Effects of Self-mobilization Techniques in Chronic Thoracic Pain

Study Overview
=================
Brief Summary
-----------------
A Randomized clinical trial will be conducted at Actilife physiotherapy Rehabilitation center, Horizon Hospital Lahore through a convenient sampling technique on patients who will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with the self-mobilization technique of thoracic spine and Group B will be treated with thoracic stretching exercises at a frequency of 2 sets with 6 repetitions and thrice a week. Outcome measures will be NPRS, Goniometer, and Oswestry disability index for thoracic spine after 6 weeks. Data will be analyzed during SPSS software version 21.

Detailed Description
-----------------
Chronic thoracic pain is pain that originates from the cervicothoracic junction and extends to the lower thoracic vertebrae. It is caused by strain in the thoracic spine area, sustained postures of the neck and thoracic region, sitting on the computer for a long time in slouched position, or overuse of the thoracic spine. This study aims to see the effects of the self-mobilization technique of the thoracic spine on pain, range of motion, and function in patients with chronic thoracic spine pain. A Randomized clinical trial will be conducted at Actilife physiotherapy Rehabilitation center, Horizon Hospital Lahore through a convenient sampling technique on patients who will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with the self-mobilization technique of thoracic spine and Group B will be treated with thoracic stretching exercises at a frequency of 2 sets with 6 repetitions and thrice a week. Outcome measures will be NPRS, Goniometer, and Oswestry disability index for thoracic spine after 6 weeks. Data will be analyzed during SPSS software version 21. 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.

Official Title
-----------------
Effects of Self-mobilization Techniques on Pain, Range of Motion and Function in Patients With Chronic Pain

Conditions
-----------------
Thoracic

Intervention / Treatment
-----------------
* Other: self-mobilization technique along with conventional therapy
* Other: conventional therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: chronic thoracic pain minimum 3 months Exclusion Criteria: Soft tissues disease Bony disease Surgical history of thoracic spine Fracture history of thoracic spine Tumor Psychological disorders Traumatic injury

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 45 Years

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

Accepts Healthy Volunteers
-----------------
No

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

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>self-mobilization technique | Other: self-mobilization technique along with conventional therapy<br>* Group A will be treated with self-mobilization technique of thoracic spine with the frequency of 2 sets of 10 repetitions thrice per week for a total of six weeks and conventional treatment. Self-mobilization technique will be comprised of self-mobilization technique using tennis balls and foam roller. The participant will be supine with knees in 90-degree flexion. Mobilization Technique 1: Cross your arms over your chest so that you are in slight flexion and then slowly begin to move your shoulders and head closer to the floor placing the mid back into extension over the balls joined to make mobilization device. Hold this position for 3 seconds and then return to the flexed position. Mobilization Technique 2: Lying lengthwise on the foam roller, clasp your hands together in front of you, above your chest with arms straight. Slowly move your arms above your head until you feel a good stretch. This exercise should be pain free. Hold stretch for 30- 60 seconds.<br>|
| Other: Group B<br>: conventional treatment | Other: conventional therapy<br>* Group B will be treated with the conventional treatment (heating pad, ultrasound, thoracic strengthening exercises<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NPRS | 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 | 6th Week | 
| Universal Goniometer (UG) | It will measure range of motion of thoracic spine. | 6th Week | 
| Oswestry disability index | It is a self-reported measurement tool that measures both pain and functional status and is used for evaluating disability caused by thoracic pain. | 6th Week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
manual therapy, pain, Range of motion