Effect of Thoracic SNAGS on Vitals Among Individuals With Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 28
- 试验地点
- 2
- 主要终点
- Aneroid sphygmomanometer
研究概览
简要总结
To determine how vitals (heart rate, blood pressure, respiratory rate, oxygen saturation) and craniovertebral angle will be affected by thoracic SNAGs in individuals with forward head posture.
详细描述
Forward head posture (FHP) leads to abnormal activation of neck muscles. This leads to respiratory complications and changes in blood pressure. Due to regional interdependence Upper thoracic spine can restrict the movement of cervical spine Thoracic spine is is closely related to Sympathetic nervous system. T1-T5 spinal sympathetic neurons provide sympathetic innervation to the vessels that supply to the heart tissues and upper portion of the body. Thus, thoracic mobilization can regulate main body vitals as well as other visceral activities that maintain homeostasis
There is a manual therapy technique called sustained natural apophyseal glides (SNAGs) in which patient performs active movements along with the passive movements performed by the physiotherapist. It not only has biomechanical efficacy which includes pain reduction and improvement in ROM, but it also has neurophysiologic effects. Previous studies lack to provide how thoracic SNAGs can affect vitals. Thus, this study aims to determine the effect of thoracic SNAGs on vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation . Furthermore, this research will add to growing body of knowledge that how thoracic SNAGs can influence the correction of forward head posture
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both males and females
- •Age 30-50yrs.
- •Craniovertebral angle <50°
- •Mild to moderate neck pain ranging between 3-6 on NPRS scale.
- •Individuals with normal vitals:
- •Heart rate (60-100 beats per minute)
- •Respiratory rate (12-20 breaths per minute)
- •Systolic BP (100- 139mmHg)(30).
- •Diastolic BP (70-89 mmHg) (30).
- •Oxygen saturation ≥96%
排除标准
- •History of cervical/thoracic spine surgery
- •Cardiopulmonary disorder or Hypertension ≥140/90mmHg (30).
- •Vertebral instability
- •Any infection or tumor
结局指标
主要结局
Aneroid sphygmomanometer
时间窗: 4 weeks
Aneroid sphygmomanometer has more sensitivity and specificity (86.7% and 98.7%) than a digital device (80% and 67.7%) in the measurement of blood pressure, so it is considered to be more precise than a digital one
Pulse oximeter
时间窗: 4 weeks
Hypoxemia can be ruled out by pulse oximeter. It has high reliability and validity for heart rate calculation with ICC\> 0.93 in healthy individuals.
Respiratory rate
时间窗: 4 weeks
Respiratory rate or the number of breaths per minute is defined as one breath to each movement of air in and out of the lungs. In general, the respiratory rate for an adult sits between 12 and 20 breaths per min. 60second count is more accurate than short duration i.e 15 and 30 second
次要结局
- Inclinometer(4 weeks)
- NPRS (Numeric Pain Rating Scale)(4 weeks)
- Photogrammetric method for craniovertebral angle(4 weeks)