ClinicalTrials.gg
RecruitingNCT06482203Updated Oct 26, 2024

Trunk Extensor Endurance Training Versus Scapular Mobilization in Patient With Thoracic Kyphosis

An interventional study of Trunk Extensor Endurance training & Scapular mobilization in Thoracic Kyphosis, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2024-10-26.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Jun 2024; still recruiting 2 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
All
01

Study summary

To compare the effect of Trunk extensor endurance training and scapular mobilization on thoracic pain in patient with thoracic kyphosis.

To compare the effect of Trunk extensor endurance training and scapular mobilization on kyphotic angle in patient with thoracic kyphosis To compare the effect of Trunk extensor endurance training and scapular mobilization on shoulder ROM in patient with thoracic kyphosis

02

Conditions studied

  • Thoracic Kyphosis

Browse trials for

03

In context

Kyphosis

132 studies on the registry are indexed under Kyphosis; 31 are open to participants now.

This study's planned enrollment of 28 is below the median of 44 across 82 interventional studies indexed under Kyphosis.

Browse Kyphosis studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Both gender (Male and female)
  • Age 20-40
  • Postural kyphosis
  • Kyphotic angle exceeds 40°
  • Thoracic pain>3

Exclusion criteria

Exclusion Criteria:

  • Thoracic, Scapular and clavicle abnormalities
  • Vertebral fractures, history of trauma or spinal surgery
  • History of prolonged use (more than 6 months),rheumatologic conditions
  • Cardiac, diseases
  • Structural kyphosis(X-ray findings)
  • Scoliosis(x-ray findings)
  • Cancer, neurological disorders, , or inflammatory
  • Osteoporosis, Pregnancy or any genetic conditions affecting their bones, muscles or cartilage.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
28 participants (estimated)

Study arms

  • Experimental
    Group 1(Trunk Extensor Endurance Training)

    Trunk Extensor Endurance Training Level 1: Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Superman pose Level 5:Superman or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts)

    Other: Trunk Extensor Endurance training & Scapular mobilization

  • Experimental
    Group 2(Scapular Mobilization)

    Patient side lying. This intervention program includes, supero-inferior, medio-lateral along with circumduction movements. Procedure: Patients were side lying with their arms in 90°flexion during scapula mobilization. The physiotherapist completed 3 sets of 10-15 repetitions of each of the supero-inferior, medio-lateral, and circumduction movements while holding the scapula from the medial border. Between each session, there was a 10 or 30-second break. The length of rests was adjusted depending on the patient's endurance and comfort.

    Other: Trunk Extensor Endurance training & Scapular mobilization

Interventions

  • OtherTrunk Extensor Endurance training & Scapular mobilization

    Trunk Extensor Endurance Training Level 1:Prone shoulder extension or prone shoulder raises Level 2: Prone back extension Level 3: Prone Ys or Y raises Level 4:Super man pose Level 5:Super man or prone cobra (The given position should be hold for 10 seconds and performs 25 repetitions with 3 sec rests in between the efforts) Scapular Mobilization: Intervention program includes, supero-inferior, medio-lateral along with circumduction movements). 3 sets of 10-15 repetitions of each of the supero-inferior ,medio-lateral, and circumduction movements Between each session, there was a10 or 30-second break. The length of rests was adjusted depending on the patient's endurance

06

What researchers measure

Primary outcomes

  1. Numeric pain rating scale

    Thoracic pain will be measure through Numeric pain rating scale, 0 no pain 10 maximum pain

    Time frame: 4 weeks

  2. kyphotic angle

    Inclinometer will be used to measure the angle

    Time frame: 4 weeks

  3. Shoulder ROM

    Goniometer is used to measure the Shoulder all range of motion (ROM)

    Time frame: 4 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Feng Q, Wang M, Zhang Y, Zhou Y. The effect of a corrective functional exercise program on postural thoracic kyphosis in teenagers: a randomized controlled trial. Clin Rehabil. 2018 Jan;32(1):48-56. doi: 10.1177/0269215517714591. Epub 2017 Jun 14. PubMed 28610442 ↗
  • Yaman O, Dalbayrak S. Kyphosis and review of the literature. Turk Neurosurg. 2014;24(4):455-65. doi: 10.5137/1019-5149.JTN.8940-13.0. PubMed 25050667 ↗
  • Graham P. Scheuermann's Kyphosis. Orthop Nurs. 2023 Jan-Feb 01;42(1):53-55. doi: 10.1097/NOR.0000000000000914. No abstract available. PubMed 36702097 ↗
  • Etemadifar MR, Mahdinezhad Yazdi M. Evaluation of changes in kyphosis angle, apex and quality of life of patients with Scheuermann kyphosis using Kyphologic brace. Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022. PubMed 35891934 ↗
  • Sato T, Koizumi M, Kim JH, Kim JH, Wang BJ, Murakami G, Cho BH. Fetal development of deep back muscles in the human thoracic region with a focus on transversospinalis muscles and the medial branch of the spinal nerve posterior ramus. J Anat. 2011 Dec;219(6):756-65. doi: 10.1111/j.1469-7580.2011.01430.x. Epub 2011 Sep 29. PubMed 21954879 ↗
  • Yoo WG. Effects of thoracic posture correction exercises on scapular position. J Phys Ther Sci. 2018 Mar;30(3):411-412. doi: 10.1589/jpts.30.411. Epub 2018 Mar 2. PubMed 29581661 ↗
  • Park SY, Yoo WG. Effect of sustained typing work on changes in scapular position, pressure pain sensitivity and upper trapezius activity. J Occup Health. 2013;55(3):167-72. doi: 10.1539/joh.12-0254-oa. Epub 2013 Apr 13. PubMed 23585498 ↗
  • 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. PubMed 32887287 ↗
  • 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. PubMed 20193055 ↗
  • Sibson BE, Tobolsky VA, Kistner TM, Holowka NB, Jemutai J, Sigei TK, Ojiambo R, Okutoyi P, Lieberman DE. Trunk muscle endurance, strength and flexibility in rural subsistence farmers and urban industrialized adults in western Kenya. Am J Hum Biol. 2022 Feb;34(2):e23611. doi: 10.1002/ajhb.23611. Epub 2021 May 14. PubMed 33988283 ↗
  • Ogaya S, Suzuki M, Yoshioka C, Nakamura Y, Kita S, Watanabe K. The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomech. 2024 Aug;23(8):997-1008. doi: 10.1080/14763141.2021.1906938. Epub 2021 Apr 28. PubMed 33906577 ↗
  • Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316. PubMed 31475938 ↗
  • Zappala M, Lightbourne S, Heneghan NR. The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults. J Orthop Surg Res. 2021 Jul 9;16(1):447. doi: 10.1186/s13018-021-02592-2. PubMed 34243795 ↗
  • Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):920-6. doi: 10.1016/j.jse.2008.12.015. Epub 2009 Mar 17. PubMed 19297202 ↗
  • Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH. Endurance training of trunk extensor muscles. Phys Ther. 1993 Jan;73(1):10-7. PubMed 8417455 ↗
  • Chok B, Lee R, Latimer J, Tan SB. Endurance training of the trunk extensor muscles in people with subacute low back pain. Phys Ther. 1999 Nov;79(11):1032-42. PubMed 10534796 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06482203
Responsible party
Sponsor
First posted
Jul 1, 2024
Start date
Jun 25, 2024
Primary completion
Dec 7, 2024 (estimated)
Completion
Dec 7, 2024 (estimated)
Last update
Oct 26, 2024

Study contacts

Iqbal Tariq, masters
Contact
iqbal.tariq@riphah.edu.pk
03458236752
Shamaila Yaqub, masters
principal investigator · Riphah International University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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