Forward Head Posture, Thoracic Hypomobility, Upper Back Pain
Conditions
Brief summary
The purpose of this study is to determine the supplemental effects of ELDOA in addition to thoracic manipulation on upper back pain, thoracic kyphosis and forward head posture in thoracic hypomobility.
Interventions
PROCEDUREThoracic Manipulation
Thoracic manipulation will be administered at hypomobile or stiff segments.
PROCEDUREChin tuck in exercises
Chin tuck in exercises
PROCEDUREThoracic Extension Exercise
Thoracic Extension Exercise
PROCEDUREScapular Retraction Exercises
Scapular Retraction Exercises
DEVICEHot Pack
Hot Pack
DEVICETENS
Trans Cutaneous Electric Nerve Stimulation (TENS)
PROCEDUREELDOA
ELDOA exercises
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
The investigator will be blind
Intervention model description
The study will consist of two groups.
Eligibility
Sex/Gender
ALL
Age
19 Years to 44 Years
Healthy volunteers
No
Inclusion criteria
* Both male and females * Adults (19-44 years) * Upper back pain or discomfort * Forward head posture * Thoracic hypomobility * Thoracic hyperkyphosis
Exclusion criteria
* Ankylosing spondylitis * History of Spinal Fusion or spinal surgery (discectomy/laminectomy etc.) * Degenerative disc disorders, Facet joint syndrome * Cervical radiculopathy, Scoliosis * Spinal Stenosis or Myelopathy * Recent fracture or surgery * TB of spine, Spondylolisthesis * Not able to attend regular therapy appointments * Fibromyalgia/myofascial pain syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Upper Back Pain or Discomfort | 3 weeks | Upper Back Pain or Discomfort will be quantified using Visual Analogue Scale. A higher score signifies greater pain or discomfort on a 0-100mm line. |
| Thoracic Kyphosis | 3 weeks | Thoracic Kyphosis will be quantified using an inclinometer. A higher score signifies increased Kyphosis. |
| Thoracic Range of Motion (ROM) | 3 weeks | Thoracic Range of Motion (ROM) will be quantified using an inclinometer. A higher score signifies greater mobility of thoracic spine. |
| Forward Head Posture | 3 weeks | Forward Head Posture will be quantified via Craniovertebral Angle (CVA). A smaller CVA indicates increased forward head posture. |
| Functional ability | 3 weeks | Functional ability will be quantified using Spine Functional Index (SFA). A smaller SFA score indicates greater functional ability. |
Countries
Pakistan
Outcome results
None listed