Comparing Back Extensor and Core Stability Training in Kyphosis

NCT ID: NCT06888609

Last Updated: 2025-06-17

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-15
• Study Completion Date: 2025-11-20

Brief Summary

To compare the effects of back extensor strengthening exercises versus core stability exercises on thoracic kyphosis in patients, assessing improvements in posture, spinal alignment, and overall functional outcomes

Detailed Description

Kyphosis is the normal forward curvature of our spine and when this curvature becomes excessively increased is referred to as hyper kyphosis or Hunch back. Its normal value is between 20 and 40 degrees. When the thoracic kyphotic angle exceeds 40 degrees, it is referred to as hyper kyphosis. The three main types of kyphosis often seen in individuals are postural, Structural and congenital. Postural kyphosis is caused by high external load on individual spine having overall poor muscle strength. Sagittal misalignment can be caused by poor posture while sitting and standing as well as prolonged sitting.

Conditions

Thoracic Kyphosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Back Extensor Strengthening Exercises

Usage of modalities like hot pack & TENS along with certain exercises mentioned in the following:

1. Superman Exercise (Prone position, lift chest off ground, arms extended)

2. Prone Arm and Leg Raise (Prone, lift opposite arm & leg)

3. Seated Row (Resistance Band) (Pull band towards chest)

4. Wall Angels (Standing against wall, moving arms up/down)

Group Type: EXPERIMENTAL

Back Extensor Strengthening Exercises

Intervention Type: OTHER

1. Superman Exercise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec

2. Prone Arm and Leg Raise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec

3. Seated Row (Resistance Band) Sets/Reps: 2 sets × 12-15 reps, hold 3-5 sec

4. Wall Angels Sets/Reps: 2 sets × 10-12 reps, 3-5 sec per cycle

Core Stability Exercises

Usage of modalities like hot pack & TENS along with certain exercises mentioned in the following:

1. Side Plank (Side-lying, lift hips while maintaining straight posture)

2. Dead Bug Exercise (Supine, extend opposite arm & leg)

3. Bridging Exercise (Supine, lift hips to straight line)

4. Bird-Dog Exercise (Quadruped, extend opposite arm & leg)

Group Type: EXPERIMENTAL

Core Stability Exercises

Intervention Type: OTHER

1. Side Plank Sets/Reps: 3 sets, hold 10-60 sec per side

2. Dead Bug Exercise Sets/Reps: 3 sets × 6-15 reps per side

3. Bridging Exercise Sets/Reps: 3 sets × 10-20 reps, hold 2-5 sec

4. Bird-Dog Exercise Sets/Reps: 3 sets × 8-15 reps per side, hold 2-5 sec

Interventions

Back Extensor Strengthening Exercises

1. Superman Exercise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec

2. Prone Arm and Leg Raise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec

3. Seated Row (Resistance Band) Sets/Reps: 2 sets × 12-15 reps, hold 3-5 sec

4. Wall Angels Sets/Reps: 2 sets × 10-12 reps, 3-5 sec per cycle

Intervention Type: OTHER

Core Stability Exercises

1. Side Plank Sets/Reps: 3 sets, hold 10-60 sec per side

2. Dead Bug Exercise Sets/Reps: 3 sets × 6-15 reps per side

3. Bridging Exercise Sets/Reps: 3 sets × 10-20 reps, hold 2-5 sec

4. Bird-Dog Exercise Sets/Reps: 3 sets × 8-15 reps per side, hold 2-5 sec

Intervention Type: OTHER

Other Intervention Names

Hot Pack (15-20 mins) - Upper back & thoracic spine for relaxation; TENS (10 mins)- Applied to thoracic region for pain relief (Before & after exercises); Hot Pack (15-20 mins) - Upper back & thoracic spine for relaxation; TENS (10 mins)- Applied to thoracic region for pain relief (Before & after exercises)

Eligibility Criteria

Inclusion Criteria

• Adults aged 18-40 years with a diagnosis of mild to moderate thoracic kyphosis (Cobb angle between 40° and 60°).
• The presence of back pain or discomfort is attributed to kyphosis.
• Willingness to participate and commit to the study's duration (6 weeks of intervention and follow-up).
• Ability to provide informed consent.

Exclusion Criteria

• Severe thoracic kyphosis (Cobb angle > 60°).
• Other spinal conditions such as scoliosis or spinal fractures.
• Previous spinal surgery or contraindications to physical activity.
• Neurological disorders affecting motor function.
• Pregnancy or severe medical comorbidities that would preclude participation.

• Minimum Eligible Age: 18 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

Ayesha Sadiq, MSPT (OMPT)

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

DHQ Timergara & Batkhela

Malakand, KPK, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Ayesha Sadiq, MSPT (OMPT)

Role: CONTACT

ayesha.sadiq@riphah.edu.pk

03346257484

Other Identifiers

REC-01003 Zahoor Ahmad

Identifier Type: -

Identifier Source: org_study_id