Costovertebral Mobilization on Kyphotic Posture and Lung Function in Non-Smoker
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Costovertebral Mobilization+Conventional Therapy, Conventional Therapy.
- Who it may be relevant to
- Registry conditions: Hyperkypohsis and Impaired Lung Function. Basic parameters: 20 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Costovertebral Mobilization on Kyphotic Posture and Lung Function in Non Smoker
Overview
Aim of this study is to find the effects of Costoverterbral Mobilization on Thoracic kyphosis and Lung function in non-smoker. A randomized control trial that will include total 44 participants.The first group will receive Costovertebral Mobilization along with conventional therapy and 2nd group will receive conventional therapy.Data collected will be analyzed through SPSS 25
Detailed description
Kyphosis is the curvature of the thoracic spine, formed by the shape of the vertebrae and the intervertebral discs and-in standing position-paraspinal muscle strength. Hyperkyphosis is usually associated with increased anteroposterior diameter of the thorax and a decrease in the distance between the xiphisternum and pubis and it is present when the kyphosis angle exceeds the normal ranges. This curve is concave anteriorly with a normal angle between 20˚ - 40˚.
The lungs are the foundational organs of the respiratory system,whose most basic function is to facilitate gas exchange from the environment into the bloodstream.The decline in lung function could be associated with hyperkyphosis, As the curvature of the thoracic spine increases and the posture becomes more hunched, the mobility of the rib cage could be limited and restrict the thoracic and lung expansions during inspiratory maneuver.
Different treatment strategies such as surgery, splinting, exercises and manual therapies such as massage, muscle energy technique, and passive joint mobilization have been used to treat hyperkyphosis. Costovertebral mobilization is a manual therapy technique, to improve the mobility and function of the joints between the ribs (costo) and the vertebrae (vertebral). This technique increases the range of motion of ribcage and spine, thus improve kyphosis posture and lung functions.
Interventions
- Other Costovertebral Mobilization+Conventional Therapy
Patient would receive costovertebral mobilization in side lying position for left 10th to 6th, in sitting position for right 10th to 2nd rib and in supine lying position for 1st rib. Conventional Therapy: Hot pack 10 mints, Posture corrective exercises, Breathing exercises Frequency; 4 times/week for 3 weeks - Other Conventional Therapy
Electrotherapy: • Hot Pack 10 minutes Posture Corrective Exercises: * Thoracic Rotation 10 rep/session * Thoracic extension 10 rep/session * Scapular retraction 5 rep/session * Deep neck flexor Isometric 5 rep/session Deep Breathing Exercises: • Pursed lip breathing 10 repetition in one session
Primary outcome measures
- X-RAY [Time frame: 3 weeks]
Secondary outcome measures (1)
- Spirometer [Time frame: 3 weeks]
Eligibility criteria
Inclusion criteria
- Non smoker
- Age: 20-40 years
- Normal Body Mass Index 18.5 To 24.9
- Both female and male gender
- Decrease forced expiratory volume-one second/ forced vital capacity ratio greater than or equal to 70%
- Increase Thoracic kyphotic posture greater than or equal to 40˚
Exclusion criteria
- Any respiratory disease of the upper or lower respiratory tracts e.g. asthma, chronic bronchitis, COPD, emphysema etc. which could altered the optimal lung functioning.
- Previous history of rib fractures, dislocations, sprains of costochondral, costosternal and interchondral joints.
- Smokers
- Scheuermann Disease
- Primary and Secondary neoplastic lesions of the spine and/or ribs
- Obvious advanced spinal deformity e.g. kyphoscoliosis
- Infection e.g. tuberculosis
- Primary and secondary neoplastic lesions of the soft tissue structures of the chest
- Inflammation e.g. acute rheumatoid arthritis or ankylosing spondylitis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Madiha Ali — Islamabad
Identifiers
NCT: NCT06530056 · Rida Mumtaz