Effect of Diaphragmatic Myofascial Release on Pulmonary Function in Kyphotic Adolescents

Study Overview
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Brief Summary
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Adolescents kyphotic girls will participated in this study. they will divided into two groups. Group A: control group will received therapeutic exercise program with pulmonary training by incentive mechanical respiratory training spirometer. Group B: study group will received the same intervention in group A in addition to diaphragmatic myofascial release. They will assessed at the baseline time and after successive two months of interventions for the following outcomes: Cobb angle by x-ray and pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) by computerized spirometer

Detailed Description
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Adolescents kyphotic girls with age ranged from 13-16 years old will participated in this study. they will divided into two groups. Group A: control group will received therapeutic exercise program with pulmonary training by incentive mechanical respiratory training spirometer. Group B: study group will received the same intervention in group A in addition to diaphragmatic myofascial release. both group will received intervention for successive two months. they will assessed at the baseline time and after successive two months of interventions for the following outcomes: Primary outcome: Cobb angle by x-ray Secondary outcome: pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) by computerized spirometer

Official Title
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Effect of Diaphragmatic Myofascial Release on Pulmonary Function in Kyphotic Adolescents: Randomized Control Trail

Conditions
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Adolescent Kyphosis

Intervention / Treatment
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* Other: therapeutic exercise program with pulmonary training
* Other: diaphragmatic myofascial release


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescents girls with thoracic kyphosis with cobb angle ranged from 45 to 55 degree. Age ranged from 13 to 16 years old. selected from preparatory and secondary schools. Exclusion Criteria: free from any associated deformities other than the thoracic kyphotic deformity.

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Control group (A)<br>control group will received therapeutic exercise program with pulmonary training by incentive mechanical respiratory training spirometer (3 sessions/week/two months). | Other: therapeutic exercise program with pulmonary training<br>* therapeutic exercise program with pulmonary training (3 sessions/week/two months).<br>|
| Experimental: study Group (B)<br>study group will received the same intervention in control group in addition to diaphragmatic myofascial release (3 sessions/week/two months). | Other: therapeutic exercise program with pulmonary training<br>* therapeutic exercise program with pulmonary training (3 sessions/week/two months).<br>Other: diaphragmatic myofascial release<br>* therapeutic exercise program with pulmonary training in addition to diaphragmatic myofascial release (3 sessions/week/two months).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cobb angle | Cobb angle by x-ray | Change from Cobb angle at 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) | pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) by computerized spirometer | Change from pulmonary functions (vital capacity, forced vital capacity and maximum ventilatory volume) at 2 months |