Postural Kyphosis, Thoracic Region Clinical Trial
Official title:
Physical Therapy Treatment Once a Month Versus Physical Treatment Once a Week for Posture Improvement in Children and Adolescents Who Suffer From Posture Problem or Low Back Pain
This study is design in a clinical setting for testing whether physical therapy treatment that includes postural awareness exercises for strength flexibility and endurance is improving low back pain and postural behavior. The study will consist of two groups, basic treatment that will get one on one treatment once a month for 3 months and the intervention group, will get an additional group therapy once a week.
Background: Life time prevalence of Low Back Pain among Children and Adolescent ranges from
32% to 66%. This prevalence gets higher with age and among 17 years old it`s equal to
prevalence among adults. Previous episode of Low Back pain is a predicting risk factor to the
next one, hence we should do preventative care at a young age, even before the first attack
occur. Poor posture was found as one of the risk factors for Low Back Pain in children.
Adolescence with neutral posture had less prevalence of Low Back Pain then those with poor
posture. Prolong slouch sitting was associated with Low Back Pain. Prevention education
programs, focusing on knowledge, did not show effective change in posture behavior. Hence,
the researchers concluded that it`s better if they focus on exercise.
Research Goal: comparison between physical therapy treatment for good posture once a week
versus once a month, on postural behavior, thorax curve angle and Low Back Pain.
Research type: randomize, Interventional, blinded. Methods and Procedures Population: the
study will include 50 children and adolescents age 10-18 years suffering from poor back
posture, with or without Low Back Pain.
Procedure: The study will consist of two groups: both groups will get personal meeting once a
month and a program of exercising at home every day. Treatment group will have in addition
group meeting once a week and control group not. The intervention program will include
physical awareness and practice for good posture, and exercises for flexibility, strength and
muscle endurance.
Measurement tools:Digital Inclinometer for measuring thorax curve angle. Postural observation
for measuring postural habits. Back pain and postural habits questionnaire for measuring LBP
on VAS SCALE, postural knowledge and habits of participant, including demographic data.
Parents' questionnaire for measuring parents' knowledge and ideas.
Research hypothesis: postural behavior, thorax curve angle and Low Back Pain will get better
in both groups but more in the treatment group.
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