Effects of Elastic Band Excercises on Chest Expansion

Forward Head Posture Clinical Trial

Official title:

Effects of Elastic Band Excercises on Chest Expansion in Patients With Forward Head Posture

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06303362
• Other study ID #: REC/MS-PT/014258 Sumbal Nawaz
• Status: Completed
• Phase: N/A
• Start date: August 1, 2023
• Est. completion date: January 30, 2024

Study information

• Verified date: March 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

• To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability

Description:

According to literature review elastic band exercises have been proposed as an effective intervention to correct FHP. However, no previous study done to see the effect of elastic band exercises on chest expansion along with correction of FHP. Therefore, this study will show the effectiveness of elastic band exercises on chest expansion in patients with FHP.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: January 30, 2024
• Est. primary completion date: January 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

1. Both genders

2. Age group Between 18 to 30 years

3. Forward head posture measured through craniovertebral angle less than 50 degrees

4. Chest expansion measurement values at axillary level less than 5.1 cm

5. MMT of upper limb greater than 4

Exclusion Criteria:

1. Any cardiopulmonary pathology

2. Recent rib fracture

3. Participants with other upper limb musculoskeletal pathologies

4. Spinal or any associated chest surgery

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• Elastic band excercise
experimenatal group was given elastic band excercises along with stretching (pectoralis major, minor, trapezius, rhomboids and neck flexors) and conventional therapy. Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks.
• strengthening with conventional physical therapy
control group was given strengthening excercises and stretching (pectoralis major, minor, trapezius, rhomboids (Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks.

Locations

Country	Name	City	State
Pakistan	Railway hospital Rawalpindi	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (2)

Balthillaya GM, Parsekar SS, Gangavelli R, Prabhu N, Bhat SN, Rao BK. Effectiveness of posture-correction interventions for mechanical neck pain and posture among people with forward head posture: protocol for a systematic review. BMJ Open. 2022 Mar 9;12(3):e054691. doi: 10.1136/bmjopen-2021-054691. — View Citation

Lin G, Zhao X, Wang W, Wilkinson T. The relationship between forward head posture, postural control and gait: A systematic review. Gait Posture. 2022 Oct;98:316-329. doi: 10.1016/j.gaitpost.2022.10.008. Epub 2022 Oct 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cloth tape measurement	The common tool in practice to measure chest expansion is non-elastic tape measurement technique. To measure Chest expansion there are three anatomical landmarks which are used to measure chest wall mobility. To measure upper chest, wall mobility landmark is axillary, to measure middle chest wall mobility landmark is 4th intercostal space and to measure lower chest wall mobility landmark is xiphoid process.According to general criteria its values are 1.4cm (poor), 3.1cm (moderate) and 5.1cm (good). Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks	4 weeks
Primary	Neck Disability Index	The neck disability index questionnaire accesses pain and associated disability. It is a 10 items of self-reported questionnaire. Each question has 5 score with a total maximum score of 50 points. The patient is advised to select one option for each question that best reflects the intensity of pain and their discomfort.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks	4 weeks
Primary	Craniovertebral angle	Two lateral photographs were taken to determine the craniovertebral angle (CVA) and to analyze these photographs a measuring instrument known as Web Plot Digitizer was used. Through this software craniovertebral angle(CVA) was measured. This mobile application assessing forward head posture(FHP) in the form of craniovertebral angle. The patient was instructed to stand in front of camera and picture was taken. One point was on C7 spinous process, one was on tragus of ear and other point is the intersection of a horizontal line passing through the C7 spinous process and then craniovertebral angle was formed.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks	4 weeks