Clinical trial NCT06656143: Diaphragmatic Myofascial Release Techinque on Chest Expansion and Heart Rate in Patients Having Thoracic Kyphosis
Official title: Effects of Diaphragmatic Myofascial Release on Chest Expansion and Heart Rate in Patients With Thoracic Kyphosis
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Thoracic Kyphosis
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-10-24
Enrollment: 44
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The air of this RCT is to evaluate the effects Diaphragmatic Myofascial Release technique on chest expansion and heart rate in patients with thoracic kyphosis

Detailed description: This study focus on diaphragmatic release technique along with conventional therapy is more effective in improving chest expansion and with im-proved chest expansion, heart rate and blood pressure is also improved because tho-racic kyphosis impacts the way of heart and lung function creating stress response and increasing heart rate and blood pressure. Lung capacity is also reduced in indi-viduals with thoracic kyphosis. Postural alterations of thoracic spine result in im-paired chest expansion and length tension curve of diaphragm.

Eligibility criteria: Inclusion Criteria:

* Both male and females
* age 18-40 years
* patients who consented to the purposes of this study and participated voluntarily.
* patients with thoracic kyphosis ≥40

Exclusion Criteria:

* Participant failing to fall in this category would be excluded of the study.
* Vertebrobasilar insufficiency, rib fracture, rib dislocation and/or signs of serious pathology (e.g., malignancy, inflammatory disorder, infection);
* History of cervical spine surgery in previous 12 months
* Signs of cervical radiculopathy or myelopathy; and vascular syndromes such as basilar insufficiency.
* Patients with diagnosed any respiratory condition.
* Patient diagnosed with hypertension or taking any medication

Primary outcomes:
measure: Chest Expansion
timeFrame: 3rd week
measure: Heart Rate
timeFrame: 3rd week
Secondary outcomes:
measure: Thoracic Kyphosis
timeFrame: 3rd week
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Riphah International University
state: Federal Capital
Study officials:
affiliation: Riphah International University
name: Shamaila Yaqub, MS OMPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Singla D, Veqar Z. Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature. J Chiropr Med. 2017 Sep;16(3):220-229. doi: 10.1016/j.jcm.2017.03.004. Epub 2017 Sep 28.
citation: Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.
citation: Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord. 2010 Mar 1;11:39. doi: 10.1186/1471-2474-11-39.