Supplemental Effects of ELDOA in Addition to Thoracic Manipulation on Upper Back Pain, Thoracic Kyphosis and Forward Head Posture in Thoracic Hypomobility

Not Applicable

• Conditions: Forward Head Posture; Thoracic Hypomobility; Upper Back Pain
• Interventions: Procedure: Thoracic Manipulation; Procedure: Chin tuck in exercises; Procedure: Thoracic Extension Exercise; Procedure: Scapular Retraction Exercises; Device: Hot Pack; Device: TENS; Procedure: ELDOA

• Registration Number: NCT06455423
• Lead Sponsor: Foundation University Islamabad

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-06
• Study First Submitted: 2024-06-07
• Study First Submitted QC: 2024-06-07
• Last Update Submitted: 2024-06-07
• Study First Posted: 2024-06-12
• Last Update Posted: 2024-06-12
• Study Start: 2024-06-15
• Primary Completion: 2024-12-30
• Study Completion: 2024-12-30

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 40

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MAN group	Scapular Retraction Exercises	the standard MAN group will only receive thoracic manipulation and physical therapy
ELDOA-MAN group	Chin tuck in exercises	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
ELDOA-MAN group	TENS	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
ELDOA-MAN group	ELDOA	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
MAN group	Thoracic Manipulation	the standard MAN group will only receive thoracic manipulation and physical therapy
MAN group	Thoracic Extension Exercise	the standard MAN group will only receive thoracic manipulation and physical therapy
MAN group	Hot Pack	the standard MAN group will only receive thoracic manipulation and physical therapy
MAN group	TENS	the standard MAN group will only receive thoracic manipulation and physical therapy
ELDOA-MAN group	Hot Pack	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
MAN group	Chin tuck in exercises	the standard MAN group will only receive thoracic manipulation and physical therapy
ELDOA-MAN group	Thoracic Manipulation	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
ELDOA-MAN group	Thoracic Extension Exercise	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.
ELDOA-MAN group	Scapular Retraction Exercises	The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy.

Primary Outcome Measures

Name	Time	Method
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.
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.
Functional ability	3 weeks	Functional ability will be quantified using Spine Functional Index (SFA). A smaller SFA score indicates greater functional ability.
Forward Head Posture	3 weeks	Forward Head Posture will be quantified via Craniovertebral Angle (CVA). A smaller CVA indicates increased forward head posture.

Trial Locations

Locations (1)

Foundation University Islamabad; 🇵🇰 Islamabad, Federal, Pakistan