Comparing Back Extensor and Core Stability Training in Kyphosis

Riphah International University40 enrolled

Overview

To compare the effects of back extensor strengthening exercises versus core stability exercises on thoracic kyphosis in patients, assessing improvements in posture, spinal alignment, and overall functional outcomes

Kyphosis is the normal forward curvature of our spine and when this curvature becomes excessively increased is referred to as hyper kyphosis or Hunch back. Its normal value is between 20 and 40 degrees. When the thoracic kyphotic angle exceeds 40 degrees, it is referred to as hyper kyphosis. The three main types of kyphosis often seen in individuals are postural, Structural and congenital. Postural kyphosis is caused by high external load on individual spine having overall poor muscle strength. Sagittal misalignment can be caused by poor posture while sitting and standing as well as prolonged sitting.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Thoracic Kyphosis

Interventions

Back Extensor Strengthening ExercisesOTHER

1. Superman Exercise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec 2. Prone Arm and Leg Raise Sets/Reps: 2 sets × 10-12 reps, hold 5-10 sec 3. Seated Row (Resistance Band) Sets/Reps: 2 sets × 12-15 reps, hold 3-5 sec 4. Wall Angels Sets/Reps: 2 sets × 10-12 reps, 3-5 sec per cycle

Core Stability ExercisesOTHER

1. Side Plank Sets/Reps: 3 sets, hold 10-60 sec per side 2. Dead Bug Exercise Sets/Reps: 3 sets × 6-15 reps per side 3. Bridging Exercise Sets/Reps: 3 sets × 10-20 reps, hold 2-5 sec 4. Bird-Dog Exercise Sets/Reps: 3 sets × 8-15 reps per side, hold 2-5 sec

Eligibility

Sex: ALLMin age: 18 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 18-40 years with a diagnosis of mild to moderate thoracic kyphosis (Cobb angle between 40° and 60°). * The presence of back pain or discomfort is attributed to kyphosis. * Willingness to participate and commit to the study's duration (6 weeks of intervention and follow-up). * Ability to provide informed consent. Exclusion Criteria: * Severe thoracic kyphosis (Cobb angle \> 60°). * Other spinal conditions such as scoliosis or spinal fractures. * Previous spinal surgery or contraindications to physical activity. * Neurological disorders affecting motor function. * Pregnancy or severe medical comorbidities that would preclude participation.

Locations (1)

DHQ Timergara & Batkhela

Malakand, KPK, Pakistan

RECRUITING

Outcomes

Primary Outcomes

Change in Pain Intensity Measured by Visual Analogue Scale (VAS)

A 10 cm horizontal line with "No Pain" (0) on the left and "Worst Pain" (10) on the right. Patients mark their pain level on the scale before and after interventions to assess changes. Test-Retest Reliability: The VAS shows high test-retest reliability, especially in literate populations (r = 0.94), indicating stable pain scores over time when used with the same individual. Validity effectively captures the full spectrum of pain intensity, making it a valid tool for assessing the pain experience of thoracic kyphosis patients.

Time frame: 12 Weeks

Change in Thoracic Spine Range of Motion (ROM) Measured by Inclinometer

The inclinometer has demonstrated good test-retest reliability, with high correlation (r = 0.90) in measuring range of motion (ROM) over time when used consistently on the same patient.The inclinometer accurately measures thoracic spine mobility and is considered a valid tool for assessing movement restriction or improvement in patients with thoracic kyphosis.

Time frame: 12 Weeks

Assessment of Postural Deformity Severity Using the Matthias Test

It is effective in identifying postural deformities and the severity of thoracic kyphosis. The Matthias Test has demonstrated good inter-rater reliability.

Time frame: 12 Weeks

Change in Disability Level Measured by Oswestry Disability Index (ODI)

The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability.

Time frame: 12 Weeks

Change in Functional Disability Measured by Roland-Morris Disability Questionnaire (RDQ)

The Roland-Morris Disability Questionnaire is most sensitive for patients with mild to moderate disability due to acute, sub-acute, or chronic low back pain.

Central Contacts

Ayesha Sadiq, MSPT (OMPT)

CONTACT

03346257484 ayesha.sadiq@riphah.edu.pk

Data from ClinicalTrials.gov

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