Effect of Exercises on Diaphragmatic Excursion in Postmenopausal Kyphotic Women

NCT ID: NCT06057701

Last Updated: 2024-01-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-30
• Study Completion Date: 2023-12-30

Brief Summary

the present study examined the effect of different types of exercises for improving the age-related hyperkyphotic curve of postmenopausal women and also examined how it affects diaphragmatic excursion and respiratory function. Increasing the respiratory functions for elderly will act as a preventive method against nowadays chest diseases.

Detailed Description

The study was conducted to examine the effect of exercises on diaphragmatic excursion in postmenopausal kyphotic women.

Design of study:

A prospective, randomized, single-blind, pre-post-test, controlled trial. The study followed the Guidelines of Declaration of Helsinki on the conduct of human research. Ethical approval was obtained from the institutional review board at Faculty of physical therapy, Cairo University before study commencement (no.P.T,REC/012/003800).

This study was carried on forty postmenopausal women clinically diagnosed with thoracic kyphosis. They selected randomly from the outpatient clinic of El Kaser El-Einy University Hospital, Cairo University. Their ages ranged from 50-60 years.

Randomization of sample selection was achieved using closed envelop way. Classification of the sample by simple random way into two groups equal in number, twenty for each group by using forty closed envelop, each twenty envelop contained a name of a group from the two groups (Group A) or (Group B) and asking each woman to choose one envelop from them, each woman attended to the group according the name of the group written in her envelop.

Conditions

Kyphosis Postural Thoracic

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

control group

This group consists of 20 postmenopausal women suffering from thoracic hyper kyphosis. They receive daily session of 30minutes even by therapist or at home for 12 weeks. the corrective exercises for the thoracic spine consist of strengthening exercises for back muscles and stretching exercises for pectoral muscles

Group Type: EXPERIMENTAL

corrective exercises

Intervention Type: OTHER

corrective exercises:

1. Strengthening exercises :

1. Thoracic extension exercises:

• Mckanzie's thoracic extension exercise:
• Thoracic spine stretching position

2. Back extension exercise

3. Abdominal curl up exercise

4. Scapular retraction exercises

5. Trunk rotation exercise

2. Stretching exercises:

1. Pectoral muscles stretch from sitting

2. self-stretch for pectoral muscle infront of door

interventional group

This group consists of 20 postmenopausal women suffering from thoracic hyper kyphosis, who receive the corrective exercises prescribed above in addition to resisted diaphragmatic breathing exercise. They receive daily session of 30minutes even by therapist or at home for 12 weeks.

Group Type: EXPERIMENTAL

corrective exercises

Intervention Type: OTHER

corrective exercises:

1. Strengthening exercises :

1. Thoracic extension exercises:

• Mckanzie's thoracic extension exercise:
• Thoracic spine stretching position

2. Back extension exercise

3. Abdominal curl up exercise

4. Scapular retraction exercises

5. Trunk rotation exercise

2. Stretching exercises:

1. Pectoral muscles stretch from sitting

2. self-stretch for pectoral muscle infront of door

resisted diaphragmatic breathing exercises

Intervention Type: OTHER

1. Diaphragmatic breathing exercise: From the supine position, overlapping hands on the diaphragm located in the abdominal region: each woman took deep inspiring by the nose and exhaling through the mouth with lips half-closed slowly.

2. Resisted diaphragmatic breathing exercise: From the supine position, with a weight of 1 kg on the diaphragm located in the abdominal region: each woman took deep inspiring by the nose and exhaling through the mouth with lips half-closed slowly

Interventions

corrective exercises

corrective exercises:

1. Strengthening exercises :

1. Thoracic extension exercises:

• Mckanzie's thoracic extension exercise:
• Thoracic spine stretching position

2. Back extension exercise

3. Abdominal curl up exercise

4. Scapular retraction exercises

5. Trunk rotation exercise

2. Stretching exercises:

1. Pectoral muscles stretch from sitting

2. self-stretch for pectoral muscle infront of door

Intervention Type: OTHER

resisted diaphragmatic breathing exercises

1. Diaphragmatic breathing exercise: From the supine position, overlapping hands on the diaphragm located in the abdominal region: each woman took deep inspiring by the nose and exhaling through the mouth with lips half-closed slowly.

2. Resisted diaphragmatic breathing exercise: From the supine position, with a weight of 1 kg on the diaphragm located in the abdominal region: each woman took deep inspiring by the nose and exhaling through the mouth with lips half-closed slowly

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. All postmenopausal women suffering from thoracic kyphosis.

2. Their thoracic kyphosis (Cobb's) angles were more than 45 degrees.

3. Their age ranged from 50-60 years old.

4. Their BMI were >25 and <30 kg/m2.

Exclusion Criteria

1. All patients with comorbidities such as cardiac disease and chest diseases as pulmonary fibrosis.

2. Patients with previous trauma to the spine, pelvis and lower limbs.

3. Patients with a previous history of spinal surgery (such as spinal fusion surgery, vertebroplasty, or kyphoplasty).

4. Patients with congenital spinal deformities and scoliosis.

5. Patients with a history of spinal tumors, ankylosing spondylitis, osteoporosis and other spondyloarthritis.

6. The patients received medications that might affect the neuromuscular functions at least three months before or during the study course.

7. Patients suffered from mental or psychological disorders.

8. Patients suffered from inflammatory diseases such as rheumatoid arthritis or polymyalgia rheumatic.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Samia Samir Rashed

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Fahima okeel

Role: STUDY_CHAIR

Cairo University

Amal Yousef

Role: STUDY_DIRECTOR

Cairo University

Khaled Kamel

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

faculty of physical therapy, Cairo university

Giza, , Egypt

Countries

Egypt

Other Identifiers

postmenopausal kyphosis

Identifier Type: -

Identifier Source: org_study_id