Clinical trial NCT06407700: Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome
Official title: Comparative Effects of Brugger's Exercise With and Without Kendall Exercises on Pain, Craniovertebral Angle and Range of Motion in Patients With Sterno-Symphyseal Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Upper Crossed Syndrome
Keywords: Craniovertebral Anglle.
Exercise
Pain
Posture
Sterno-symphyseal Syndrome
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-05-09
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants are assigned to one of the treatment arms at the beginning of the trial and continue in that arm throughout the length of the trial.
Primary purpose: TREATMENT

Brief summary: Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Detailed description: Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers. It is basically the approximation between the sternum and pubic symphysis. This syndrome has been given several names including posterior cervical-dorsal syndrome and more commonly Computer back or Student syndrome. This posture is associated with increased muscular tension and faulty respiration habit. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome.

A Randomized Clinical Trial will be conducted at Umar Hospital Lahore through convenience sampling technique on patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted through pain, Craniovertebral angle and neck range of motion at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25. 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.

Eligibility criteria: Inclusion Criteria: • Age Group between 18-35 years old

* Gender: Male and Female both included (23).
* Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
* Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
* Subjects sitting more than 4 hours a day (12).
* Subjects with upper back pain with \< 7 score on Numeric Pain rating scale

Exclusion Criteria: • Subjects with Untreated fractures on cervical and upper thorax spine.

* Neoplasm on spine.
* Cervical disc prolapses.
* Subject with psychological disorder.
* Vertebro basilar insufficiency and Migraine are excluded (12).

Primary outcomes:
measure: Numeric pain rating scale
timeFrame: 6th week.
measure: Measuring tape for Sterno-symphyseal syndrome.
timeFrame: 6th week.
measure: Universal Goniometer (UG)
timeFrame: 6th week
measure: Image J Software
timeFrame: 6th week.
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Umar Trust Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Tooba Jamil, MS OMPT
role: PRINCIPAL_INVESTIGATOR
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