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PURPOSE: ……… The purpose of the study is to investigate the effect of interval inspiratory muscle training on respiratory functions in subjects with forward head posture associated with chronic nonspecific neck pain
BACKGROUND: Alteration of head and neck positions can have an immediate negative effect on respiratory function. Clinicians should be prompted to assess respiratory function when assessing individuals with FHP and decrease the tension on respiratory system to avoid consequence. Also FHP has a negative effect on chest expansion and diaphragmatic function
the incidence of forward head posture increases nowadays due to increase using of smartphones HYPOTHESES:: There will be no a significant effect of interval inspiratory muscle training on respiratory functions in chronic forward head posture subjects.
RESEARCH QUESTION: Will the interval inspiratory muscle training improve respiratory functions in subjects forward head posture associated with chronic nonspecific neck pain?
And they will be randomly allocated into two groups:
Experimental Group: Thirty subjects will receive combined program containing interval inspiratory muscle training and conventional exercise program for FHP 12 weeks (3 sessions/ week)
Control Group : Twenty subjects will receive conventional exercise program for FHP 12 weeks (3 sessions/ week)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exoerimental Group | Experimental | Thirty subjects will receive combined program containing interval inspiratory muscle training and conventional exercise program for FHP 12 weeks (3 sessions/ week). |
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| Control Group | Other | control group Thirty subjects will receive a conventional exercise program for FHP for 12 weeks (3 sessions/ week). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Threshold Inspiratory muscle trainer | Device | threshold inspiratory muscle trainer device Each subject will breathe through a separate mouthpiece through attach the mouthpiece firmly While putting a nose clip and inhale deeply through the mouthpiece to generate an inspiratory pressure greater than the indicated presetting threshold pressure to compress the spring and open the valve. Using High - intensity interval training technique |
| Measure | Description | Time Frame |
|---|---|---|
| improve ventilatory functions | measure ventilatory functions in percentage from predictied using spirometery (Digital-CONTEC-SP10-Spirometer-Lung Breathing-Diagnostic (Made in China), to measure ventilatory function test parameters.changes
| 3 months |
| Diaphragmatic execursion | Diaphragmatic sonography model (LOG IQ E10S) for measuring diaphragmatic excursion changes.in centimeter | 3 months |
| chest expansion tests | Using tape Measurement tool: To measure chest expansion changes in centimetres at the suprasternal notch, at the nipple and xiphoid levels. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| craniocervical angle | • Markings were done with help of Kinovea software. The intersection of a horizontal line passing through C7 spinous process and line joining the midpoint of tragus of ear is known as Craniovertebral angle. | 3 months |
| Body mass index |
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Inclusion Criteria:
Exclusion Criteria:
female subjects from 18 to 25 years old with FHP
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo university | Cairo | Egypt |
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randomised control trial (RCT)
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| posture correction exercises | Other | conventional exercise consists of
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measuring body mass index kg\m2 before measuring ventilatory function test by measuring height in centimetres and body weight in kilograms |
| 3 months |