Thoracic KyphosisNCT06482203
Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis
A study testing Trunk Extensor Endurance training & Scapular mobilization in people with Thoracic Kyphosis, run by Riphah International University at 1 site in Pakistan.
Trial summary
To compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis. To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor… Read more about this study
- Who is it for?
- Ages 20 to 40 years
- Conditions the study is for
- Thoracic Kyphosis
- What is being tested?
- Trunk Extensor Endurance training & Scapular mobilization
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 25 Jun 2024to 7 Dec 2024
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 20 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Both gender (Male and female)
- Age 20-40
- Postural kyphosis
- Kyphotic angle exceeds 40°
- Thoracic pain>3
Who cannot join
- Thoracic, Scapular and clavicle abnormalities
- Vertebral fractures, history of trauma or spinal surgery
- History of prolonged use steroid (more than 6 months),rheumatologic conditions
- Cardiac, autoimmune diseases
- Structural kyphosis(X-ray findings)
- Scoliosis(x-ray findings)
- Cancer, neurological disorders, metastasis, or inflammatory
- Osteoporosis, Pregnancy or any genetic conditions affecting their bones, muscles or cartilage.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Lady Reading Hospital(LRH)
Peshawar, Khyber Pakhutunkhuwa, 25000
Abid ullah, MS-OMPT, 03002561075, dr.abidullahpt@yahoo.com
Uzma Akbar, MS-OMPT
About this study
Official title: Comparison of Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis.
To compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis.
To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor endurance training and scapular mobilization on shoulder ROM in patient with thoracic kyphosis
- Conditions
- Thoracic Kyphosis
- Being tested
- Trunk Extensor Endurance training & Scapular mobilization
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Trunk Extensor Endurance training & Scapular mobilizationOther
Trunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra
(The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts)
Scapular Mobilization:
Intervention program includes, supero-inferior, medio-lateral along with circumduction movements).
3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance
| Study group | Role | What they receive |
|---|---|---|
| Group 1(Trunk Extensor Endurance Training) | Experimental | Trunk Extensor Endurance Training Level 1: Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Superman pose Level 5:Superman or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Receives: Other: Trunk Extensor Endurance training & Scapular mobilization |
| Group 2(Scapular Mobilization) | Experimental | Patient side lying. This intervention program includes, supero-inferior, medio-lateral along with circumduction movements.
Procedure:
Patients were side lying with their arms in 90°flexion during scapula mobilization.
The physiotherapist completed 3 sets of 10-15 repetitions of each of the supero-inferior, medio-lateral, and circumduction movements while holding the scapula from the medial border. Between each session, there was a 10 or 30-second break. The length of rests was adjusted depending on the patient's endurance and comfort. Receives: Other: Trunk Extensor Endurance training & Scapular mobilization |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric pain rating scale
Thoracic pain will be measure through Numeric pain rating scale, 0 no pain 10 maximum pain
Measured: 4 weeks
kyphotic angle
Inclinometer will be used to measure the angle
Measured: 4 weeks
Shoulder ROM
Goniometer is used to measure the Shoulder all range of motion (ROM)
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 posted1 Jul 2024
- Study start25 Jun 2024
- Primary completion7 Dec 2024 (estimated)
- Study completion7 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (16)Papers the sponsor has linked to this study.
- Other trials for Thoracic KyphosisStudies of the same condition, open and under way.
- 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
- None (open label)
- Enrolment
- 28 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Shamaila Yaqub, masters, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06482203
- Sponsor's protocol ID
- REC/MS-PT/01678
- Status last verified
- Oct 2024
- First submitted
- 25 Jun 2024
- Last updated
- 26 Oct 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial. Clin Rehabil. 2018 Jan;32(1):48-56. doi: 10.1177/0269215517714591. Epub 2017 Jun 14.
PubMed 28610442Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg. 2014;24(4):455-65. doi: 10.5137/1019-5149.JTN.8940-13.0.
PubMed 25050667Graham P. Scheuermann's Kyphosis. Orthop Nurs. 2023 Jan-Feb 01;42(1):53-55. doi: 10.1097/NOR.0000000000000914. No abstract available.
PubMed 36702097Etemadifar MR, Mahdinezhad Yazdi M. Evaluation of changes in kyphosis angle, apex and quality of life of patients with Scheuermann kyphosis using Kyphologic brace. Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022.
PubMed 35891934Sato T, Koizumi M, Kim JH, Kim JH, Wang BJ, Murakami G, Cho BH. Fetal development of deep back muscles in the human thoracic region with a focus on transversospinalis muscles and the medial branch of the spinal nerve posterior ramus. J Anat. 2011 Dec;219(6):756-65. doi: 10.1111/j.1469-7580.2011.01430.x. Epub 2011 Sep 29.
PubMed 21954879Yoo 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 29581661Park SY, Yoo WG. Effect of sustained typing work on changes in scapular position, pressure pain sensitivity and upper trapezius activity. J Occup Health. 2013;55(3):167-72. doi: 10.1539/joh.12-0254-oa. Epub 2013 Apr 13.
PubMed 23585498Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.
PubMed 32887287Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010 Mar 1;11:39. doi: 10.1186/1471-2474-11-39.
PubMed 20193055Sibson BE, Tobolsky VA, Kistner TM, Holowka NB, Jemutai J, Sigei TK, Ojiambo R, Okutoyi P, Lieberman DE. Trunk muscle endurance, strength and flexibility in rural subsistence farmers and urban industrialized adults in western Kenya. Am J Hum Biol. 2022 Feb;34(2):e23611. doi: 10.1002/ajhb.23611. Epub 2021 May 14.
PubMed 33988283Ogaya S, Suzuki M, Yoshioka C, Nakamura Y, Kita S, Watanabe K. The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomech. 2024 Aug;23(8):997-1008. doi: 10.1080/14763141.2021.1906938. Epub 2021 Apr 28.
PubMed 33906577Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316.
PubMed 31475938Zappala M, Lightbourne S, Heneghan NR. The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults. J Orthop Surg Res. 2021 Jul 9;16(1):447. doi: 10.1186/s13018-021-02592-2.
PubMed 34243795Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):920-6. doi: 10.1016/j.jse.2008.12.015. Epub 2009 Mar 17.
PubMed 19297202Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH. Endurance training of trunk extensor muscles. Phys Ther. 1993 Jan;73(1):10-7.
PubMed 8417455
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis.
- ClinicalTrials.gov ID
- NCT06482203
- Acronym / sponsor ID
- REC/MS-PT/01678
- Conditions
- Thoracic Kyphosis
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 28 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 25 Jun 2024 (actual)
- Primary completion
- 7 Dec 2024 (estimated)
- Study completion
- 7 Dec 2024 (estimated)
- First posted
- 1 Jul 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 compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis.
To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor endurance training and scapular mobilization on shoulder ROM in patient with thoracic kyphosis
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1(Trunk Extensor Endurance Training) | Experimental | Other: Trunk Extensor Endurance training & Scapular mobilizationTrunk Extensor Endurance Training Level 1: Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Superman pose Level 5:Superman or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) |
| Group 2(Scapular Mobilization) | Experimental | Other: Trunk Extensor Endurance training & Scapular mobilizationPatient side lying. This intervention program includes, supero-inferior, medio-lateral along with circumduction movements. Procedure: Patients were side lying with their arms in 90°flexion during scapula mobilization. The physiotherapist completed 3 sets of 10-15 repetitions of each of the supero-inferior, medio-lateral, and circumduction movements while holding the scapula from the medial border. Between each session, there was a 10 or 30-second break. The length of rests was adjusted depending on the patient's endurance and comfort. |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Both gender (Male and female)
- Age 20-40
- Postural kyphosis
- Kyphotic angle exceeds 40°
- Thoracic pain>3
Key exclusion criteria (8 listed)
- Thoracic, Scapular and clavicle abnormalities
- Vertebral fractures, history of trauma or spinal surgery
- History of prolonged use steroid (more than 6 months),rheumatologic conditions
- Cardiac, autoimmune diseases
- Structural kyphosis(X-ray findings)
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 |
|---|---|---|
| Trunk Extensor Endurance training & Scapular mobilizationTrunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Scapular Mobilization: Intervention program includes, supero-inferior, medio-lateral along with circumduction movements). 3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance | Other | Group 1(Trunk Extensor Endurance Training), Group 2(Scapular Mobilization) |
Primary outcome
Numeric pain rating scale
Time frame: 4 weeks
Thoracic pain will be measure through Numeric pain rating scale, 0 no pain 10 maximum pain
kyphotic angle
Time frame: 4 weeks
Inclinometer will be used to measure the angle
Shoulder ROM
Time frame: 4 weeks
Goniometer is used to measure the Shoulder all range of motion (ROM)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2024.
- Background: PubMed 28610442Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial. Clin Rehabil. 2018 Jan;32(1):48-56. doi: 10.1177/0269215517714591. Epub 2017 Jun 14.
- Background: PubMed 25050667Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg. 2014;24(4):455-65. doi: 10.5137/1019-5149.JTN.8940-13.0.
- Background: PubMed 36702097Graham P. Scheuermann's Kyphosis. Orthop Nurs. 2023 Jan-Feb 01;42(1):53-55. doi: 10.1097/NOR.0000000000000914. No abstract available.
- Background: PubMed 35891934Etemadifar MR, Mahdinezhad Yazdi M. Evaluation of changes in kyphosis angle, apex and quality of life of patients with Scheuermann kyphosis using Kyphologic brace. Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022.
- Background: PubMed 21954879Sato T, Koizumi M, Kim JH, Kim JH, Wang BJ, Murakami G, Cho BH. Fetal development of deep back muscles in the human thoracic region with a focus on transversospinalis muscles and the medial branch of the spinal nerve posterior ramus. J Anat. 2011 Dec;219(6):756-65. doi: 10.1111/j.1469-7580.2011.01430.x. Epub 2011 Sep 29.
- Background: PubMed 29581661Yoo 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.
- Background: PubMed 23585498Park SY, Yoo WG. Effect of sustained typing work on changes in scapular position, pressure pain sensitivity and upper trapezius activity. J Occup Health. 2013;55(3):167-72. doi: 10.1539/joh.12-0254-oa. Epub 2013 Apr 13.
- Background: PubMed 32887287Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.
- Background: PubMed 20193055Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010 Mar 1;11:39. doi: 10.1186/1471-2474-11-39.
- Background: PubMed 33988283Sibson BE, Tobolsky VA, Kistner TM, Holowka NB, Jemutai J, Sigei TK, Ojiambo R, Okutoyi P, Lieberman DE. Trunk muscle endurance, strength and flexibility in rural subsistence farmers and urban industrialized adults in western Kenya. Am J Hum Biol. 2022 Feb;34(2):e23611. doi: 10.1002/ajhb.23611. Epub 2021 May 14.
- Background: PubMed 33906577Ogaya S, Suzuki M, Yoshioka C, Nakamura Y, Kita S, Watanabe K. The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomech. 2024 Aug;23(8):997-1008. doi: 10.1080/14763141.2021.1906938. Epub 2021 Apr 28.
- Background: PubMed 31475938Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316.
- 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.
Shamaila Yaqub, masters 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 Trunk Extensor Endurance training & Scapular mobilization in people with Thoracic Kyphosis, 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 8 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: looking for participants now, as of the sponsor's last update on 26 Oct 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Iqbal Tariq, masters (03458236752, iqbal.tariq@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric pain rating scale (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 NCT06482203, which also lists 16 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 26 Oct 2024.