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The purpose of this study is to determine the supplemental effects of ELDOA in addition to thoracic manipulation on upper back pain, thoracic kyphosis and forward head posture in thoracic hypomobility.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MAN group | Active Comparator | the standard MAN group will only receive thoracic manipulation and physical therapy |
|
| ELDOA-MAN group | Experimental | The ELDOA-MAN group will receive ELDOA exercises in addition to thoracic manipulation and physical therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thoracic Manipulation | Procedure | Thoracic manipulation will be administered at hypomobile or stiff segments. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Upper Back Pain or Discomfort | Upper Back Pain or Discomfort will be quantified using Visual Analogue Scale. A higher score signifies greater pain or discomfort on a 0-100mm line. | 3 weeks |
| Thoracic Kyphosis | Thoracic Kyphosis will be quantified using an inclinometer. A higher score signifies increased Kyphosis. | 3 weeks |
| Thoracic Range of Motion (ROM) | Thoracic Range of Motion (ROM) will be quantified using an inclinometer. A higher score signifies greater mobility of thoracic spine. | 3 weeks |
| Forward Head Posture | Forward Head Posture will be quantified via Craniovertebral Angle (CVA). A smaller CVA indicates increased forward head posture. | 3 weeks |
| Functional ability | Functional ability will be quantified using Spine Functional Index (SFA). A smaller SFA score indicates greater functional ability. | 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Samra Batool | Foundation University Islamabad | Principal Investigator |
| Muhammad Osama | Foundation University Islamabad | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University Islamabad | Islamabad | Federal | Pakistan |
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The study will consist of two groups.
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The investigator will be blind
| Chin tuck in exercises | Procedure | Chin tuck in exercises |
|
| Thoracic Extension Exercise | Procedure | Thoracic Extension Exercise |
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| Scapular Retraction Exercises | Procedure | Scapular Retraction Exercises |
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| Hot Pack | Device | Hot Pack |
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| TENS | Device | Trans Cutaneous Electric Nerve Stimulation (TENS) |
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| ELDOA | Procedure | ELDOA exercises |
|
| ID | Term |
|---|---|
| D001416 | Back Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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