Comparison of Pilate Exercises With and Without Whole Body Vibration in Patient With Upper Cross Syndrome

Official title

Comparison of Pilate Exercises With and Without Whole Body Vibration on Posture, Disability and Pain in Patient With Upper Cross Syndrome

Overview

Nowadays, bad habits brought about by technology such as overuse of mobile phones, televisions, computers, and tablets, resulted in negative impacts on health. Bending in abnormal positions while using these devices causes various mechanical loads on the neck and upper back area, rounded shoulders from increased thoracic kyphosis etc., and this leads to poor posture that can cause UCS. Because of high prevalence of RSP especially in modern societies , proper treatment of this problem is necessary for prevention of further complications.There are different exercise regimes for RSP such as strengthening of lengthened muscles, scapular stabilizers, stretching of shorten muscles especially pectoral muscles, and soft tissue mobilization but Whole-Body Vibration (WBV) is a new method introduced since the last decade and there is no comparison available in the literature of upper cross syndrome between WBV with Pilate exercises on postural correction The aim of the study is to compare effects Comparison of pilot exercises with and without whole body vibration on posture , disability and pain in patients with upper cross syndrome A randomized clinical trial will be conducted at PESSI.. Non-probability convenience sampling will be used, and 56 subjects, age 20-40 years will be randomly allocated into two groups by lottery method after meeting the inclusion criteria. Both groups will receive hot pack for 15-20 minutes and Pilate exercise perform both group as common treatment. Group A will be treated with pilate exercises and Group B will be treated with pilate exercise with whole body vibration Both groups received two sessions per week for four consecutive weeks by another well trained physical therapist. Session duration for both groups ranged from 55 minutes to 1 hour. 2 sessions per week and total 8 sessions for 4 weeks. The outcome measures will be conducted through NPRS,NDI,RSP WAS MEASURED IN SUPINE POSITION AND THEN PML AND TSD before and after 4 weeks. Data will be analyzed using SPSS software version 26.

Interventions

• Other Pilate Exercises
  PILATES EXERCISE METHODS: 1. The cranium, triceps, back, and shoulder blades against the mat, then breath while maintaining muscle contraction . 2. Arm circles (both directions) on the mat, then use strong ribcage breathing to connect into scapula. 3. Diamond press: lie prone on a mat, using the lower part of the trapezius and serratusanterior muscles to slide shoulder blades out and down. Move into slight back extension maintaining this position. 4. Diamond press: repeat above but add lateral
• Other Whole-body vibration
  Subjects were placed in a modified push-up position , put their hands in the middle of the platform, shoulder width apart, elbows slightly flexed, and their lower extremities were supported by kneeling on the floor . Vibration protocol included 5 sets of 60 s duration, at 5 mm amplitude and 30 Hz frequency, with a rest period of 60 s between sets . The subjects were reminded kneeling but upright and detached from the platform between sets.
• Device Hot Pack
  for 10 to 15 minutes

Primary outcome measures

• Numeric Pain Rating Scale (NPRS) [Time frame: baseline, after 4 weeks]
• NDI for neck disability (Urdu version) [Time frame: baseline, after 4 weeks]

Secondary outcome measures (1)

• Rounded Shoulder Posture Was Measured In Supine Position And Then Pml And Tsd ( By measuring tape manually) [Time frame: baseline, after 4 weeks]

Eligibility criteria

Inclusion criteria

• Patient with rounded shoulder
• Forward head
• Having a moderate level of physical activity
• RSP measurement in supine n>1 inch(12)
• NPRS >3(18)
• NDI > 10(19)

Exclusion criteria

• Pregnant, having untreated wounds, joint or artificial limb
• Suffering from diseases such as-malignancy, diabetes, epilepsy, acute thrombosis, acute migraine, acute infectious conditions, and tumor having history of neurological diseases like vestibulr disease, stroke, kidney or bladder stones, and finally reporting history of back problems such as herniated disk and deformities like scoliosis. experienced any recent trauma (within three months of the initial consultation)
• Chief complaint of headaches or facial pain , hypertension, osteoporosis, and presence of any structural abnormality in the upper and middle back (e.g., scoliosis or presence of positive Adam's test) .
• Participants on anti-inflammatory or muscle relaxant medications were given a three-day period "wash out" before participating in the study (13).

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

• Punjab Employees Social Security Institution — Lahore

Identifiers

NCT: NCT06797414 · Dr Affifa

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗