Costovertebral Mobilization on Kyphotic Posture and Lung Function in Non-Smoker

NCT ID: NCT06530056

Last Updated: 2024-08-14

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-08
• Study Completion Date: 2025-01-10

Brief Summary

Aim of this study is to find the effects of Costoverterbral Mobilization on Thoracic kyphosis and Lung function in non-smoker. A randomized control trial that will include total 44 participants.The first group will receive Costovertebral Mobilization along with conventional therapy and 2nd group will receive conventional therapy.Data collected will be analyzed through SPSS 25

Detailed Description

Kyphosis is the curvature of the thoracic spine, formed by the shape of the vertebrae and the intervertebral discs and-in standing position-paraspinal muscle strength. Hyperkyphosis is usually associated with increased anteroposterior diameter of the thorax and a decrease in the distance between the xiphisternum and pubis and it is present when the kyphosis angle exceeds the normal ranges. This curve is concave anteriorly with a normal angle between 20˚ - 40˚.

The lungs are the foundational organs of the respiratory system,whose most basic function is to facilitate gas exchange from the environment into the bloodstream.The decline in lung function could be associated with hyperkyphosis, As the curvature of the thoracic spine increases and the posture becomes more hunched, the mobility of the rib cage could be limited and restrict the thoracic and lung expansions during inspiratory maneuver.

Different treatment strategies such as surgery, splinting, exercises and manual therapies such as massage, muscle energy technique, and passive joint mobilization have been used to treat hyperkyphosis. Costovertebral mobilization is a manual therapy technique, to improve the mobility and function of the joints between the ribs (costo) and the vertebrae (vertebral). This technique increases the range of motion of ribcage and spine, thus improve kyphosis posture and lung functions.

Conditions

Hyperkypohsis and Impaired Lung Function

Study Design

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

Study Groups

Costovertebral Mobilization+Conventional Therapy

Costovertebral mobilization:

It will be performed in 3 Different Positions to target specific regions of rib cage.

Conventional Therapy:

Hot pack 10 mints, Posture corrective exercises, Breathing exercises.

Group Type: EXPERIMENTAL

Costovertebral Mobilization+Conventional Therapy

Intervention Type: OTHER

Patient would receive costovertebral mobilization in side lying position for left 10th to 6th, in sitting position for right 10th to 2nd rib and in supine lying position for 1st rib.

Conventional Therapy:

Hot pack 10 mints, Posture corrective exercises, Breathing exercises Frequency; 4 times/week for 3 weeks

Conventional Therapy

Conventional Therapy:

Hot pack 10 mints, Posture corrective exercises, Breathing exercises

Group Type: OTHER

Conventional Therapy

Intervention Type: OTHER

Electrotherapy:

• Hot Pack 10 minutes

Posture Corrective Exercises:

• Thoracic Rotation 10 rep/session
• Thoracic extension 10 rep/session
• Scapular retraction 5 rep/session
• Deep neck flexor Isometric 5 rep/session

Deep Breathing Exercises:

• Pursed lip breathing 10 repetition in one session

Interventions

Costovertebral Mobilization+Conventional Therapy

Patient would receive costovertebral mobilization in side lying position for left 10th to 6th, in sitting position for right 10th to 2nd rib and in supine lying position for 1st rib.

Conventional Therapy:

Hot pack 10 mints, Posture corrective exercises, Breathing exercises Frequency; 4 times/week for 3 weeks

Intervention Type: OTHER

Conventional Therapy

Electrotherapy:

• Hot Pack 10 minutes

Posture Corrective Exercises:

• Thoracic Rotation 10 rep/session
• Thoracic extension 10 rep/session
• Scapular retraction 5 rep/session
• Deep neck flexor Isometric 5 rep/session

Deep Breathing Exercises:

• Pursed lip breathing 10 repetition in one session

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Non smoker
• Age: 20-40 years
• Normal Body Mass Index 18.5 To 24.9
• Both female and male gender
• Decrease forced expiratory volume-one second/ forced vital capacity ratio greater than or equal to 70%
• Increase Thoracic kyphotic posture greater than or equal to 40˚

Exclusion Criteria

• Any respiratory disease of the upper or lower respiratory tracts e.g. asthma, chronic bronchitis, COPD, emphysema etc. which could altered the optimal lung functioning.
• Previous history of rib fractures, dislocations, sprains of costochondral, costosternal and interchondral joints.
• Smokers
• Scheuermann Disease
• Primary and Secondary neoplastic lesions of the spine and/or ribs
• Obvious advanced spinal deformity e.g. kyphoscoliosis
• Infection e.g. tuberculosis
• Primary and secondary neoplastic lesions of the soft tissue structures of the chest
• Inflammation e.g. acute rheumatoid arthritis or ankylosing spondylitis

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Madiha Ali, MSOMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Madiha Ali

Islamabad, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Madiha Ali, MSOMPT

Role: CONTACT

madiha.ali@riphah.edu.pk

0331-3360064

Facility Contacts

Madiha Ali, MSOMPT

Role: primary

madiha.ali@riphah.edu.pk

03313360064

Other Identifiers

Rida Mumtaz

Identifier Type: -

Identifier Source: org_study_id