Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis

NCT07426588 | Completed

• 1 other identifier: REC/RCR & AHS/24/01107
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted to compare the effective of thoracic extension exercises and global postural corrective exercises on pain, range of motion and posture among hyperkyphotic individuals.

Conditions

Hyperkyphosis

Keywords

Cobb angle; Exercise therapy; hyperkyphosis; inclinometer; pain; posture; young adults

Outcome Measures

Primary Outcomes (4)

• Inclinometer

  An inclinometer was used to measure the range of motion at the spine. Instead of using a goniometer, we used this gadget on the spine.

  From enrollment to the end of treatment at 6 weeks

• Numeric Pain Rating Scale (NPRS)

  The NPRS used to gauge the patient's degree of pain. On a 0-10 scale, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain, and 7-10 represents severe pain, this tool is frequently used to gauge intensity of pain. Patients rate how much pain they are currently experiencing as well as how much pain they have experienced in the past 24 hours.

  From enrollment to the end of treatment at 6 weeks

• Kyphosis Specific Spinal Appearance Questionnaire (K-SAQ)

  A modified SAQ was used to create the K-SAQ, which measures characteristics of appearance unique to kyphosis. Excellent test-retest reliability (ICC = 0.84) and internal consistency (Cronbach's α = 0.91) were demonstrated by the K-SAQ total averages.

  From enrollment till the end of treatment at 6 weeks

• Cobb meter

  Excellent correlation was found between the CobbMeter application and the usual approach using the protractor, as evidenced by the intraclass correlation coefficient of 0.963 for all measures.

  From enrollment till the end of treatment at 6 weeks

Study Arms (2)

Thoracic Extension Exercises

EXPERIMENTAL

Other: Thoracic Extension Exercises; Other: Standard Physical Therapy

Global Corrective Exercises

EXPERIMENTAL

Other: Global Postural corrective Exercises; Other: Standard Physical Therapy

Interventions

Thoracic Extension Exercises OTHER

The TEE comprised of three exercise programs as follows: TEE Ⅰ: The therapist had located the restricted thoracic spinal segment on a foam roller, and the patient lied on it with their knees flexed. Both hands was crossed on the chest, and the buttocks be lifted slightly from the floor. The foam roller was rolled slowly up and down the thoracic spinal segment. TEE Ⅱ: Patient was be sitting with the knees flexed; a Swiss ball was placed in front. The ball was pushed forward to a distance with both hands on it. TEE Ⅲ: In the prone position, patient had performed the lifting up and putting down of the upper body and repeat it with the support of both elbows. Each exercise was performed with two sets of 15 reps, 10 sec per rep.

Thoracic Extension Exercises

Global Postural corrective Exercises OTHER

Exercise Volume Chin tuck exercise Active from 15 to 30 s holds / from 10 to 15 repetitions L to Y exercises Active from 15 to 30 s holds / from 6 to 12 repetitions Pectoralis muscle stretching exercise Active from 15 to 30 s holds / from 6 to 12 repetitions Spinal mobilization Active from 15 to 30 s holds / from 6 to 12 repetitions Quadruped arm and lower extremity lift Active from 15 to 30 s holds / from 6 to 12 repetitions Side-bridge exercise Active from 15 to 30 s holds / from 6 to 12 Repetitions Unilateral bridge exercise Active from 15 to 30 s holds / from 6 to 12 repetitions

Global Corrective Exercises

Standard Physical Therapy OTHER

Hot pack for 10 min. * TENS for 10min. * Myofascial release MFR.

Global Corrective Exercises; Thoracic Extension Exercises

Eligibility Criteria

• Age: 22 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group between 18 and 48 years
• Both gender male and female
• Cobb angle ≥42°to\<60 degree
• NPRS \> 3
• Mild to moderate scoring according to KSAQ

You may not qualify if:

• Congenital spinal deformity
• Spinal, rib and clavicle fracture
• Discogenic Disease
• Autoimmune Disorder
• History of spinal surgery
• Structural Deformity
• Systemic disease or inflammatory condition of spine

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Imran Idrees Teaching Hospital

Sialkot, Punjab Province, Pakistan

Location

Related Publications (4)

• Abd-Eltawab AE, Ameer MA. The efficacy of Theraband versus general active exercise in improving postural kyphosis. J Bodyw Mov Ther. 2021 Jan;25:108-112. doi: 10.1016/j.jbmt.2020.10.021. Epub 2020 Oct 26.

  PMID: 33714480 BACKGROUND

• Mendes Fernandes T, Mendez-Sanchez R, Puente-Gonzalez AS, Martin-Vallejo FJ, Falla D, Vila-Cha C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. Eur J Phys Rehabil Med. 2023 Feb;59(1):42-53. doi: 10.23736/S1973-9087.22.07554-2. Epub 2023 Jan 4.

  PMID: 36598342 BACKGROUND

• Kang NY, Im SC, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turk J Phys Med Rehabil. 2021 Sep 1;67(3):291-299. doi: 10.5606/tftrd.2021.6397. eCollection 2021 Sep.

  PMID: 34870115 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

MeSH Terms

Conditions

Kyphosis; Pain

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Saba Rafiq

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 17, 2026
• First Posted: February 23, 2026
• Study Start: January 13, 2025
• Primary Completion: May 31, 2025
• Study Completion: October 31, 2025
• Last Updated: February 23, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)