Effectiveness of Standard Exercises and Wall Angels Exercise in Young Adults With Kyphotic Posture

NCT ID: NCT06755957

Last Updated: 2025-01-01

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-01
• Study Completion Date: 2025-01-20

Brief Summary

Kyphosis-oriented exercise programs consist of isolated stretching, strengthening, and breathing exercises. However, the literature emphasizes that the body is a kinetic chain in many musculoskeletal disorders and supports holistic exercise approaches. To our knowledge, the effects of a complex exercise such as the Wall Angels exercise have not been studied in the kyphotic population. The aim of our study is to investigate whether the Wall Angels exercise combined with standard kyphosis exercises performed at home has additional effects and to contribute to the optimization of kyphosis rehabilitation programs.

Detailed Description

The study was planned as a randomized controlled double-blind study and will consist of two groups: intervention (Wall angels exercise combined with kyphosis and breathing exercises) and control (Only kyphosis and breathing exercises). The G-Power version-3.1.9 power analysis measurement method was used to determine the sample size. According to the Power Analysis conducted by taking into account the results of the studies of Elpeze and Usgu (15), it was calculated that at least 38 volunteers would be included in the study for a p<0.05 with an effect size of 0.5 and a power of 85%. The outcome measures of the study will be demographic characteristics, pain (Visual Analog Scale), trunk flexibility assessment, thoracic range of motion assessment, kyphosis index, scapula protraction, upper extremity function, respiratory capacity, postural habit and postural awareness level, and quality of life assessment. Statistical analyses will be performed using SPSS version 23.0 (IBM SPSS Statistics; IBM Corporation, Armonk, NY, USA) software. Descriptive statistics of the data will be given using mean and standard deviation for numerical variables; and percentages for qualitative variables. The Kolmogorov-Smirnov test will be used to examine the conformity of the data to normal distribution as a result of descriptive analyses. Intra-group comparisons will be evaluated using the Dependent Groups T test for groups with normal distribution, and the Wilcoxon signed ranks test for those not with normal distribution. In order to compare pre-post training values between groups, the Independent Groups T test for data with normal distribution, and the Mann Whitney-U test for data not with normal distribution will be used. The level of statistical significance will be accepted as p<0.05.

Conditions

Kyphosis Thoracic; Exercise Therapy

Study Design

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

Study Groups

Intervention arm

1. Posture Exercises (3 sets * 15 reps):

1a) Shoulder lift

1b) Shoulder forward circles

1c) Shoulder backward circles 2. Pectoral Stretch Exercise (3 sets * 10 reps; each stretch held for 30 seconds; for right and left sides) 3. Back Strengthening Exercise (3 sets * 15 reps) 4. Self Mobilization Exercise (3 sets * 10 reps; for right and left sides) 5. Cat-Camel Exercise (3 sets * 10 reps) 6. Breathing Exercises (3 sets * 10 reps): 6a) Diaphragmatic breathing 6b) Segmental breathing 7. Wall angels exercise (2 sets * 10 reps)

Group Type: EXPERIMENTAL

EXERCISE TRAINING WITH OR WITHOUT MEDICATION

Intervention Type: OTHER

Posture exercise, stretching exercise, breathing exercise, back strengthening exercise, self-mobilization exercise, cat camel exercise and postural correction exercise will be applied.

Control arm

1. Posture Exercises (3 sets * 15 reps):

1a) Shoulder lift

1b) Shoulder forward circles

1c) Shoulder backward circles 2. Pectoral Stretch Exercise (3 sets * 10 reps; each stretch held for 30 seconds; for right and left sides) 3. Back Strengthening Exercise (3 sets * 15 reps) 4. Self Mobilization Exercise (3 sets * 10 reps; for right and left sides) 5. Cat-Camel Exercise (3 sets * 10 reps) 6. Breathing Exercises (3 sets * 10 reps): 6a) Diaphragmatic breathing 6b) Segmental breathing

Group Type: ACTIVE_COMPARATOR

CONTROL

Intervention Type: OTHER

Posture exercise, stretching exercise, breathing exercise, back strengthening exercise, self-mobilization exercise, cat camel exercise will be applied.

Interventions

EXERCISE TRAINING WITH OR WITHOUT MEDICATION

Posture exercise, stretching exercise, breathing exercise, back strengthening exercise, self-mobilization exercise, cat camel exercise and postural correction exercise will be applied.

Intervention Type: OTHER

CONTROL

Posture exercise, stretching exercise, breathing exercise, back strengthening exercise, self-mobilization exercise, cat camel exercise will be applied.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Volunteering to participate in the study and giving written consent

2. Being a woman/man between the ages of 18-25

3. Having a kyphotic posture

Exclusion Criteria

1. Having a musculoskeletal disorder (scoliosis, etc.)

2. Having a neurological system disorder

3. Having a cardiopulmonary system disorder

4. Having a fracture or surgery related to the spine, rib cage, or upper extremity within the last year

5. Participating in an exercise program for kyphosis within the last 6 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Suleyman Demirel University

OTHER

Sponsor Role: lead

Responsible Party

Mesut ERGAN

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mesut Ergan, asst. prof.

Role: STUDY_DIRECTOR

Suleyman Demirel University

Locations

Suleyman Demirel University Faculty of Health Science

Isparta, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

09-27-2024/80/4

Identifier Type: -

Identifier Source: org_study_id