Effects of Segmental and Pursed Lip Breathing Exercises on Upper Cross Syndrome

Not Applicable

Completed

• Conditions: UPPER CROSS SYNDROME
• Interventions: Other: Manual PT/Conventional PT Treatment; Other: Manual PT/ Conventional PT Treatment + Segmental and Pursed Lip Breathing Exercise

• Registration Number: NCT06303102
• Lead Sponsor: Riphah International University

Brief Summary

Upper cross syndrome is relative prevalent 67% musculoskeletal disorder among general population due to increased usage of smart gadgets and poor postural habits. Upper cross syndrome is known for initiating malfunction of cervical and upper back muscles also associated with respiration. Individuals with upper cross syndrome may present with relaxed supine positioning, they may having normal respiratory mechanics but might be converted to accessory muscles activated pattern. Neck pain is the most common type of pain in non-traumatic conditions, affecting about 75.7% of people. The aim of this study is to compare the effects of segmental and pursed lip breathing exercises on pain, functional disability and quality of life in population with upper cross syndrome.

Current study will be randomized controlled trial conducted at Ismail Medicare Jhang, 40 patients according to inclusion criteria will be included in the study. They will be allocated into 2 groups by non-probability purposive sampling technique. Group A (control group) will receive conventional physical therapy treatment (hot pack, electrical stimulation, myofascial release, ROM and strengthening exercises) while Group B (experimental group) receive conventional physical therapy treatment with segmental and pursed lip breathing exercises. Outcome measures are Pain Numeric Scale, Quality of life (SF 36) and Functional disability (neck disability index). These tools will measure neck function and neck pain intensity. Treatment time will be 4 weeks, 3 sessions per week, each session will be 45 minutes long, and measurements will be taken after 4 weeks. Data will be analyzed by SPSS version 25. After assessing normality of data by Shapiro - wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups analysis.

Key Words: Breathing Exercises, Cervical Pain, Disability, Upper Cross

Detailed Description

Not available

Study Timeline

• Study Start: 2023-05-23
• Primary Completion: 2024-01-30
• Study Completion: 2024-02-15
• Status Verified: 2024-03
• Study First Submitted: 2024-03-04
• Study First Submitted QC: 2024-03-08
• Last Update Submitted: 2024-03-08
• Study First Posted: 2024-03-12
• Last Update Posted: 2024-03-12

Recruitment & Eligibility

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

Inclusion Criteria

• Both Gender >25-40 years
• Diagnosed with Upper Cross Syndrome, having neck pain intensity more than 5 on numeric pain rating scale and having pain from more than 3 months
• Positive Janda cervical flexion Test

Read More

Exclusion Criteria

• Patient with other musculoskeletal disorder e.g cervicogenic headache excluded
• Neck pain with whiplash or headache disorder were not included
• Patients had any history of previous head and neck surgery excluded
• Any history of Infection in the cervical spine were not included
• Trigger points of trapezius were excluded

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Controlled	Manual PT/Conventional PT Treatment	Group B (Manual PT/Conventional PT Treatment)
Experimental	Manual PT/ Conventional PT Treatment + Segmental and Pursed Lip Breathing Exercise	Experimental Group A (Manual PT/ Conventional PT Treatment + Segmental and Pursed Lip Breathing Exercise)

Primary Outcome Measures

Name	Time	Method
NPRS	4 Weeks	An outcome measure used to gauge adult pain intensity is the Numeric Pain Rating Scale (NPRS). "No pain" is represented by a score of '0' on the11-point numeric scale, while "pain as bad as you can imagine" or "worst pain imaginable" are represented by a score of '10'. An 11-point numerical scale goes from '0', which indicates no discomfort, to 10 symbolizing the most excruciating agony conceivable. Pre-post readings will be taken
Neck Disability Index (NDI)	4 Weeks	The Oswestry Low Back Pain Disability Index was modified to create the Neck Disability Index (NDI). The purpose of this questionnaire is to gather information on how your neck pain has impacted your day-to-day functioning. The NDI is now a commonly used tool to assess neck pain-related self-rated disability. All ten items have a score ranging from 0 to 5. The purpose of this questionnaire is to gather information on how your neck pain has impacted your day-to-day functioning. The NDI is now a commonly used tool to assess neck pain-related self-rated disability. All ten items have a score ranging from 0 to 5. Pre-post readings will be taken.
Quality of Life (SF-36 questionnaire)	4 Weeks	The Short Form Survey (SF-36) is a tool used to measure various aspects of quality of life, such as body pain, physical well-being or functionality. Restrictions on role performance brought on by issues with one's physical, mental, or social well-being as well as one's general sense of health. Pre-post readings will be taken.

Trial Locations

Locations (1)

Ismail Medicare; 🇵🇰 Jhang, Punjab, Pakistan