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The effect of exercise for reducing forward shoulder posture on chest expansion, respiratory muscle strength and pulmonary function in COPD pateints

Not Applicable
Completed
Conditions
Patient with Chronic Obstructive Pulmonary Disease
COPD in Banna hospital and Nakhonnayok hospital in Thailand
COPD&#44
Forward shoulder posture&#44
Rounded shoulder&#44
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
Inclusion Criteria

1.Male
2.Stable mild to severe COPD
3.Stable hemodynamic
4.Rounded shoulder posture
5.Receive the same conventional physical therapy treatment

Exclusion Criteria

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
NameTimeMethod
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
NameTimeMethod
Respiratory muscle strength pre-training, post-training 4 weeks, post-training 8 weeks Measure maximal inspiratory and expiratory pressure by medical RPM
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