Clinical trial NCT06750367: Effects of Klapp Method Exercises in Breast Feeding Females With Kyphotic Posture
Official title: Effects of Klapp Method Exercises on Pain, Posture Correction and Self-efficacy in Breast Feeding Females With Kyphotic Posture
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Postural; Defect
Breast Feeding
Keywords: exercises
pain
posture
female
self-efficacy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-12-27
Enrollment: 32
Sex: FEMALE
Minimum age (years): 22
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Group A will be given Klapp method exercises to the participant for a period of 1 month twice in a week for 50min. Group B will be given printed information on an at-home exercise program, such, posture correction,corrective exercises and breathing exercises. They will be asked to perform the exercises twice weekly during the study and follow-up period. All these sessions will be of 50 minute for 2 session per week for 4 weeks

Detailed description: The Klapp exercises program, is an active therapeutic exercise that aims to stretch, mobilize, and strengthen the spine, offering both pain reduction and postural improvement. This method is widely applied, for the correction of vertebral deformities such as kyphosis, lordosis and scoliosis, to the treatment of thoracic cage abnormalities and thoracic cage shape changes after thoracoplasty, as well as in the treatment of spinal muscle interference from polio and spinal osteochondrosis.

The aim of this study to investigate the effects of klapp method exercises on pain, posture correction and self-efficacy in breast feeding females with kyphotic posture.

This will be a randomized Controlled trial conducted on (32) participants. Data will be collected from Civil hospital and Al-siddique hospital, Sialkot by using non-probability convenience sampling technique. Breast feeding females between the age of 22 to 30 with kyphotic posture. Participants who had a history orthopedic disorder, orthopedic surgery, history of recent fracture, non-lactating females will be excluded from this study. A sample of (32) will be divided in to two groups with (16) participants in each group. Group A will be given Klapp method exercises to the participant for a period of 1 month twice in a week for 50min. Group B will be given printed information on an at-home exercise program, such, posture correction, corrective exercises and breathing exercises. They will be asked to perform the exercises twice weekly during the study and follow-up period. All these sessions will be of 50 minute for 2 session per week for 4 weeks. Pre and post assessment of pain, pain will be assessed by visual analogue scale, posture will be evaluated by inclinometer, self-efficacy breast feeding will be assessed self-efficacy breastfeeding scale (BSES-SF). Data will be analyzed by using SPSS version 26.0

Eligibility criteria: Inclusion Criteria:

* Primiparous females
* Female who had C-Section
* Lactating females (females who have had feed their babies for last 6 months)
* Pain in neck (pain score 4-6 in visual analogue scale)
* Female with kyphotic angle greater than 45 degrees (assess by inclinometer)

Exclusion Criteria:

* history of orthopedic surgery (spinal fusion)
* orthopedic disorder (disk degeneration, osteoporosis)
* history of vertebral fracture
* Female who had given vaginal birth
* Breast feeding issues (lactation failure, nipple failure)

Primary outcomes:
measure: Visual Analogue Scale
timeFrame: 4th week
measure: inclinometer
timeFrame: 4th week
measure: Self-efficacy breast feeding scale (BSES-S F questionnaire)
timeFrame: 4th week
Secondary outcomes:
Other outcomes:
Locations:
city: Sialkot
country: Pakistan
facility: Civil hospital and Al-siddique hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: hina gul, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Zanguie H, Yousefi M, Ilbiegi S, Pezeshk AF. Validity and Reliability of Non Invasive Methods for Evaluating Kyphosis and Lordosis Curvatures: A Literature Review. Journal of Modern Rehabilitation. 2023
citation: Shafshak TS, Elnemr R. The Visual Analogue Scale Versus Numerical Rating Scale in Measuring Pain Severity and Predicting Disability in Low Back Pain. J Clin Rheumatol. 2021 Oct 1;27(7):282-285. doi: 10.1097/RHU.0000000000001320.
citation: Sebaaly A, Silvestre C, Rizkallah M, Grobost P, Chevillotte T, Kharrat K, Roussouly P. Revisiting thoracic kyphosis: a normative description of the thoracic sagittal curve in an asymptomatic population. Eur Spine J. 2021 May;30(5):1184-1189. doi: 10.1007/s00586-020-06670-7. Epub 2020 Nov 22.
citation: Urrutia J, Besa P, Narvaez F, Meissner-Haecker A, Rios C, Piza C. Mid and lower thoracic kyphosis changes during adulthood: the influence of age, sex and thoracic coronal curvature. Arch Orthop Trauma Surg. 2022 Aug;142(8):1731-1737. doi: 10.1007/s00402-021-03798-z. Epub 2021 Feb 5.