Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis
NCT ID: NCT06482203
Last Updated: 2024-10-26
Study Results
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Basic Information
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RECRUITING
NA
28 participants
INTERVENTIONAL
2024-06-25
2024-12-07
Brief Summary
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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
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Group 1(Trunk Extensor Endurance Training)
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)
Trunk Extensor Endurance training & Scapular mobilization
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 2(Scapular Mobilization)
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.
Trunk Extensor Endurance training & Scapular mobilization
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
Interventions
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Trunk Extensor Endurance training & Scapular mobilization
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
Eligibility Criteria
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Inclusion Criteria
* Age 20-40
* Postural kyphosis
* Kyphotic angle exceeds 40°
* Thoracic pain\>3
Exclusion Criteria
* 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.
20 Years
40 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Shamaila Yaqub, masters
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Lady Reading Hospital(LRH)
Peshawar, Khyber Pakhutunkhuwa, Pakistan
Countries
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Central Contacts
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Facility Contacts
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References
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Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial. Clin Rehabil. 2018 Jan;32(1):48-56. doi: 10.1177/0269215517714591. Epub 2017 Jun 14.
Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg. 2014;24(4):455-65. doi: 10.5137/1019-5149.JTN.8940-13.0.
Graham P. Scheuermann's Kyphosis. Orthop Nurs. 2023 Jan-Feb 01;42(1):53-55. doi: 10.1097/NOR.0000000000000914. No abstract available.
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.
Sato T, Koizumi M, Kim JH, Kim JH, Wang BJ, Murakami G, Cho BH. Fetal development of deep back muscles in the human thoracic region with a focus on transversospinalis muscles and the medial branch of the spinal nerve posterior ramus. J Anat. 2011 Dec;219(6):756-65. doi: 10.1111/j.1469-7580.2011.01430.x. Epub 2011 Sep 29.
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.
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.
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.
Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010 Mar 1;11:39. doi: 10.1186/1471-2474-11-39.
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.
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.
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.
Zappala M, Lightbourne S, Heneghan NR. The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults. J Orthop Surg Res. 2021 Jul 9;16(1):447. doi: 10.1186/s13018-021-02592-2.
Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):920-6. doi: 10.1016/j.jse.2008.12.015. Epub 2009 Mar 17.
Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH. Endurance training of trunk extensor muscles. Phys Ther. 1993 Jan;73(1):10-7.
Chok B, Lee R, Latimer J, Tan SB. Endurance training of the trunk extensor muscles in people with subacute low back pain. Phys Ther. 1999 Nov;79(11):1032-42.
Other Identifiers
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REC/MS-PT/01678
Identifier Type: -
Identifier Source: org_study_id
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