Influence of the Global Postural Reeducation and the Personality in the Posture

Study Overview
=================
Brief Summary
-----------------
Determine the influence of a treatment with Global Postural Reeducation techniques and the personality traits in the stabilometric parameters

Detailed Description
-----------------
This study is realized with university students. For a first objective of this study, all the participants complete the big five questionnaire to determine their personality traits and then the subjects are analyzed with a stabilometric platform and cervical/lumbar range of motion (ROM) to determine their basal parameters. The personality traits and the basal stabilometric parameters like the postural sway, will be crossed to investigate a possible relation. For a second objective, the randomized study of the effectiveness of the Global Postural Reeducation (GPR) in the stabilometric parameters, the subjects are divided in a experimental group or in a control group. Experimental group is treated in a 45 minutes GPR session, with three postures: the first is for stretch the anterior muscular chain with the patient lying supine on a couch with arms at 45 degrees, hips open, and feet in opposition on top of the couch. This posture is maintained 25-30 minutes. In the second GPR posture, to stretch the posterior muscular chain, the subject is positioned with legs elevated, for 12-15 minutes. Third position is with the participant in upright standing posture 2-5 minutes to integrate the postural corrections. During all the time, the physiotherapist uses manual therapy for stretch the muscles under the official rules of GPR techniques. Group control do not receive any technique. After the time of the intervention or no intervention, a second measure of stabilometric parameters and ROM is taken. After this first day, two days later and seven days later, the measures are repeated to determinate the permanence of the effects of GPR techniques. The improvement will be assessed by calculating indicators of clinical relevance: relative risk (RR), absolute risk reduction (AR). The results will be compared statistically to determine some possible relation. The confidence intervals (CI) will be calculated for the most relevant parameters. The analysis will be made with a statistics program (SPSS 19.0)

Official Title
-----------------
Influence of the Global Postural Reeducation and the Personality Traits in the Range of Motion, in the Stabilometry and in the Postural Sway.

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

Intervention / Treatment
-----------------
* Procedure: Global Postural Reeducation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: College students spend 4 hours or more per day sitting Exclusion Criteria: College students do not spend 4 hours or more per day sitting. Subjects with a traumatic problem, injuries, in the moment of the study, or subject in treatment of this injuries

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

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

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

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Global Postural Reeducation<br>Participants receiving GPR treatment during 45 minutes to stretch muscular chains | Procedure: Global Postural Reeducation<br>* Experimental group is treated in a 45 minutes GPR session, with three postures: the first was for the anterior muscular chain with the patient lying supine on a couch with arms at 45 degrees, hips open, and feet in opposition on top of the table. This posture is maintained 25-30 minutes. The second GPR posture, to stretch the posterior muscle chain, the participant is positioned with legs elevated, for 12-15 minutes. Third position is with the participant standing and 2-5 minutes to integrate the postural corrections. During all the time, the physiotherapist use manual therapy for stretch the muscles under the official rules of GPR techniques. Group control do not receive any technique.<br>* Other names: Stretching;|
| No Intervention: Control<br>Participants not receiving GPR treatment | |

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Centre of pressure displacement in standing position | Displacement antero-posterior and lateral of COP measured with a platform of pressures | Before intervention, 2 minutes after, 2 days after, 7 days after | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Plantar pressures distribution in standing position | Plantar pressures distribution in each foot measured with a platform of pressures | Before intervention, 2 minutes after, 2 days after, 7 days after | 
| Percentage of load distribution in standing position | Load distribution between feet measured with a platform of pressures | Before intervention, 2 minutes after, 2 days after, 7 days after | 
| Lumbar and cervical range of motion | Cervical and lumbar inclinometer for goniometry | Before intervention, 10 minutes after, 2 days after, 7 days after | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Global postural reeducation, Stabilometry, Postural Sway, Range of motion, Personality traits