Asthma (Diagnosis) With Forward Head PostureNCT07573904
Comparative Effects of Posture Correction Exercises and Papworth Technique in Asthmatic Forward Head Posture
A study testing papworth teachnique and posture correction exercises in people with Asthma (Diagnosis) With Forward Head Posture, run by Riphah International University at 1 site in Pakistan.
Trial summary
This study aims to evaluating and contrasting the effects of posture correction and papworth technique on dyspnea, chest expansion and quality of life in asthmatic patients with forward head. Read more about this study
- Who is it for?
- Ages 35 to 50 years
- Conditions the study is for
- Asthma (Diagnosis) With Forward Head Posture
- What is being tested?
- papworth teachnique and posture correction exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Aug 2025to 17 Dec 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 35 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male and female patients 35 to 50 years
- No history of recent thoracic or cervical spine surgery
- Patients diagnosed with mild to moderate asthma
- Stable asthma condition at the time of recruitment.
- Non smokers
- Experiencing mild to moderate dyspnea during daily activities presence of forward head posture
- FEV/FVC ratio < 0.75 with FEV between 60 to 80 percent of predicted values indicating mild to moderate asthma.
Who cannot join
- Patients with inflammatory lesion in cervical region.
- Patients with neurological impairments and cognitive impairments will be excluded.
- Patients with tendinopathy
- History of cervical trauma, cervical spine surgery and vertebral fracture.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Effects of Posture Correction Exercises and Papworth Technique on Dyspnea, Chest Expansion, and Quality of Life in Asthmatic Patients With Forward Head Posture.
This study aims to evaluating and contrasting the effects of posture correction and papworth technique on dyspnea, chest expansion and quality of life in asthmatic patients with forward head.
Read the detailed description
Asthma is a chronic inflammatory airway disease characterized by airway hyperresponsiveness, reversible air flow obstruction , and bronchial inflammation, resulting in episodic symptoms such as dyspnea, wheezing, chest tightness and cough. In addition to airway pathology, respiratory mechanics and postural deviations can significantly influence disease severity and functional capacity. Forward head posture is a common postural dysfunction that alters cervical- thoracic alignment, increase upper chest dominance during breathing, reduces rib cage mobility and compromises diaphragmatic efficiency. Correction of forward head posture is expected to improve thoracic expansion, optimize musculoskeletal alignment, and facilitate more efficient breathing mechanics, thereby reducing the work of breathing and improving ventilatory efficiency in asthmatic individuals. The papworth breathing technique is a structured respiratory retraining approach that emphasizes diaphragmatic breathing, nasal breathing, and relaxation strategies to reduce dysfunctional breathing patterns and hyperventilation. it has been shown to improve ventilatory control and may enhance expiratory efficiency, potenitally improving physiological parameters such as positive end expiratory pressure. This study will compare the effects of these two interventions on pulmonary function, asthma control , and postural alignment in asthmatic patients with forward head posture , aiming to determine their relative efficacy in improving respiratory mechanics and functional outcomes.
- Being tested
- papworth teachnique, posture correction exercises
- Keywords
- Asthma, Breathing exercises, Dyspnea, Posture rehabilitation
- Medical subject headings
- Asthma, Disease, Dyspnea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
papworth teachniqueOther
papworth three sessions per week approximately 30 minutes diaphragmatic breathing 10 minutes per session sow breathing practice 1-2 minutes breath control and breath holding muscle relaxation techniques
posture correction exercisesOther
posture correction exercises three sessions per week 30-40 minutes Mckenzie exercises three sets of ten repetitions scapular retraction exercises three sets of ten repetitions thoracic extension exercises pectoral muscle stetching 20-30 seconds upper trapezius and Levator scapulae stretching three times per sessions
| Study group | Role | What they receive |
|---|---|---|
| Posture correction | Experimental | posture correction exercises Receives: Other: posture correction exercises |
| Papwoth technique | Experimental | papworth technique Receives: Other: papworth teachnique |
What is being measured
The primary outcome is the main question the study is designed to answer.
Universal goniometer
Forward head posture was assessed using a universal goniometer by measuring the craniovertebral angle .The CVA is defined as the angle formed between a horizontal line passing through the spinous process of the seventh cervical vertebra(c7) and a line connecting to the tragus of the ear. A smaller CVA reflects increased anterior head displacement and reduced cervical lordosis. A CVA of >50 considered normal , values between 40 to 49 considered mild forward head posture while a CVA <40 represents moderate to severe forward head posture.
Measured: 1st day
Secondary outcomes (2)
Borg dyspnea scale
The borg dyspnea scale is a subjective tool for assessing the intensity of breathessness in patients, often used in fields like pulmonology, cardiology and sport medicine. it ranges from 0 to 10. 0 very slight and 10 very severe.this scale helps clinicians mointor a patients respiratory symptoms during activities like exercises or rehabilitation and adjust treatment plans accordingly.
Measured: 1st day
Asthma control questionnaire
The asthma control questionnaire is a widely used tool for assessing asthma control in patients. It measures various aspects of asthma, including symptoms, frequency of rescue inhaler use, and lung function over the past week. the ACQ includes questions rated on a 7 point scale, with higher scores indicating proorer asthma control. this questionnaire helps clinicians guage treatment effectiveness, track symptom progression and adjust care strategies to improve patient quality of life.
Measured: 1st day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 May 2026
- Study start15 Aug 2025
- Primary completion17 Dec 2025
- Study completion17 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Asthma (Diagnosis) With 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Qurat ul Ain, MS, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07573904
- Sponsor's protocol ID
- S24C14G36028 nosheen
- Status last verified
- May 2026
- First submitted
- 16 Mar 2026
- Last updated
- 7 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Tian QS, Zhou XH kim T-HJAS the effects of combined cervical and scapular stabilization exercises on muscle tone, pain and cervical range of motion in cervical extension type A controlled experimental study 2025
Oakley PA, Moustafa IM, Haas JW, Betz JW, Harrison DE. Two Methods of Forward Head Posture Assessment: Radiography vs. Posture and Their Clinical Comparison. J Clin Med. 2024 Apr 8;13(7):2149. doi: 10.3390/jcm13072149.
PubMed 38610914Maddah T, Daneshmandi H, Alizade MH, Rahmati MB. The investigation of relationship between allergic rhinitis with forward head posture and anxiety in children. BMC Pediatr. 2025 Feb 26;25(1):143. doi: 10.1186/s12887-025-05473-3.
PubMed 40012039Dongare S, Rathi K, Rathi GJPM,Journal P. Inhaled coticosteroids its evolution and step wise phramacological treatment strategies for all levels of asthma 2024
Plichta J, Kuna P, Panek M. Biologic drugs in the treatment of chronic inflammatory pulmonary diseases: recent developments and future perspectives. Front Immunol. 2023 Jun 2;14:1207641. doi: 10.3389/fimmu.2023.1207641. eCollection 2023.
PubMed 37334374Padem N, Saltoun C. Classification of asthma. Allergy Asthma Proc. 2019 Nov 1;40(6):385-388. doi: 10.2500/aap.2019.40.4253.
PubMed 31690376
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Posture Correction Exercises and Papworth Technique on Dyspnea, Chest Expansion, and Quality of Life in Asthmatic Patients With Forward Head Posture.
- ClinicalTrials.gov ID
- NCT07573904
- Acronym / sponsor ID
- S24C14G36028 nosheen
- Keywords
- Asthma, Breathing exercises, Dyspnea, Posture rehabilitation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 15 Aug 2025 (actual)
- Primary completion
- 17 Dec 2025 (actual)
- Study completion
- 17 Dec 2025 (actual)
- First posted
- 7 May 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.
This study aims to evaluating and contrasting the effects of posture correction and papworth technique on dyspnea, chest expansion and quality of life in asthmatic patients with forward head.
Detailed description
Asthma is a chronic inflammatory airway disease characterized by airway hyperresponsiveness, reversible air flow obstruction , and bronchial inflammation, resulting in episodic symptoms such as dyspnea, wheezing, chest tightness and cough. In addition to airway pathology, respiratory mechanics and postural deviations can significantly influence disease severity and functional capacity. Forward head posture is a common postural dysfunction that alters cervical- thoracic alignment, increase upper chest dominance during breathing, reduces rib cage mobility and compromises diaphragmatic efficiency. Correction of forward head posture is expected to improve thoracic expansion, optimize musculoskeletal alignment, and facilitate more efficient breathing mechanics, thereby reducing the work of breathing and improving ventilatory efficiency in asthmatic individuals. The papworth breathing technique is a structured respiratory retraining approach that emphasizes diaphragmatic breathing, nasal breathing, and relaxation strategies to reduce dysfunctional breathing patterns and hyperventilation. it has been shown to improve ventilatory control and may enhance expiratory efficiency, potenitally improving physiological parameters such as positive end expiratory pressure. This study will compare the effects of these two interventions on pulmonary function, asthma control , and postural alignment in asthmatic patients with forward head posture , aiming to determine their relative efficacy in improving respiratory mechanics and functional outcomes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Posture correction | Experimental | Other: posture correction exercisesposture correction exercises |
| Papwoth technique | Experimental | Other: papworth teachniquepapworth technique |
Who may qualify
- Ages
- 35 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Male and female patients 35 to 50 years
- No history of recent thoracic or cervical spine surgery
- Patients diagnosed with mild to moderate asthma
- Stable asthma condition at the time of recruitment.
- Non smokers
Key exclusion criteria (4 listed)
- Patients with inflammatory lesion in cervical region.
- Patients with neurological impairments and cognitive impairments will be excluded.
- Patients with tendinopathy
- History of cervical trauma, cervical spine surgery and vertebral fracture.
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 |
|---|---|---|
| papworth teachniquepapworth three sessions per week approximately 30 minutes diaphragmatic breathing 10 minutes per session sow breathing practice 1-2 minutes breath control and breath holding muscle relaxation techniques | Other | Papwoth technique |
| posture correction exercisesposture correction exercises three sessions per week 30-40 minutes Mckenzie exercises three sets of ten repetitions scapular retraction exercises three sets of ten repetitions thoracic extension exercises pectoral muscle stetching 20-30 seconds upper trapezius and Levator scapulae stretching three times per sessions | Other | Posture correction |
Primary outcome
Universal goniometer
Time frame: 1st day
Forward head posture was assessed using a universal goniometer by measuring the craniovertebral angle .The CVA is defined as the angle formed between a horizontal line passing through the spinous process of the seventh cervical vertebra(c7) and a line connecting to the tragus of the ear. A smaller CVA reflects increased anterior head displacement and reduced cervical lordosis. A CVA of >50 considered normal , values between 40 to 49 considered mild forward head posture while a CVA <40 represents moderate to severe forward head posture.
2 secondary outcomes
Borg dyspnea scale
Time frame: 1st day
Asthma control questionnaire
Time frame: 1st day
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 7 May 2026.
- BackgroundTian QS, Zhou XH kim T-HJAS the effects of combined cervical and scapular stabilization exercises on muscle tone, pain and cervical range of motion in cervical extension type A controlled experimental study 2025
- Background: PubMed 38610914Oakley PA, Moustafa IM, Haas JW, Betz JW, Harrison DE. Two Methods of Forward Head Posture Assessment: Radiography vs. Posture and Their Clinical Comparison. J Clin Med. 2024 Apr 8;13(7):2149. doi: 10.3390/jcm13072149.
- Background: PubMed 40012039Maddah T, Daneshmandi H, Alizade MH, Rahmati MB. The investigation of relationship between allergic rhinitis with forward head posture and anxiety in children. BMC Pediatr. 2025 Feb 26;25(1):143. doi: 10.1186/s12887-025-05473-3.
- BackgroundDongare S, Rathi K, Rathi GJPM,Journal P. Inhaled coticosteroids its evolution and step wise phramacological treatment strategies for all levels of asthma 2024
- Background: PubMed 37334374Plichta J, Kuna P, Panek M. Biologic drugs in the treatment of chronic inflammatory pulmonary diseases: recent developments and future perspectives. Front Immunol. 2023 Jun 2;14:1207641. doi: 10.3389/fimmu.2023.1207641. eCollection 2023.
- Background: PubMed 31690376Padem N, Saltoun C. Classification of asthma. Allergy Asthma Proc. 2019 Nov 1;40(6):385-388. doi: 10.2500/aap.2019.40.4253.
- Individual participant dataSharing planned: No
Related trials for Asthma (Diagnosis) With Forward Head Posture
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.
Qurat ul Ain, MS 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 papworth teachnique and posture correction exercises in people with Asthma (Diagnosis) 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 7 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 7 May 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?
Universal goniometer (time frame: 1st day). 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 NCT07573904, which also lists 6 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 7 May 2026.