Efficacy of postural corrective exercise program with therapeutic ultrasound vs isometric cervical exercises and intermittent cervical traction on pain and function in forward head posture
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- 1.Functional disability scale by NDI( neck disability index)
研究概览
简要总结
**Group A:**This group of subject will receive ultrasound therapy followed by Postural Corrective exercises programme.
Ultrasound therapy parameter1 MHz pulsed ultrasound with 1.0 watts/cm2 intensity was given on the sub-occipital region for 4 minutes
duration.
Postural Corrective Exercises:
Postural corrective exercises consist 2 strengthening and 2 stretching exercises
| Exercises |
Description
|Strengthening Cervical Flexors(Chin Tuck)
The participant is asked to chin tuck in the supine position with the head in contact with the floor, keep the head straight and hold it for 6 seconds and relax, then repeat the exercise. This exercise improves the function of deep flexor muscles of the upper cervical region.
|Strengthening of Shoulder Retractor
This exercise is done in the standing position by using a thera-band pulling the shoulders back. The participant is instructed to retract and pinch scapula together without elevation or extension in the shoulders and hold this position for 6 seconds and then relax.
| Exercises |
Description
|Stretching of pectoral
Asked the subject to stand and hold a theraband behind their back and gently pull their shoulder into extension they will feel a stretch in the chest. hold the position for 15-30 sec. repeat 3 times
|Stretching of Sternocleidomastoid
The subject is in sitting and asked to place left arm behind the body and depress the shoulder, tuck chin and slowly draw her right ear to the right shoulder, also is asked to rotate her neck upward toward the ceiling a slight stretch will be felt on the left side. Hold this position for 30 seconds then relax and repeat it for the opposite side.
Group B: This group of subject will receive Intermittent Cervical Traction followed by Isometric Cervical Exercises
Traction parameters: patient supine, 15â° of cervical flexion, traction force 10% of weight of body of the patient, with a 60s hold time and 20s relaxation, and the relaxation force of 50% of the pull force for a total time of treatment 15 min. The 10% weight administered was the minimum weight; this was increased gradually according to the tolerance of each patient to the extent to which there was a desired pull at the cervical region.
Isometric Cervical Exercise:
| Exercises |
Description
|Neck Isometric strengthening
The exercise is done in a sitting position, shoulders and head will be relax using a chair with arms. Therapist Press their palm against subjects forehead and ask to Resist with his/her neck muscles. Hold for 10 seconds. Relax. Repeat 5 times. Do the exercise on the 4 side of head. Repeat 5 times.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 30.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Neck pain within the last 3 month 2.Patients with rounded shoulder 3.Patients with Craniovertebral Angle less than 49 degree 4.Pain intensity equal to or greater than 2 points in the numerical pain rating scale (NPRS) 5.Cervical radiculopathy 6.Patients willing to participate.
排除标准
- •1.Anxious about being restrained or claustrophobic 2.History of spine surgery 3.Pregnancy 4.Osteoporosis 5.History of fracture in neck or shoulder region 6.Patient with cervical rib , disc pathology 7.Any neurological or vascular diseases 8.Patient unwilling to participate.
结局指标
主要结局
1.Functional disability scale by NDI( neck disability index)
时间窗: 4 weeks
2.Pain scale by NPRS(Numeric Pain Rating Scale)
时间窗: 4 weeks
次要结局
- Functional disability scale by NDI( neck disability index)(2.Pain scale by NPRS(Numeric Pain Rating Scale))
研究者
Nuresan Naznin
Mahatma Gandhi University of medical sciences and technology