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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05876663
Other study ID # Saba Khan
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 1, 2023
Est. completion date January 1, 2024

Study information

Verified date January 2024
Source Riphah International University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of the study is to evaluate the effect of kinesio taping on pulmonary function and forward shoulder posture in young adults. Limited literature shows an association between forward shoulder posture and pulmonary function but the effect of kinesio taping for correction of forward shoulder posture and its consequences on pulmonary function is lacking in previous studies.


Description:

Electronic devices and gadgets are mostly used for official and personal needs in this modern era. This increased usage leads to poor posture, especially in young adults. The FSP is the most common incorrect posture in youngsters. A study on posture correction shows the prevalence of rounded shoulders is 84% in the young adult age group of (18 to 24 years). The misaligned posture causes changes in anatomical structure leading to many musculoskeletal problems. Along with the musculoskeletal system, FSP also decreases chest wall mobility, lung capacities, and overall respiratory function. The respiratory muscle's proper functions is need to expand the thoracic cavity . The pectoralis muscles function is to elevate the rib cage and its tightness leads to lower chest expansion. Rhomboids play a role in stabilizing the scapula which helps the serratus muscle in forced inspiration. Weakness of middle and lower trapezius muscles causes the inability to straighten the back, thus affecting the ability to raise and expand the chest properly. Currently, for posture correction, usually in the form of conservative treatments such as stretching and strengthening exercises, McKenzie's exercises, Pilates, shoulder support braces, electrical modalities, etc are used to correct or reduce FSP. It is a dire need to find out the best physiotherapy approach for the correction of forward shoulder posture as well as improvement in pulmonary function that is not time-consuming like other exercise interventions. If the effectiveness of kinesio taping on pulmonary function is verified it will contribute to future use as the most suitable and less time-consuming approach in youngsters with FSP.


Recruitment information / eligibility

Status Completed
Enrollment 64
Est. completion date January 1, 2024
Est. primary completion date December 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 25 Years
Eligibility Inclusion Criteria: - Both male and female participants - Age: 18 - 25 years - BMI within the normal range (18.5 to 24.9) - Healthy participants with FSP Exclusion Criteria: - Skin allergies to elastic tape - Known case of smokers - Known cases of cardiovascular and pulmonary problems. - Subjects with musculoskeletal disorders - History of chronic neck or shoulder pain (NPRS >3) - Any deformities or any condition that make it difficult to apply the Kinesio-Tape - Those who refuse to participate - Previous experience in respiratory muscle training

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Kinesio Taping
Kinesio Taping will be applied for 6 weeks and it will be changed with new one after every two days
Conventional physiotherapy protocol
Stretching exercise for pectoralis minor and major:10 sets and 2 sessions per day for 6 weeks. Strengthening of Rhomboids and Trapezius muscle: 10 sets and 2 sessions per day for 6 weeks. Deep Breathing: 10 rep and 2 sessions per day for 6 weeks.

Locations

Country Name City State
Pakistan Northwest Institute of Health Sciences Peshawar AL

Sponsors (1)

Lead Sponsor Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (5)

Carvalho LACM, Aquino CF, Souza TR, Anjos MTS, Lima DBM, Fonseca ST. Clinical Measures Related to Forward Shoulder Posture: A Reliability and Correlational Study. J Manipulative Physiol Ther. 2019 Feb;42(2):141-147. doi: 10.1016/j.jmpt.2019.03.006. Epub 2019 Apr 15. — View Citation

Fani M, Ebrahimi S, Ghanbari A. Evaluation of scapular mobilization and comparison to pectoralis minor stretching in individuals with rounded shoulder posture: A randomized controlled trial. J Bodyw Mov Ther. 2020 Oct;24(4):367-372. doi: 10.1016/j.jbmt.2020.07.021. Epub 2020 Jul 30. — View Citation

Kim MS, Cha YJ, Choi JD. Correlation between forward head posture, respiratory functions, and respiratory accessory muscles in young adults. J Back Musculoskelet Rehabil. 2017 Aug 3;30(4):711-715. doi: 10.3233/BMR-140253. — View Citation

Shih HS, Chen SS, Cheng SC, Chang HW, Wu PR, Yang JS, Lee YS, Tsou JY. Effects of Kinesio taping and exercise on forward head posture. J Back Musculoskelet Rehabil. 2017;30(4):725-733. doi: 10.3233/BMR-150346. — View Citation

Tomruk M, Keles E, Ozalevli S, Alpaydin AO. Effects of thoracic kinesio taping on pulmonary functions, respiratory muscle strength and functional capacity in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Explore (NY). 2020 Sep-Oct;16(5):332-338. doi: 10.1016/j.explore.2019.08.018. Epub 2019 Sep 18. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Peak expiratory flow rate (PEFR) Peak expiratory flow rate (PEFR) Peak expiratory flow rate (PEFR) measured through digital spirometer. Peak Expiratory Flow Rate (PEFR) measured through digital spirometer. Three zones of measurement are commonly used to interpret peak flow rates. Normal value of PEFR is (80-100%). Green zone indicates 80 to 100 percent of the usual or normal peak flow reading, yellow zone indicates 50 to 79 percent of the usual or normal peak flow readings, and red zone indicates less than 50 percent of the usual or normal peak flow readings After 6 weeks
Primary Forced vital capacity (FVC) Forced vital capacity (FVC) measured through digital spirometer. If the value of FVC is within 80% of the reference value, the results are considered normal.
Changes in FVC from baseline to 5th and after 15th day of intervention will be assessed.
After 6 weeks
Primary Forced expiratory volume in 1sec (FEV1) Forced expiratory volume in 1sec (FEV1) measured through digital spirometer. If the value of FEV1 is within 80% of the reference value, the results are considered normal. After 6 weeks
Primary Chest Expansion Chest expansion is the difference in thoracic girth after maximum inspiration and maximum expiration, which is one indicator of chest wall mobility. As it is measured using a measuring tape, it is a simple, inexpensive, and noninvasive tool for assessing chest mobility. After 6 weeks
Secondary Forward Shoulder Posture The forward shoulder posture (FSP) is characterized by downward rotation and anterior tilt of the scapula After 6 weeks
Secondary Pectoralis Minor Index Pectoralis Minor Index (PMI) is a proposed parameter to evaluate the pectoralis minor length (PML), eliminating the effect of subject's variability of height. After 6 weeks
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