HyperkyphosisNCT07426588
Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis
A study testing Thoracic Extension Exercises, Global Postural corrective Exercises and Standard Physical Therapy in people with Hyperkyphosis, run by Riphah International University at 1 site in Pakistan.
Trial summary
The study was conducted to compare the effective of thoracic extension exercises and global postural corrective exercises on pain, range of motion and posture among hyperkyphotic individuals. Read more about this study
- Who is it for?
- Ages 22 to 45 years
- Conditions the study is for
- Hyperkyphosis
- What is being tested?
- Thoracic Extension Exercises, Global Postural corrective Exercises and Standard Physical Therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- 13 Jan 2025to 31 Oct 2025
- 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 22 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age group between 18 and 48 years
- Both gender male and female
- Cobb angle ≥42°to<60 degree
- NPRS > 3
- Mild to moderate scoring according to KSAQ
Who cannot join
- Congenital spinal deformity
- Spinal, rib and clavicle fracture
- Discogenic Disease
- Autoimmune Disorder
- History of spinal surgery
- Structural Deformity
- Systemic disease or inflammatory condition of spine
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Effects of Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis
The study was conducted to compare the effective of thoracic extension exercises and global postural corrective exercises on pain, range of motion and posture among hyperkyphotic individuals.
- Conditions
- Hyperkyphosis
- Being tested
- Thoracic Extension Exercises, Global Postural corrective Exercises, Standard Physical Therapy
- Keywords
- Cobb angle, Exercise therapy, hyperkyphosis, inclinometer, pain, posture, young adults
- Medical subject headings
- Kyphosis, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Thoracic Extension ExercisesOther
The TEE comprised of three exercise programs as follows:
TEE Ⅰ: The therapist had located the restricted thoracic spinal segment on a foam roller, and the patient lied on it with their knees flexed. Both hands was crossed on the chest, and the buttocks be lifted slightly from the floor. The foam roller was rolled slowly up and down the thoracic spinal segment.
TEE Ⅱ: Patient was be sitting with the knees flexed; a Swiss ball was placed in front. The ball was pushed forward to a distance with both hands on it.
TEE Ⅲ: In the prone position, patient had performed the lifting up and putting down of the upper body and repeat it with the support of both elbows.
Each exercise was performed with two sets of 15 reps, 10 sec per rep.
Global Postural corrective ExercisesOther
Exercise Volume Chin tuck exercise Active from 15 to 30 s holds / from 10 to 15 repetitions L to Y exercises Active from 15 to 30 s holds / from 6 to 12 repetitions Pectoralis muscle stretching exercise Active from 15 to 30 s holds / from 6 to 12 repetitions Spinal mobilization Active from 15 to 30 s holds / from 6 to 12 repetitions Quadruped arm and lower extremity lift Active from 15 to 30 s holds / from 6 to 12 repetitions Side-bridge exercise Active from 15 to 30 s holds / from 6 to 12 Repetitions Unilateral bridge exercise Active from 15 to 30 s holds / from 6 to 12 repetitions
Standard Physical TherapyOther
Hot pack for 10 min.
- TENS for 10min.
- Myofascial release MFR.
| Study group | Role | What they receive |
|---|---|---|
| Thoracic Extension Exercises | Experimental | Not described Receives: Other: Thoracic Extension Exercises; Other: Standard Physical Therapy |
| Global Corrective Exercises | Experimental | Not described Receives: Other: Global Postural corrective Exercises; Other: Standard Physical Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Inclinometer
An inclinometer was used to measure the range of motion at the spine. Instead of using a goniometer, we used this gadget on the spine.
Measured: From enrollment to the end of treatment at 6 weeks
Numeric Pain Rating Scale (NPRS)
The NPRS used to gauge the patient's degree of pain. On a 0-10 scale, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain, and 7-10 represents severe pain, this tool is frequently used to gauge intensity of pain. Patients rate how much pain they are currently experiencing as well as how much pain they have experienced in the past 24 hours.
Measured: From enrollment to the end of treatment at 6 weeks
Kyphosis Specific Spinal Appearance Questionnaire (K-SAQ)
A modified SAQ was used to create the K-SAQ, which measures characteristics of appearance unique to kyphosis. Excellent test-retest reliability (ICC = 0.84) and internal consistency (Cronbach's α = 0.91) were demonstrated by the K-SAQ total averages.
Measured: From enrollment till the end of treatment at 6 weeks
Cobb meter
Excellent correlation was found between the CobbMeter application and the usual approach using the protractor, as evidenced by the intraclass correlation coefficient of 0.963 for all measures.
Measured: From enrollment till the end of treatment at 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2026
- Study start13 Jan 2025
- Primary completion31 May 2025
- Study completion31 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for HyperkyphosisStudies 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Saba Rafiq, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07426588
- Sponsor's protocol ID
- REC/RCR & AHS/24/01107
- Status last verified
- Feb 2026
- First submitted
- 17 Feb 2026
- Last updated
- 23 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Abd-Eltawab AE, Ameer MA. The efficacy of Theraband versus general active exercise in improving postural kyphosis. J Bodyw Mov Ther. 2021 Jan;25:108-112. doi: 10.1016/j.jbmt.2020.10.021. Epub 2020 Oct 26.
PubMed 33714480Mendes Fernandes T, Mendez-Sanchez R, Puente-Gonzalez AS, Martin-Vallejo FJ, Falla D, Vila-Cha C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. Eur J Phys Rehabil Med. 2023 Feb;59(1):42-53. doi: 10.23736/S1973-9087.22.07554-2. Epub 2023 Jan 4.
PubMed 36598342Kang NY, Im SC, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turk J Phys Med Rehabil. 2021 Sep 1;67(3):291-299. doi: 10.5606/tftrd.2021.6397. eCollection 2021 Sep.
PubMed 34870115Park 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 32887287
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Thoracic Extension and Global Postural Corrective Exercises on Individuals With Hyper Kyphosis
- ClinicalTrials.gov ID
- NCT07426588
- Acronym / sponsor ID
- REC/RCR & AHS/24/01107
- Conditions
- Hyperkyphosis
- Keywords
- Cobb angle, Exercise therapy, hyperkyphosis, inclinometer, pain, posture, young adults
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 13 Jan 2025 (actual)
- Primary completion
- 31 May 2025 (actual)
- Study completion
- 31 Oct 2025 (actual)
- First posted
- 23 Feb 2026 (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.
The study was conducted to compare the effective of thoracic extension exercises and global postural corrective exercises on pain, range of motion and posture among hyperkyphotic individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Thoracic Extension Exercises | Experimental | Other: Thoracic Extension Exercises, Other: Standard Physical Therapy |
| Global Corrective Exercises | Experimental | Other: Global Postural corrective Exercises, Other: Standard Physical Therapy |
Who may qualify
- Ages
- 22 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Age group between 18 and 48 years
Key exclusion criteria (7 listed)
- Congenital spinal deformity
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 |
|---|---|---|
| Thoracic Extension ExercisesThe TEE comprised of three exercise programs as follows: TEE Ⅰ: The therapist had located the restricted thoracic spinal segment on a foam roller, and the patient lied on it with their knees flexed. Both hands was crossed on the chest, and the buttocks be lifted slightly from the floor. The foam roller was rolled slowly up and down the thoracic spinal segment. TEE Ⅱ: Patient was be sitting with the knees flexed; a Swiss ball was placed in front. The ball was pushed forward to a distance with both hands on it. TEE Ⅲ: In the prone position, patient had performed the lifting up and putting down of the upper body and repeat it with the support of both elbows. Each exercise was performed with two sets of 15 reps, 10 sec per rep. | Other | Thoracic Extension Exercises |
| Global Postural corrective ExercisesExercise Volume Chin tuck exercise Active from 15 to 30 s holds / from 10 to 15 repetitions L to Y exercises Active from 15 to 30 s holds / from 6 to 12 repetitions Pectoralis muscle stretching exercise Active from 15 to 30 s holds / from 6 to 12 repetitions Spinal mobilization Active from 15 to 30 s holds / from 6 to 12 repetitions Quadruped arm and lower extremity lift Active from 15 to 30 s holds / from 6 to 12 repetitions Side-bridge exercise Active from 15 to 30 s holds / from 6 to 12 Repetitions Unilateral bridge exercise Active from 15 to 30 s holds / from 6 to 12 repetitions | Other | Global Corrective Exercises |
| Standard Physical TherapyHot pack for 10 min. * TENS for 10min. * Myofascial release MFR. | Other | Global Corrective Exercises, Thoracic Extension Exercises |
Primary outcome
Inclinometer
Time frame: From enrollment to the end of treatment at 6 weeks
An inclinometer was used to measure the range of motion at the spine. Instead of using a goniometer, we used this gadget on the spine.
Numeric Pain Rating Scale (NPRS)
Time frame: From enrollment to the end of treatment at 6 weeks
The NPRS used to gauge the patient's degree of pain. On a 0-10 scale, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain, and 7-10 represents severe pain, this tool is frequently used to gauge intensity of pain. Patients rate how much pain they are currently experiencing as well as how much pain they have experienced in the past 24 hours.
Kyphosis Specific Spinal Appearance Questionnaire (K-SAQ)
Time frame: From enrollment till the end of treatment at 6 weeks
A modified SAQ was used to create the K-SAQ, which measures characteristics of appearance unique to kyphosis. Excellent test-retest reliability (ICC = 0.84) and internal consistency (Cronbach's α = 0.91) were demonstrated by the K-SAQ total averages.
Cobb meter
Time frame: From enrollment till the end of treatment at 6 weeks
Excellent correlation was found between the CobbMeter application and the usual approach using the protractor, as evidenced by the intraclass correlation coefficient of 0.963 for all measures.
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 23 Feb 2026.
- Background: PubMed 33714480Abd-Eltawab AE, Ameer MA. The efficacy of Theraband versus general active exercise in improving postural kyphosis. J Bodyw Mov Ther. 2021 Jan;25:108-112. doi: 10.1016/j.jbmt.2020.10.021. Epub 2020 Oct 26.
- Background: PubMed 36598342Mendes Fernandes T, Mendez-Sanchez R, Puente-Gonzalez AS, Martin-Vallejo FJ, Falla D, Vila-Cha C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. Eur J Phys Rehabil Med. 2023 Feb;59(1):42-53. doi: 10.23736/S1973-9087.22.07554-2. Epub 2023 Jan 4.
- Background: PubMed 34870115Kang NY, Im SC, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turk J Phys Med Rehabil. 2021 Sep 1;67(3):291-299. doi: 10.5606/tftrd.2021.6397. eCollection 2021 Sep.
- 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.
- 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.
Saba Rafiq 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 Thoracic Extension Exercises, Global Postural corrective Exercises and Standard Physical Therapy in people with Hyperkyphosis, 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 7 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 23 Feb 2026. 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?
Inclinometer (time frame: From enrollment to the end of treatment at 6 weeks). 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 NCT07426588, which also lists 4 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 23 Feb 2026.