Sterno Sympheseal Syndrome
Conditions
Keywords
Corrective exercises, McKenzie exercises, Thoracic kyphosis, Range of Motion, Functional Disability
Brief summary
A Randomized Clinical Trial will be conducted at Horizon Hospital Physiotherapy Department and Riphah Clinic Lahore through consecutive sampling technique on 36 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency. Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises. Outcome measure will be conducted through pain and functional disability Index through questionnaire and craniovertebral angle through PhysioMaster/APECS, Thoracic kyphosis through Inclinometer and Range of motion via goniometer.
Detailed description
Sternosymphyseal syndrome is a postural syndrome involves excessive lumbar and thoracic kyphosis, a forward drawn head, and hyper-lordosis of the cervicocranial junction. This posture is associated with increased muscular tension and faulty respiration habits. When the slumped posture is assumed for sustained periods of time, increased load is placed on the intervertebral disc. With the sternum approximating the pubic symphysis, diaphragmatic inhibition results in over-activation of scalene and upper trapezius musculature during respiration. This muscle tension is reversible by merely having the patient sit up straight. (Brugger's relief position). A Randomized Clinical Trial will be conducted at Horizon Hospital Physiotherapy Department and Riphah Clinic Lahore through consecutive sampling technique on 36 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency. Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises. Outcome measure will be conducted through pain and functional disability Index through questionnaire and craniovertebral angle through PhysioMaster/APECS, Thoracic kyphosis through Inclinometer and Range of motion via goniometer.
Interventions
OTHERcomprehensive correcting exercise program
Group A will be treated with comprehensive correcting exercise program (three times a week for 6 weeks) into 3 phases with different intensity and frequency
OTHERMcKenzie's method of exercises
Group B will receive the McKenzie's method of exercises that include Deep neck flexor (chin tucks), Shoulders shrug McKenzie exercise for neck, Repeated shoulder flexion/Extension, Neck flexion McKenzie exercises
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
COMPARATIVE EFFECTS OF COMPREHENSIVE CORRECTING EXERCISE PROGRAM AND MCKENZIE EXERCISES PROTOCOL ON PAIN, CRANIOVERTEBRAL ANGLE, THORACIC KYPHOSIS ANGLE, RANGE OF MOTION AND FUNCTIONAL DISABILITY IN PATIENTS WITH STERNOSYMPHYSEAL SYNDROME
Eligibility
Sex/Gender
ALL
Age
18 Years to 28 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18-28 * Both gender male and female * Participants who have any distance from xiphoid process to pubic symphysis less than 18cm (11 inches) * Participants with forward head (≥ 44°), round shoulder (≥ 49°) or excessive thoracic kyphosis (≥ 42°) will be measured by photography and flexicurve. Patient agree to sign written consent
Exclusion criteria
* Subjects younger than 18 years of age, cardiac, respiratory, kidney, circulatory problems, systemic disease, diabetes * Any trauma or localized infection in neck region * Pregnancy or suspicion of pregnancy for female subjects. * A history of fractures, treatment or surgery to the lumbar, thoracic, cervical spine and upper limbs * Thoracic outlet syndrome. * Any shoulder pathology causing limitation of movement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inclinometer | 6 WEEK | The thoracic kyphosis will be measured by using an inclinometer. The feet of inclinometer will be placed on the spinal vertebrae which will be palpated first |
| Numeric pain rate scale (NPRS) | 6th week | Patient level of pain will be assessed using this 11-point NPRS scale (0-no pain, 10-most intense pain) is the most commonly used version which has good test-retest reliability (r=. 79-. 96) This scale ranges from 0 to 10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index | 6 WEEK | This questionnaire will be used to assess disability. It comprises of 10 items; 7 related to daily living activities, 2 related to pain and 1 related to concentration. Each item is scored from 0 to 5. Total score is expressed as a percentage, with higher scores related to greater disability (24). The 10 items, with 6 possible answers in each are scored 0 (no activity limitations) to 5 (major activity limitations) and summed up to yield a total score. |
Countries
Pakistan
Outcome results
None listed