Efficacy of a Supervised Intervention Protocol on Rounded Shoulder Posture and Shoulder ROM Among Saudi Young Females

Study Overview
=================
Brief Summary
-----------------
Shortening of pectoralis minor (PMi) muscle affects the scapular excursion that results in limited shoulder flexion range of motion (SFROM). The purpose is to evaluate the effect of Stretching of PM muscle along with the strengthening of lower trapezius (LTR) muscle to increase the length of PM muscle (PML) and limited SFROM in young adult females with rounded shoulder posture.

Detailed Description
-----------------
Shortening of pectoralis minor (PMi) muscle affects the scapular excursion that results in limited shoulder flexion range of motion (SFROM). The purpose is to evaluate the effect of Stretching of PM muscle along with the strengthening of lower trapezius (LTR) muscle to increase the length of PM muscle (PML) and limited SFROM in young adult females with rounded shoulder posture. Randomized sixty female subjects with rounded shoulder posture into two groups: Group A performed active Stretching of PMi along with the strengthening of LTR muscle(n=30); group B performed dynamic Stretching of PMi muscle only. Scores of outcome measures were recorded before and post interventions on day 0, day10th, and day21st, respectively.

Official Title
-----------------
Effectiveness of Strengthening and Stretching Exercise on the Resting Length of Pectoralis Minor Muscle and Shoulder Flexion of Young Females With Rounded Shoulder Posture

Conditions
-----------------
Postural; Defect

Intervention / Treatment
-----------------
* Other: Active Stretching or Self-stretching exercises
* Other: Active strengthening Or Self-Strengthening exercises


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Young Adult Female having a PMLD test score of more than 2.5cm Aged between 20-30 years No history of shoulder trauma or current shoulder pathology, thoracic scoliosis, or kyphosis deformity. Showed self-cooperation for the study Exclusion Criteria: Young Adult Female having a PMLD test score of equal to or less than 2.5cm History of shoulder trauma or current shoulder pathology, thoracic scoliosis, or kyphosis deformity. Showed non-cooperation for the study

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 30 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two-arm parallel groups randomized clinical trial
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Group A performed active Stretching of Pectoralis Minor (PMi) muscle along with the strengthening of Lower Trapezius muscle under the supervision of a physiotherapist | Other: Active Stretching or Self-stretching exercises<br>* Pectoralis minor muscle was actively stretched under the supervision of a physiotherapist as follows: - 2 sets of 3-stretches/session/day, for 5 consecutive days a week, for 3 weeks<br>Other: Active strengthening Or Self-Strengthening exercises<br>* Lower trapezius muscle was strengthened under the supervision of a physiotherapist as follows: -2 sets of 5-rep./session/day, for 5 consecutive days in 1st week, progressed to 10 and 20 reps./session/day for 2 weeks and 3 weeks respectively.<br>|
| Active Comparator: Group B<br>Group B performed active Stretching of the Pectoralis Minor (PMi) muscle only under the supervision of a physiotherapist. | Other: Active Stretching or Self-stretching exercises<br>* Pectoralis minor muscle was actively stretched under the supervision of a physiotherapist as follows: - 2 sets of 3-stretches/session/day, for 5 consecutive days a week, for 3 weeks<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Resting length of Pectoralis Minor (PMi) muscle | It was assessed by Pectoralis Minor Length Distance Test (PMLDT) | 3-weeks | 
| Shoulder Flexion Range of Motion (SFROM) | It was assessed by a Universal Goniometer | 3-weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Round shoulder posture, Active Stretching, Pectoralis Muscles, Strength Training, Trapezius Muscle