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Upper Crossed SyndromeNCT06407700

Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome

A study testing Brugger's exercise. and Kendall Exercise. in people with Upper Crossed Syndrome, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range… Read more about this study

Who is it for?
Ages 18 to 35 years
Conditions the study is for
Upper Crossed Syndrome
What is being tested?
Brugger's exercise. and Kendall Exercise.
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 sitePakistan
Study dates
2 May 2024to 4 Aug 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 35 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Gender: Male and Female both included (23).
  • Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
  • Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
  • Subjects sitting more than 4 hours a day (12).
  • Subjects with upper back pain with < 7 score on Numeric Pain rating scale
  • Exclusion Criteria: • Subjects with Untreated fractures on cervical and upper thorax spine.
Show all 10Show fewer
  • Neoplasm on spine.
  • Cervical disc prolapses.
  • Subject with psychological disorder.
  • Vertebro basilar insufficiency and Migraine are excluded (12).

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Umar Trust Hospital

    Lahore, Punjab Province, 54000

Other trials in Pakistan

About this study

Official title: Comparative Effects of Brugger's Exercise With and Without Kendall Exercises on Pain, Craniovertebral Angle and Range of Motion in Patients With Sterno-Symphyseal Syndrome

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Read the detailed description

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers. It is basically the approximation between the sternum and pubic symphysis. This syndrome has been given several names including posterior cervical-dorsal syndrome and more commonly Computer back or Student syndrome. This posture is associated with increased muscular tension and faulty respiration habit. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome.

A Randomized Clinical Trial will be conducted at Umar Hospital Lahore through convenience sampling technique on patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted through pain, Craniovertebral angle and neck range of motion at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Being tested
Brugger's exercise., Kendall Exercise.
Keywords
Craniovertebral Anglle., Exercise, Pain, Posture, Sterno-symphyseal Syndrome
Medical subject headings
Oculocerebral hypopigmentation syndrome type Preus, Motor Activity, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Brugger's exercise.Procedure or surgery

    Participant was in a high sitting position. An elastic resistance band was be wrapped on each hand of the participant leaving the palm open and instructed to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant were instructed to perform scapular retraction with chin tucked in ,shoulder external rotation, elbow extension, shoulder abduction, and extension. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds, 4 sets 12 times repetitions.

  • Kendall Exercise.Procedure or surgery

    Kendall exercises with the frequency 5 sets of consisting of 12 repetitions of postures, each taking 30 seconds,3 times a week for total of 6 weeks.

Study groups in NCT06407700
Study groupRoleWhat they receive
Brugger's exercise with Kendall exercise.ExperimentalParticipants in this group will receive Brugger's exercise with Kendall Exercise.
Receives: Procedure: Brugger's exercise.; Procedure: Kendall Exercise.
Brugger's exerciseActive comparatorParticipants in this group will receive Brugger's exercise.
Receives: Procedure: Brugger's exercise.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric pain rating scale

    Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". Reliability is 0.76-0.96 .

    Measured: 6th week.

  2. Measuring tape for Sterno-symphyseal syndrome.

    To measure distance between xiphoid process and pubic symphysis.

    Measured: 6th week.

  3. Universal Goniometer (UG)

    1. Universal Goniometer (UG) It is commonly a large universal goniometer having 12-inch arms and full-circle plastic body used for measuring AROM. It is used to measure joint ROM in clinics. Reliability is 0.9.

    It will measure range of motion of neck. It will measure Craniovertebral angle.

    Measured: 6th week

  4. Image J Software

    Image J is an image Processing tool that processes photographs taken for the observation of Posture. Image J, a versatile software, has many capabilities and functions. This software is very simple and easily available. By Using JAVA, it is built on open architecture platform. Validity is 0.96 (31)

    Measured: 6th week.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2024
  2. Study start2 May 2024
  3. Primary completion1 Jul 2024
  4. Study completion4 Aug 2024

Resources

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
Model description
Participants are assigned to one of the treatment arms at the beginning of the trial and continue in that arm throughout the length of the trial.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06407700
Sponsor's protocol ID
REC/RCR & AHS/23/0185
Status last verified
Dec 2024
First submitted
6 May 2024
Last updated
27 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean J Fam Med. 2020 Nov;41(6):365-373. doi: 10.4082/kjfm.20.0165. Epub 2020 Nov 19.

    PubMed 33242381
  • Damen I, Brombacher H, Lallemand C, Brankaert R, Brombacher A, van Wesemael P, Vos S. A Scoping Review of Digital Tools to Reduce Sedentary Behavior or Increase Physical Activity in Knowledge Workers. Int J Environ Res Public Health. 2020 Jan 13;17(2):499. doi: 10.3390/ijerph17020499.

    PubMed 31941096
  • Romero-Blanco C, Rodriguez-Almagro J, Onieva-Zafra MD, Parra-Fernandez ML, Prado-Laguna MDC, Hernandez-Martinez A. Physical Activity and Sedentary Lifestyle in University Students: Changes during Confinement Due to the COVID-19 Pandemic. Int J Environ Res Public Health. 2020 Sep 9;17(18):6567. doi: 10.3390/ijerph17186567.

    PubMed 32916972
  • Moreira S, Criado MB, Santos PC, Ferreira MS, Goncalves C, Machado J. Occupational Health: Physical Activity, Musculoskeletal Symptoms and Quality of Life in Computer Workers: A Narrative Review. Healthcare (Basel). 2022 Dec 5;10(12):2457. doi: 10.3390/healthcare10122457.

    PubMed 36553981
  • Lee S, DE Barros FC, DE Castro CSM, DE Oliveira Sato T. Effect of an ergonomic intervention involving workstation adjustments on musculoskeletal pain in office workers-a randomized controlled clinical trial. Ind Health. 2021 Mar 24;59(2):78-85. doi: 10.2486/indhealth.2020-0188. Epub 2020 Nov 28.

    PubMed 33250456
  • He M, Wang X, Zhao Y. A calibrated deep learning ensemble for abnormality detection in musculoskeletal radiographs. Sci Rep. 2021 Apr 27;11(1):9097. doi: 10.1038/s41598-021-88578-w.

    PubMed 33907257
  • Waongenngarm P, van der Beek AJ, Akkarakittichoke N, Janwantanakul P. Perceived musculoskeletal discomfort and its association with postural shifts during 4-h prolonged sitting in office workers. Appl Ergon. 2020 Nov;89:103225. doi: 10.1016/j.apergo.2020.103225. Epub 2020 Aug 2.

    PubMed 32755740
  • Gallego-Izquierdo T, Arroba-Diaz E, Garcia-Ascoz G, Val-Cano MDA, Pecos-Martin D, Cano-de-la-Cuerda R. Psychometric Proprieties of a Mobile Application to Measure the Craniovertebral Angle a Validation and Reliability Study. Int J Environ Res Public Health. 2020 Sep 8;17(18):6521. doi: 10.3390/ijerph17186521.

    PubMed 32911612
  • Jung KS, Jung JH, In TS, Cho HY. Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain. Medicina (Kaunas). 2020 Dec 23;57(1):3. doi: 10.3390/medicina57010003.

    PubMed 33374520
  • Yoo WG. Effects of thoracic posture correction exercises on scapular position. J Phys Ther Sci. 2018 Mar;30(3):411-412. doi: 10.1589/jpts.30.411. Epub 2018 Mar 2.

    PubMed 29581661
  • Celik S, Celik K, Dirimese E, Tasdemir N, Arik T, Buyukkara I. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors. Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111. doi: 10.13075/ijomeh.1896.00901. Epub 2017 Oct 2.

    PubMed 28972599
  • Cote R, Vietas C, Kolakowski M, Lombardo K, Prete J, Dashottar A. Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform. Int J Telerehabil. 2021 Jun 22;13(1):e6346. doi: 10.5195/ijt.2021.6346. eCollection 2021.

    PubMed 34345337
  • Sukari AAA, Singh S, Bohari MH, Idris Z, Ghani ARI, Abdullah JM. Examining the Range of Motion of the Cervical Spine: Utilising Different Bedside Instruments. Malays J Med Sci. 2021 Apr;28(2):100-105. doi: 10.21315/mjms2021.28.2.9. Epub 2021 Apr 21.

    PubMed 33958964
  • Denton F, Power S, Waddell A, Birkett S, Duncan M, Harwood A, McGregor G, Rowley N, Broom D. Is It Really Home-Based? A Commentary on the Necessity for Accurate Definitions across Exercise and Physical Activity Programmes. Int J Environ Res Public Health. 2021 Sep 1;18(17):9244. doi: 10.3390/ijerph18179244.

    PubMed 34501833
  • Yaghoubitajani Z, Gheitasi M, Bayattork M, Andersen LL. Corrective exercises administered online vs at the workplace for pain and function in the office workers with upper crossed syndrome: randomized controlled trial. Int Arch Occup Environ Health. 2022 Oct;95(8):1703-1718. doi: 10.1007/s00420-022-01859-3. Epub 2022 Apr 7.

    PubMed 35391580

Questions about this trial

What is this clinical trial studying?

A study testing Brugger's exercise. and Kendall Exercise. in people with Upper Crossed Syndrome, 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 10 inclusion and 0 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 27 Dec 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?

Numeric pain rating scale (time frame: 6th week.). The study lists 4 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 NCT06407700, which also lists 17 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 27 Dec 2024.

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