

• Chest diseases (either obstructive or restrictive).
• Smoker patient.
• Clinical signs of a severe cardiac event. (eg, congestive heart failure),
• Neurological disorders affecting respiratory muscles or any muscular dystrophies (cervical disc or bulge).
• Patient with haemodynamic instability.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo university

Cairo, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assisstant lecture

Model Details: randomised control trial (RCT)

Study Record Dates

• First Submitted: August 13, 2024
• First Posted: August 26, 2024
• Study Start: May 3, 2023
• Primary Completion: August 1, 2023
• Study Completion: February 4, 2024
• Last Updated: August 26, 2024

Record last verified: 2024-08

Locations

EG (1)