Forward Head PostureNCT06303362
Effects of Elastic Band Excercises on Chest Expansion
A study testing Elastic band excercise and strengthening with conventional physical therapy in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.
Trial summary
To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Elastic band excercise and strengthening with conventional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Aug 2023to 30 Jan 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Both genders
- Age group Between 18 to 30 years
- Forward head posture measured through craniovertebral angle less than 50 degrees
- Chest expansion measurement values at axillary level less than 5.1 cm
- MMT of upper limb greater than 4
Who cannot join
- Any cardiopulmonary pathology
- Recent rib fracture
- Participants with other upper limb musculoskeletal pathologies
- Spinal or any associated chest surgery
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Railway hospital Rawalpindi
Rawalpindi, Punjab Province, 46060
About this study
Official title: Effects of Elastic Band Excercises on Chest Expansion in Patients With Forward Head Posture
- To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability
Read the detailed 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.
- Conditions
- Forward Head Posture
- Being tested
- Elastic band excercise, strengthening with conventional physical therapy
- Keywords
- forward head posture, chest expansion
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Elastic band excerciseOther
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 therapyOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Elastic band excercises | Experimental | Elastic band excercises and stretching is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) Receives: Other: Elastic band excercise |
| strengthening with conventional physical therapy | Active comparator | strengthening with conventional physicaltherapy is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) Receives: Other: strengthening with conventional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
Measured: 4 weeks
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
Measured: 4 weeks
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
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Mar 2024
- Study start1 Aug 2023
- Primary completion30 Jan 2024
- Study completion30 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Forward Head PostureStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Asmar Fatima, MS OMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06303362
- Sponsor's protocol ID
- REC/MS-PT/014258 Sumbal Nawaz
- Status last verified
- Mar 2024
- First submitted
- 4 Mar 2024
- Last updated
- 12 Mar 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 36274469Balthillaya 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.
PubMed 35264350
Study at a glance
From the registry record, last updated by the sponsor on 12 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Elastic Band Excercises on Chest Expansion in Patients With Forward Head Posture
- ClinicalTrials.gov ID
- NCT06303362
- Acronym / sponsor ID
- REC/MS-PT/014258 Sumbal Nawaz
- Conditions
- Forward Head Posture
- Keywords
- forward head posture, chest expansion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Aug 2023 (actual)
- Primary completion
- 30 Jan 2024 (actual)
- Study completion
- 30 Jan 2024 (actual)
- First posted
- 12 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability
Detailed 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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Elastic band excercises | Experimental | Other: Elastic band excerciseElastic band excercises and stretching is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) |
| strengthening with conventional physical therapy | Active comparator | Other: strengthening with conventional physical therapystrengthening with conventional physicaltherapy is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Both genders
- Age group Between 18 to 30 years
- Forward head posture measured through craniovertebral angle less than 50 degrees
- Chest expansion measurement values at axillary level less than 5.1 cm
- MMT of upper limb greater than 4
Key exclusion criteria (4 listed)
- Any cardiopulmonary pathology
- Recent rib fracture
- Participants with other upper limb musculoskeletal pathologies
- Spinal or any associated chest surgery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Elastic band excerciseexperimenatal 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. | Other | Elastic band excercises |
| strengthening with conventional physical therapycontrol 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. | Other | strengthening with conventional physical therapy |
Primary outcome
Cloth tape measurement
Time frame: 4 weeks
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
Neck Disability Index
Time frame: 4 weeks
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
Craniovertebral angle
Time frame: 4 weeks
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
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Mar 2024.
- Background: PubMed 36274469Lin 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.
- Background: PubMed 35264350Balthillaya 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Asmar Fatima, MS OMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Elastic band excercise and strengthening with conventional physical therapy in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cloth tape measurement (time frame: 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06303362, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2024.