Comparative Effects of Posture Correction Exercises and Papworth Technique in Asthmatic Forward Head Posture

NCT07573904 | Completed

• 1 other identifier: S24C14G36028 nosheen
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluating and contrasting the effects of posture correction and papworth technique on dyspnea, chest expansion and quality of life in asthmatic patients with forward head.

Conditions

Asthma (Diagnosis) With Forward Head Posture

Keywords

Asthma; Breathing exercises; Dyspnea; Posture rehabilitation

Outcome Measures

Primary Outcomes (1)

• Universal goniometer

  Forward head posture was assessed using a universal goniometer by measuring the craniovertebral angle .The CVA is defined as the angle formed between a horizontal line passing through the spinous process of the seventh cervical vertebra(c7) and a line connecting to the tragus of the ear. A smaller CVA reflects increased anterior head displacement and reduced cervical lordosis. A CVA of \>50 considered normal , values between 40 to 49 considered mild forward head posture while a CVA \<40 represents moderate to severe forward head posture.

  1st day

Secondary Outcomes (2)

• Borg dyspnea scale

  1st day

• Asthma control questionnaire

  1st day

Study Arms (2)

Posture correction

EXPERIMENTAL

posture correction exercises

Other: posture correction exercises

Papwoth technique

EXPERIMENTAL

papworth technique

Other: papworth teachnique

Interventions

papworth teachnique OTHER

papworth three sessions per week approximately 30 minutes diaphragmatic breathing 10 minutes per session sow breathing practice 1-2 minutes breath control and breath holding muscle relaxation techniques

Papwoth technique

posture correction exercises OTHER

posture correction exercises three sessions per week 30-40 minutes Mckenzie exercises three sets of ten repetitions scapular retraction exercises three sets of ten repetitions thoracic extension exercises pectoral muscle stetching 20-30 seconds upper trapezius and Levator scapulae stretching three times per sessions

Posture correction

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female patients 35 to 50 years
• No history of recent thoracic or cervical spine surgery
• Patients diagnosed with mild to moderate asthma
• Stable asthma condition at the time of recruitment.
• Non smokers
• Experiencing mild to moderate dyspnea during daily activities presence of forward head posture
• FEV/FVC ratio \< 0.75 with FEV between 60 to 80 percent of predicted values indicating mild to moderate asthma.

You may not qualify if:

• Patients with inflammatory lesion in cervical region.
• Patients with neurological impairments and cognitive impairments will be excluded.
• Patients with tendinopathy
• History of cervical trauma, cervical spine surgery and vertebral fracture.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sheikh Zaid Hospital Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Tian QS, Zhou XH kim T-HJAS the effects of combined cervical and scapular stabilization exercises on muscle tone, pain and cervical range of motion in cervical extension type A controlled experimental study 2025

  BACKGROUND

• Oakley PA, Moustafa IM, Haas JW, Betz JW, Harrison DEJJoCM two methods of forward head posture assessment radiography vs posture and their clinical comparison 2024

  BACKGROUND

• Maddah T, Daneshmandi H, Alizade MH, Rahmati MBJBp the investigation of relationship between allergic rhinitis with forward head posture and anxiety in childern 2025

  BACKGROUND

• Dongare S, Rathi K, Rathi GJPM,Journal P. Inhaled coticosteroids its evolution and step wise phramacological treatment strategies for all levels of asthma 2024

  BACKGROUND

• Plichta J, Kuna P, Panek MJFIL.biologic drugs in thr treatment of chronic inflammatory pulmonary diseases recent developments and future perspectives 2023

  BACKGROUND

• 1. padem N, Salton C, editors. classification of asthma.Allergy and Asthma proceedings 2019

  BACKGROUND

MeSH Terms

Conditions

Asthma; Disease; Dyspnea

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Signs and Symptoms, Respiratory; Signs and Symptoms

Study Officials

• Qurat ul Ain, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2026
• First Posted: May 7, 2026
• Study Start: August 15, 2025
• Primary Completion: December 17, 2025
• Study Completion: December 17, 2025
• Last Updated: May 7, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)