The effect of exercise for reducing forward shoulder posture on chest expansion, respiratory muscle strength and pulmonary function in COPD pateints
- Conditions
- Patient with Chronic Obstructive Pulmonary DiseaseCOPD in Banna hospital and Nakhonnayok hospital in ThailandCOPD,Forward shoulder posture,Rounded shoulder,Exercise
- Registration Number
- TCTR20180912001
- Lead Sponsor
- Faculty of Physical Therapy, Rangsit University
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Male
- Target Recruitment
- 30
1.Male
2.Stable mild to severe COPD
3.Stable hemodynamic
4.Rounded shoulder posture
5.Receive the same conventional physical therapy treatment
1.BMI > 30 km/m2
2.Received long-term oxygen therapy or on mechanical ventilator within 4 weeks before starting experiment
3.Acute exacerbation within 3 months before starting the experiment
4.Medical diagnosis of heart failure, unstable angina, recent myocardial in fraction, and aortic aneurysm
5.Uncontrolled hypertension
6.Scoliosis
7.Unstable to follow the command
8.Chronic neck and/or shoulder pain over 6 months or VAS > 4
9.Fracture at clavicle, scapular, humerus, sternum or spine
10.Severe musculoskeletal problems that cannot participant exercise program i.e. Tendinitis, Osteoartitis, Bursitis, HNP (protrusion)
11.Thoracic outlet syndrome, recently complaint of numbness or tingling in the upper extremity
12.Severe neurological problems i.e. Head injury, Spinal injury, Peripheral nerve disorder, Dementia
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Forward shoulder posture pre-training, post-training 4 weeks, post-training 8 weeks Measure distance between wall and posterior aspect of scapular by vernier caliper,Pectoral minor index pre-training, post-training 4 weeks, post-training 8 weeks Measure length of pectoral muscle by vernier caliper
- Secondary Outcome Measures
Name Time Method Respiratory muscle strength pre-training, post-training 4 weeks, post-training 8 weeks Measure maximal inspiratory and expiratory pressure by medical RPM