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To Compare the effects of Pilates exercises an yoga on rounded shoulders
Pilates exercises and Yoga are two effective treatments for correcting RSP. In Pilates each exercise is conducted in more than one times usually three to five hence exposing the body to different and new muscular and kinesthetic challenges. On the other hand Yoga is a process in which the joints and muscles operate together in a systematic and automatic manner where each pose is sustained for a period of time. Several literatures support the belief that Pilates exercises and Yoga are effective treatments for RSP correction, as well as improving sleep quality, heart rate and SpO2 First, The participants will be divided into two groups, for Pilates exercises and Yoga. Honor wristbands will be distributed and Exercises will be demonstrated to each group. Explanation of using Honor band will be given. Measurements will be taken before the intervention including cervical ROM. shoulder ROM at baseline, 2nd week and 4th week. while heart rate, SpO2 immediately after the session. Sleep quality prior the intervention, 2nd and 4th week. Patients will do the exercises 3 times per week for 4 consecutive weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates exercise Group | Experimental | 6 Pilates exercises that are Swan, Swimming, Prone press up, Dart, Arm arch and Scarecow. |
|
| Yoga Group | Experimental | 6 Yoga poses: Warrior pose 1, Triangle pose, Child pose, Cow face pose, Bound angle pose, half bow pose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pilates exercises | Other | Pilates exercises starts with warm up, followed by 6 main exercises that are Swan, Swimming, Prone press up, Dart, Arm arch and Scarecow. The session will end with the cool down exercises. Each exercise will be repeated 10 times for 5 sets. Patients will be treated 3 times per week for 4 consecutive weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Rigid transparent plastic protractor | changes from baseline measurement of the distance between the posterior border of the acromion and the wall or a table | 2nd week and 4th week |
| Measure | Description | Time Frame |
|---|---|---|
| Neck diability Index | Changes from baseline The neck disability index is a ten-item self-reported questionnaire that assesses pain and associated disability, with a total max score of 50 points. he NDI consists of 10 domains-pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and recreation-designed to assess the level of disability in patients with neck pain. |
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Inclusion Criteria:
Exclusion Criteria:
Female participants
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Affan Iqbal, PHD* | Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah International University | Islamabad | 44600 | Pakistan |
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| ID | Term |
|---|---|
| D018908 | Muscle Weakness |
| D010146 | Pain |
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D026241 | Exercise Movement Techniques |
| D015013 | Yoga |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
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|
| Yoga | Other | Yoga will start with warm up followed by 6 yoga poses which are Warrior pose 1, Triangle pose, Child pose, Cow face pose, Bound angle pose, half bow poseThe session will end with a cool down pose. Each yoga pose will be held for 8-10 breathes Patients will be treated 3 times per week for 4 consecutive weeks. |
|
| 4th week |
| Goniometer | Changes from baseline Measurements of cervical flexion, extension, lateral flexion, and rotation, Shoulder flexion, extension, abduction, adduction, internal and external rotation were found to be reliable with universal goniometer | 2nd week and 4th week |
| The Shoulder Pain and Disability Index | Change from baseline SPADI is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI includes two domains: a five-item pain subscale and an eight-item disability subscale. he maximum score is 130 | 4th week |
| Honor Band 5 Smart Wristband Fitness Tracker | Changes from baseline With optimized optical hardware and software algorithms, HONOR Band 5 precisely measure, HR , SpO2 both immediately after exercise and monitors sleep throughout the intervention. | 2nd week and 4th week |
| D009422 | Nervous System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D001523 | Mental Disorders |
| D026443 |
| Spiritual Therapies |