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• To determine the effects of Elastic Band Exercises on Chest Expansion, Forward Head Posture and disability
According to literature review elastic band exercises have been proposed as an effective intervention to correct FHP. However, no previous study done to see the effect of elastic band exercises on chest expansion along with correction of FHP. Therefore, this study will show the effectiveness of elastic band exercises on chest expansion in patients with FHP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Elastic band excercises | Experimental | Elastic band excercises and stretching is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) |
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| strengthening with conventional physical therapy | Active Comparator | strengthening with conventional physicaltherapy is given to shoulder muscles (deep neck flexors, pectoralis major and minor, rhomboids and trapezius) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Elastic band excercise | Other | experimenatal group was given elastic band excercises along with stretching (pectoralis major, minor, trapezius, rhomboids and neck flexors) and conventional therapy. Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Cloth tape measurement | The common tool in practice to measure chest expansion is non-elastic tape measurement technique. To measure Chest expansion there are three anatomical landmarks which are used to measure chest wall mobility. To measure upper chest, wall mobility landmark is axillary, to measure middle chest wall mobility landmark is 4th intercostal space and to measure lower chest wall mobility landmark is xiphoid process.According to general criteria its values are 1.4cm (poor), 3.1cm (moderate) and 5.1cm (good). Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks | 4 weeks |
| Neck Disability Index | The neck disability index questionnaire accesses pain and associated disability. It is a 10 items of self-reported questionnaire. Each question has 5 score with a total maximum score of 50 points. The patient is advised to select one option for each question that best reflects the intensity of pain and their discomfort.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks | 4 weeks |
| Craniovertebral angle | Two lateral photographs were taken to determine the craniovertebral angle (CVA) and to analyze these photographs a measuring instrument known as Web Plot Digitizer was used. Through this software craniovertebral angle(CVA) was measured. This mobile application assessing forward head posture(FHP) in the form of craniovertebral angle. The patient was instructed to stand in front of camera and picture was taken. One point was on C7 spinous process, one was on tragus of ear and other point is the intersection of a horizontal line passing through the C7 spinous process and then craniovertebral angle was formed.The assessment was done at baseline, after 2 weeks and at the end of 4 weeks | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Asmar Fatima, MS OMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Railway hospital Rawalpindi | Rawalpindi | Punjab Province | 46060 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36274469 | Background | Lin G, Zhao X, Wang W, Wilkinson T. The relationship between forward head posture, postural control and gait: A systematic review. Gait Posture. 2022 Oct;98:316-329. doi: 10.1016/j.gaitpost.2022.10.008. Epub 2022 Oct 14. | |
| 35264350 | Background | Balthillaya GM, Parsekar SS, Gangavelli R, Prabhu N, Bhat SN, Rao BK. Effectiveness of posture-correction interventions for mechanical neck pain and posture among people with forward head posture: protocol for a systematic review. BMJ Open. 2022 Mar 9;12(3):e054691. doi: 10.1136/bmjopen-2021-054691. |
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| strengthening with conventional physical therapy | Other | control group was given strengthening excercises and stretching (pectoralis major, minor, trapezius, rhomboids (Sessions will be given 3 days in a week for a period of 4 weeks. The assessment was done at baseline, after 2 weeks and at the end of 4 weeks. |
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