Effects of Thoracic Extension Versus Thoracic Stabilization Exercises in Patients With Maigne's Thoracic Pain
Condition: Thoracic
MeSH terms: Aortic Dissection; Chest Pain
Study type: Interventional

Summary: 
      The aim of this study is to compare the effects of thoracic extension versus thoracic
      stabilization exercises on pain, stiffness, range of motion, disability and posture in
      patients with Maigne's thoracic pain.This study will be a randomized clinical trial and 32
      patients fulfilling the inclusion criteria will be included in the study. they will be
      allocated into 2 groups using non- probability purposive sampling technique. Group A will
      receive conventional treatment, myofascial release, thoracic spine mobilization with Thoracic
      Extension exercise program, while Group B will receive conventional treatment, myofascial
      release, thoracic spine mobilization with Thoracic Stabilization exercise program. Outcome
      measure: Numeric Pain Rating Scale, Goniometer, Thoracic Stiffness Index, Revised Oswestry
      Thoracic Pain Disability Questionnaire, standing thoracic X-ray and Flexi curve ruler, will
      measure pain, thoracic flexion and extension, Cobb's angle, kyphosis index, thoracic
      stiffness index and disability. Both groups will receive a total of 45 minutes session,
      thrice a week for 3 weeks. Measurements will be taken at the baseline, at the end of 3rd week
      and for long-term effects at the end of 6th week. Data will be analyzed by SPSS version 21.
    

Detailed description: 
      Maigne's thoracic pain is a condition in which pain originates from the thoracic spine, but
      according to Maigne, in most cases, its origin lies in the lower three cervical segments. It
      is common among both men and women, but it is most common among women. Common symptoms of
      Maigne's thoracic pain are tenderness and stiffness of thoracic muscles, especially
      interscapular muscles. The most important and chief complaint reported by patients of this
      condition is unilateral and severe pain which increases with static sitting and with carrying
      or lifting heavyweight. Physical examination of tenderness on the interscapular region at the
      level of T5-T6, 1-2 cm lateral to the midline. Pressure reproduces the patient's pain.
      Several clinical trials have established therapeutic guidelines and protocols for the
      rehabilitation of hyperkyphosis. These trials have typically focused on the use of spinal
      bracing, therapeutic taping, manual therapy, and therapeutic exercise for postural training.
      Studies have been conducted on the effectiveness of combination therapy of thoracic extension
      exercises with other therapeutic exercises. Similarly, many studies have been conducted on
      thoracic stabilization exercises for posture correction. It is quite difficult to judge which
      exercise is more effective than the other. Moreover, typically for the management of Maigne's
      Thoracic pain, the efficacy of therapeutic treatment is quite underexplored. The rationale of
      this study is that it will provide evidence that may improve treatment strategies for the
      management of Maigne's Thoracic pain, majorly focusing on the muscular component of the
      thoracic region.
    

Intervention name(s): Conventional physical therapy treatment along with thoracic extension exercises; Conventional physical therapy treatment along with thoracic stabilization exercises
Intervention type(s): Other; Other
Intervention description(s): Thoracic Extension Exercises (2 sets of 10 reps each/day). This exercise program will target thoracic spine extension and trunk muscle flexibility. A specialized program of thoracic extension in sitting, in prone lying, in quadruped position, on foam roller, wall angle stretch, corner stretch + hot pack (10 min) + Trapezius and Levator Scapulae stretching + Myofascial Release + Thoracic spinal mobilization (3 sets of 3 reps each/day). A total of 45 minutes session three times a week on alternate days for 3 weeks.
Assessment will be done at baseline, on the end of 3rd week and for long term effects at the end of 6th week.; Thoracic Stabilization Exercises (2 sets of 10 reps each/day). This exercise program will target thoracic musculature, static and dynamic thoracic posture. A specialized program of Draw- in and chin tucks in crook lying, prone, sitting and standing, prone chin- tuck elevation exercises with arm at sides, arms behind head or overhead (4) + hot pack (10 min) + Trapezius and Levator Scapulae stretching + Myofascial Release + Thoracic spinal mobilization (3 sets of 3 reps each/day). A total of 45 minutes session three times a week on alternate days for 3 weeks. Assessment will be done at baseline, on the end of 3rd week and for long term effects at the end of 6th week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Magnie's thoracic pain; Hyperkyphosis; Thoracic stabilization; Extension exercises