High Intensity Interval Inspiratory Training Effect on Ventilatory Functions and Diaphragmatic Excursion in Forward Head Posture

NCT ID: NCT06571578

Last Updated: 2024-08-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-03
• Study Completion Date: 2024-02-04

Brief Summary

PURPOSE: ……… The purpose of the study is to investigate the effect of interval inspiratory muscle training on respiratory functions in subjects with forward head posture associated with chronic nonspecific neck pain

BACKGROUND: Alteration of head and neck positions can have an immediate negative effect on respiratory function. Clinicians should be prompted to assess respiratory function when assessing individuals with FHP and decrease the tension on respiratory system to avoid consequence. Also FHP has a negative effect on chest expansion and diaphragmatic function

the incidence of forward head posture increases nowadays due to increase using of smartphones HYPOTHESES:: There will be no a significant effect of interval inspiratory muscle training on respiratory functions in chronic forward head posture subjects.

RESEARCH QUESTION: Will the interval inspiratory muscle training improve respiratory functions in subjects forward head posture associated with chronic nonspecific neck pain?

Detailed Description

• For evaluation: we will assess 1-diaphragmatic excursion using ultrasonography 2- ventilatory functions using spirometer 3- chest expansion using tape measurement 4- height and weight scale to detect BMI 5- Craniocervical angle
• For treatment: we will use 1- threshold inspiratory muscle trainer

And they will be randomly allocated into two groups:

Experimental Group: Thirty subjects will receive combined program containing interval inspiratory muscle training and conventional exercise program for FHP 12 weeks (3 sessions/ week)

Control Group : Twenty subjects will receive conventional exercise program for FHP 12 weeks (3 sessions/ week)

Conditions

FHD

Study Design

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

Study Groups

exoerimental Group

Thirty subjects will receive combined program containing interval inspiratory muscle training and conventional exercise program for FHP 12 weeks (3 sessions/ week).

Group Type: EXPERIMENTAL

Threshold Inspiratory muscle trainer

Intervention Type: DEVICE

threshold inspiratory muscle trainer device Each subject will breathe through a separate mouthpiece through attach the mouthpiece firmly While putting a nose clip and inhale deeply through the mouthpiece to generate an inspiratory pressure greater than the indicated presetting threshold pressure to compress the spring and open the valve. Using High - intensity interval training technique

posture correction exercises

Intervention Type: OTHER

conventional exercise consists of

• Cervical isometric exercises will be performed in the sitting position by resisting at the forehead (cervical flexion, extension, rotation and side bending) for 10 seconds with 15 seconds breaks between holds with 10-15 repetitions in a progressive manner 3time/week for 12 weeks.
• Postural correction exercise consists of gently rolling of pelvis forward to an upright neutral sitting position, followed by scapular correction and occipital lift. Also, for the sub-occipital muscles stretching
• stretching exercises for scalene and levator muscles

Control Group

control group Thirty subjects will receive a conventional exercise program for FHP for 12 weeks (3 sessions/ week).

Group Type: OTHER

posture correction exercises

Intervention Type: OTHER

conventional exercise consists of

• Cervical isometric exercises will be performed in the sitting position by resisting at the forehead (cervical flexion, extension, rotation and side bending) for 10 seconds with 15 seconds breaks between holds with 10-15 repetitions in a progressive manner 3time/week for 12 weeks.
• Postural correction exercise consists of gently rolling of pelvis forward to an upright neutral sitting position, followed by scapular correction and occipital lift. Also, for the sub-occipital muscles stretching
• stretching exercises for scalene and levator muscles

Interventions

Threshold Inspiratory muscle trainer

threshold inspiratory muscle trainer device Each subject will breathe through a separate mouthpiece through attach the mouthpiece firmly While putting a nose clip and inhale deeply through the mouthpiece to generate an inspiratory pressure greater than the indicated presetting threshold pressure to compress the spring and open the valve. Using High - intensity interval training technique

Intervention Type: DEVICE

posture correction exercises

conventional exercise consists of

• Cervical isometric exercises will be performed in the sitting position by resisting at the forehead (cervical flexion, extension, rotation and side bending) for 10 seconds with 15 seconds breaks between holds with 10-15 repetitions in a progressive manner 3time/week for 12 weeks.
• Postural correction exercise consists of gently rolling of pelvis forward to an upright neutral sitting position, followed by scapular correction and occipital lift. Also, for the sub-occipital muscles stretching
• stretching exercises for scalene and levator muscles

Intervention Type: OTHER

Other Intervention Names

posture correction exercises

Eligibility Criteria

Inclusion Criteria

• Sixty subjects (female) have forward heads and Their craniocervical angle is from 30 to 50°
• Their body mass index ranged from (24.9 -29.9) kg/m2

Exclusion Criteria

• Chest diseases (either obstructive or restrictive).
• Smoker patient.
• Clinical signs of a severe cardiac event. (eg, congestive heart failure),
• Neurological disorders affecting respiratory muscles or any muscular dystrophies (cervical disc or bulge).
• Patient with haemodynamic instability.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Heba Abd el Maboud Youssef

assisstant lecture

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cairo university

Cairo, , Egypt

Countries

Egypt

Other Identifiers

IMT for FHS

Identifier Type: -

Identifier Source: org_study_id