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To compare the effects of back extensor strengthening exercises versus core stability exercises on thoracic kyphosis in patients, assessing improvements in posture, spinal alignment, and overall functional outcomes
Kyphosis is the normal forward curvature of our spine and when this curvature becomes excessively increased is referred to as hyper kyphosis or Hunch back. Its normal value is between 20 and 40 degrees. When the thoracic kyphotic angle exceeds 40 degrees, it is referred to as hyper kyphosis. The three main types of kyphosis often seen in individuals are postural, Structural and congenital. Postural kyphosis is caused by high external load on individual spine having overall poor muscle strength. Sagittal misalignment can be caused by poor posture while sitting and standing as well as prolonged sitting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Back Extensor Strengthening Exercises | Experimental | Usage of modalities like hot pack & TENS along with certain exercises mentioned in the following:
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| Core Stability Exercises | Experimental | Usage of modalities like hot pack & TENS along with certain exercises mentioned in the following:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Back Extensor Strengthening Exercises | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Pain Intensity Measured by Visual Analogue Scale (VAS) | A 10 cm horizontal line with "No Pain" (0) on the left and "Worst Pain" (10) on the right. Patients mark their pain level on the scale before and after interventions to assess changes. Test-Retest Reliability: The VAS shows high test-retest reliability, especially in literate populations (r = 0.94), indicating stable pain scores over time when used with the same individual. Validity effectively captures the full spectrum of pain intensity, making it a valid tool for assessing the pain experience of thoracic kyphosis patients. | 12 Weeks |
| Change in Thoracic Spine Range of Motion (ROM) Measured by Inclinometer | The inclinometer has demonstrated good test-retest reliability, with high correlation (r = 0.90) in measuring range of motion (ROM) over time when used consistently on the same patient.The inclinometer accurately measures thoracic spine mobility and is considered a valid tool for assessing movement restriction or improvement in patients with thoracic kyphosis. | 12 Weeks |
| Assessment of Postural Deformity Severity Using the Matthias Test | It is effective in identifying postural deformities and the severity of thoracic kyphosis. The Matthias Test has demonstrated good inter-rater reliability. | 12 Weeks |
| Change in Disability Level Measured by Oswestry Disability Index (ODI) | The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. | 12 Weeks |
| Change in Functional Disability Measured by Roland-Morris Disability Questionnaire (RDQ) | The Roland-Morris Disability Questionnaire is most sensitive for patients with mild to moderate disability due to acute, sub-acute, or chronic low back pain. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ayesha Sadiq, MSPT (OMPT) | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DHQ Timergara & Batkhela | Malakand | KPK | 18300 | Pakistan |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D000698 | Analgesia |
| D007854 | Lead |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Core Stability Exercises | Other |
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| 12 Weeks |
| D000760 |
| Anesthesia and Analgesia |
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D008670 | Metals |