Effects of Comprehensive Correcting Exercise Program and Mckenzie Exercises in Patients With Sternosymphyseal Syndrome

NCT ID: NCT06751771

Last Updated: 2024-12-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-15
• Study Completion Date: 2024-11-20

Brief Summary

A Randomized Clinical Trial will be conducted at Horizon Hospital Physiotherapy Department and Riphah Clinic Lahore through consecutive sampling technique on 36 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency. Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises. Outcome measure will be conducted through pain and functional disability Index through questionnaire and craniovertebral angle through PhysioMaster/APECS, Thoracic kyphosis through Inclinometer and Range of motion via goniometer.

Detailed Description

Sternosymphyseal syndrome is a postural syndrome involves excessive lumbar and thoracic kyphosis, a forward drawn head, and hyper-lordosis of the cervicocranial junction. This posture is associated with increased muscular tension and faulty respiration habits. When the slumped posture is assumed for sustained periods of time, increased load is placed on the intervertebral disc. With the sternum approximating the pubic symphysis, diaphragmatic inhibition results in over-activation of scalene and upper trapezius musculature during respiration. This muscle tension is reversible by merely having the patient sit up straight. (Brugger's relief position).

A Randomized Clinical Trial will be conducted at Horizon Hospital Physiotherapy Department and Riphah Clinic Lahore through consecutive sampling technique on 36 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency. Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises. Outcome measure will be conducted through pain and functional disability Index through questionnaire and craniovertebral angle through PhysioMaster/APECS, Thoracic kyphosis through Inclinometer and Range of motion via goniometer.

Conditions

Sterno Sympheseal Syndrome

Keywords

Corrective exercises; McKenzie exercises; Thoracic kyphosis; Range of Motion; Functional Disability

Study Design

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

Study Groups

comprehensive correcting exercise program

Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency

Group Type: EXPERIMENTAL

comprehensive correcting exercise program

Intervention Type: OTHER

Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency

McKenzie's method of exercises

Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises

Group Type: EXPERIMENTAL

McKenzie's method of exercises

Intervention Type: OTHER

Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises

Interventions

comprehensive correcting exercise program

Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency

Intervention Type: OTHER

McKenzie's method of exercises

Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age between 18-28
• Both gender male and female
• Participants who have any distance from xiphoid process to pubic symphysis less than 18cm (11 inches)
• Participants with forward head (≥ 44°), round shoulder (≥ 49°) or excessive thoracic kyphosis (≥ 42°) will be measured by photography and flexicurve. Patient agree to sign written consent

Exclusion Criteria

• Subjects younger than 18 years of age, cardiac, respiratory, kidney, circulatory problems, systemic disease, diabetes
• Any trauma or localized infection in neck region
• Pregnancy or suspicion of pregnancy for female subjects.
• A history of fractures, treatment or surgery to the lumbar, thoracic, cervical spine and upper limbs
• Thoracic outlet syndrome.
• Any shoulder pathology causing limitation of movement.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 28 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rabiya Noor, PHD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Physiotherapy department of Horizon Hospital and Riphah International clinic Lahore.

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Morris CE, Greenman PE, Bullock MI, Basmajian JV, Kobesova A. Vladimir Janda, MD, DSc: tribute to a master of rehabilitation. Spine (Phila Pa 1976). 2006 Apr 20;31(9):1060-4. doi: 10.1097/01.brs.0000214879.93102.4e.

Reference Type: BACKGROUND

PMID: 16641785 (View on PubMed)

Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. Int J Sports Phys Ther. 2011 Mar;6(1):51-8.

Reference Type: BACKGROUND

PMID: 21655457 (View on PubMed)

Czaprowski D, Stolinski L, Tyrakowski M, Kozinoga M, Kotwicki T. Non-structural misalignments of body posture in the sagittal plane. Scoliosis Spinal Disord. 2018 Mar 5;13:6. doi: 10.1186/s13013-018-0151-5. eCollection 2018.

Reference Type: BACKGROUND

PMID: 29516039 (View on PubMed)

Other Identifiers

REC/RCR&AHS/24/0109

Identifier Type: -

Identifier Source: org_study_id