Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome

Not Applicable

Completed

Brief Summary: Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Detailed Description: Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers. It is basically the approximation between the sternum and pubic symphysis. This syndrome has been given several names including posterior cervical-dorsal syndrome and more commonly Computer back or Student syndrome. This posture is associated with increased muscular tension and faulty respiration habit. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome.

A Randomized Clinical Trial will be conducted at Umar Hospital Lahore through convenience sampling technique on patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted through pain, Craniovertebral angle and neck range of motion at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software 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.

Recruitment & Eligibility

Inclusion Criteria

• Age Group between 18-35 years old

Gender: Male and Female both included (23).
Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
Subjects sitting more than 4 hours a day (12).
Subjects with upper back pain with < 7 score on Numeric Pain rating scale

Exclusion Criteria

• Subjects with Untreated fractures on cervical and upper thorax spine.

Arm && Interventions

Group	Intervention	Description
Brugger's exercise	Brugger's exercise.	Participants in this group will receive Brugger's exercise.
Brugger's exercise with Kendall exercise.	Kendall Exercise.	Participants in this group will receive Brugger's exercise with Kendall Exercise.
Brugger's exercise with Kendall exercise.	Brugger's exercise.	Participants in this group will receive Brugger's exercise with Kendall Exercise.

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale	6th week.	Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain". Reliability is 0.76-0.96 .
Image J Software	6th week.	Image J is an image Processing tool that processes photographs taken for the observation of Posture. Image J, a versatile software, has many capabilities and functions. This software is very simple and easily available. By Using JAVA, it is built on open architecture platform. Validity is 0.96 (31)
Universal Goniometer (UG)	6th week	3. Universal Goniometer (UG) It is commonly a large universal goniometer having 12-inch arms and full-circle plastic body used for measuring AROM. It is used to measure joint ROM in clinics. Reliability is 0.9. It will measure range of motion of neck. It will measure Craniovertebral angle.
Measuring tape for Sterno-symphyseal syndrome.	6th week.	To measure distance between xiphoid process and pubic symphysis.

Secondary Outcome Measures

Name	Time	Method