Comparison of Pilate Exercises With and Without Whole Body Vibration in Patient With Upper Cross Syndrome

NCT ID: NCT06797414

Last Updated: 2025-01-28

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 56 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-04
• Study Completion Date: 2025-02-07

Brief Summary

Nowadays, bad habits brought about by technology such as overuse of mobile phones, televisions, computers, and tablets, resulted in negative impacts on health. Bending in abnormal positions while using these devices causes various mechanical loads on the neck and upper back area, rounded shoulders from increased thoracic kyphosis etc., and this leads to poor posture that can cause UCS. Because of high prevalence of RSP especially in modern societies , proper treatment of this problem is necessary for prevention of further complications.There are different exercise regimes for RSP such as strengthening of lengthened muscles, scapular stabilizers, stretching of shorten muscles especially pectoral muscles, and soft tissue mobilization but Whole-Body Vibration (WBV) is a new method introduced since the last decade and there is no comparison available in the literature of upper cross syndrome between WBV with Pilate exercises on postural correction

The aim of the study is to compare effects Comparison of pilot exercises with and without whole body vibration on posture , disability and pain in patients with upper cross syndrome A randomized clinical trial will be conducted at PESSI.. Non-probability convenience sampling will be used, and 56 subjects, age 20-40 years will be randomly allocated into two groups by lottery method after meeting the inclusion criteria. Both groups will receive hot pack for 15-20 minutes and Pilate exercise perform both group as common treatment. Group A will be treated with pilate exercises and Group B will be treated with pilate exercise with whole body vibration Both groups received two sessions per week for four consecutive weeks by another well trained physical therapist. Session duration for both groups ranged from 55 minutes to 1 hour. 2 sessions per week and total 8 sessions for 4 weeks. The outcome measures will be conducted through NPRS,NDI,RSP WAS MEASURED IN SUPINE POSITION AND THEN PML AND TSD before and after 4 weeks. Data will be analyzed using SPSS software version 26.

Conditions

Upper Cross Syndrome

Study Design

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

Study Groups

Group A

Group A: Will be treated with Pilate Exercises. Before applying exercise, hot pack will be applied for 15-20minutes.

Group Type: EXPERIMENTAL

Pilate Exercises

Intervention Type: OTHER

PILATES EXERCISE METHODS:

1. The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction .

2. Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula.

3. Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position.

4. Diamond press: repeat above but add lateral arm movement to back extension .

5. Arm slides 90°: lies supine on mat with arms bent at 90° and thumbs on floor. Slide elbows on floor toward waistline while contracting serratus anterior muscle.Repeat on the floor with other fingers. Always maintain proper neck alignment .

6. Arm circles on a tiny barrel while lying on back with the head and neck supported by the barrel. Opened chest, then link the scapula to the barrel. Hold this position while performing arm circles.

Hot Pack

Intervention Type: DEVICE

for 10 to 15 minutes

Group B

Group B: Will be treated with WBV with Pilate Exercises. Before applying exercise, hot pack will be applied for 15-20minutes.

Group Type: ACTIVE_COMPARATOR

Pilate Exercises

Intervention Type: OTHER

PILATES EXERCISE METHODS:

1. The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction .

2. Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula.

3. Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position.

4. Diamond press: repeat above but add lateral arm movement to back extension .

5. Arm slides 90°: lies supine on mat with arms bent at 90° and thumbs on floor. Slide elbows on floor toward waistline while contracting serratus anterior muscle.Repeat on the floor with other fingers. Always maintain proper neck alignment .

6. Arm circles on a tiny barrel while lying on back with the head and neck supported by the barrel. Opened chest, then link the scapula to the barrel. Hold this position while performing arm circles.

Whole-body vibration

Intervention Type: OTHER

Subjects were placed in a modified push-up position , put their hands in the middle of the platform, shoulder width apart, elbows slightly flexed, and their lower extremities were supported by kneeling on the floor . Vibration protocol included 5 sets of 60 s duration, at 5 mm amplitude and 30 Hz frequency, with a rest period of 60 s between sets . The subjects were reminded kneeling but upright and detached from the platform between sets.

Hot Pack

Intervention Type: DEVICE

for 10 to 15 minutes

Interventions

Pilate Exercises

PILATES EXERCISE METHODS:

1. The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction .

2. Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula.

3. Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position.

4. Diamond press: repeat above but add lateral arm movement to back extension .

5. Arm slides 90°: lies supine on mat with arms bent at 90° and thumbs on floor. Slide elbows on floor toward waistline while contracting serratus anterior muscle.Repeat on the floor with other fingers. Always maintain proper neck alignment .

6. Arm circles on a tiny barrel while lying on back with the head and neck supported by the barrel. Opened chest, then link the scapula to the barrel. Hold this position while performing arm circles.

Intervention Type: OTHER

Whole-body vibration

Subjects were placed in a modified push-up position , put their hands in the middle of the platform, shoulder width apart, elbows slightly flexed, and their lower extremities were supported by kneeling on the floor . Vibration protocol included 5 sets of 60 s duration, at 5 mm amplitude and 30 Hz frequency, with a rest period of 60 s between sets . The subjects were reminded kneeling but upright and detached from the platform between sets.

Intervention Type: OTHER

Hot Pack

for 10 to 15 minutes

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Patient with rounded shoulder
• Forward head
• Having a moderate level of physical activity
• RSP measurement in supine n>1 inch(12)
• NPRS >3(18)
• NDI > 10(19)

Exclusion Criteria

• Pregnant, having untreated wounds, joint or artificial limb
• Suffering from diseases such as-malignancy, diabetes, epilepsy, acute thrombosis, acute migraine, acute infectious conditions, and tumor having history of neurological diseases like vestibulr disease, stroke, kidney or bladder stones, and finally reporting history of back problems such as herniated disk and deformities like scoliosis. experienced any recent trauma (within three months of the initial consultation)
• Chief complaint of headaches or facial pain , hypertension, osteoporosis, and presence of any structural abnormality in the upper and middle back (e.g., scoliosis or presence of positive Adam's test) .
• Participants on anti-inflammatory or muscle relaxant medications were given a three-day period "wash out" before participating in the study (13).

• 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

Humera Mubashar, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Punjab Employees Social Security Institution

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Affifa Sher Muhammad, DPT

Role: CONTACT

afifa@gmail.com

0305 4049540

Facility Contacts

Affifa Sher Muhammad, DPT

Role: primary

afifa@gmail.com

+92 305 4049540

Other Identifiers

Dr Affifa

Identifier Type: -

Identifier Source: org_study_id