Effects of Postural Correction Exercises in Reducing Forward Head Posture in Children Carrying Heavy Bag Packs
Primary Purpose
Postural Kyphosis
Status
Not yet recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
strengthening exercise
Postural correction exercises
Sponsored by
About this trial
This is an interventional prevention trial for Postural Kyphosis focused on measuring forward head posture, posture correction exercises, strength training
Eligibility Criteria
Inclusion Criteria: Both gender Children who carry heavy backpacks to school (more than 10% of their body weight) Forward head posture, defined as a craniovertebral angle of less than 50 degrees. Willing to participate in the study. Consent obtained from parents or legal guardians Exclusion Criteria: Cervical spine fracture or neurological disorder. Scoliosis or torticollis. Joint hypermobility or recent surgery . Prior history of physical therapy treatment for forward head posture in the past six months
Sites / Locations
- Private and Public Schools
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
control group A
Postural correction exercises group B
Arm Description
Outcomes
Primary Outcome Measures
Forward head posture analysis app
Changes form the Baseline will be measured. This Forward head posture analysis app can be used to assess the forward head posture using visual analysis through camera. the angle of the cervical spine was measured in the side view through pictures.
Secondary Outcome Measures
numeric pain rating scale
Changes form the Baseline will be measured. It measured the neck pain with 11 points, 0 showing min and 10 showing max pain
Full Information
NCT ID
NCT06019819
First Posted
August 26, 2023
Last Updated
September 5, 2023
Sponsor
Riphah International University
1. Study Identification
Unique Protocol Identification Number
NCT06019819
Brief Title
Effects of Postural Correction Exercises in Reducing Forward Head Posture in Children Carrying Heavy Bag Packs
Official Title
Effects of 4 Weeks Postural Correction Exercises in Reducing Forward Head Posture in Children Carrying Heavy Bag Packs
Study Type
Interventional
2. Study Status
Record Verification Date
September 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 1, 2023 (Anticipated)
Primary Completion Date
January 30, 2024 (Anticipated)
Study Completion Date
February 15, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
: This study aims to investigate the effectiveness of a 4-week postural correction exercise program in reducing FHP in children carrying heavy backpacks to school. This study's findings could have significant implications for preventing musculoskeletal problems associated with FHP. Furthermore, the study's findings could inform healthcare professionals and educators about the importance of promoting healthy postures among children and adolescents to prevent long-term musculoskeletal problems. This is an experimental study. Subjects will be divided into two groups. Group A (control group) and group B (experimental group).fun activities will be performed by experimental group under the supervision of the therapist.
Detailed Description
Regular use of heavy school bags and inappropriate carrying methods can put children at the risk of musculoskeletal problems and changes the body posture. It is imperative to note that carrying a backpack more than the recommended weight limit poses a twofold hazard, particularly to children and adolescents who are undergoing neuromusculoskeletal development and growth. Hence, it is crucial to ensure that the backpack's weight does not exceed 10-15% of the child or adolescent's body weight. Overreaching this weight limit may result in posterior displacement of the center of gravity, thereby engendering augmented strain on the neck and back muscles. Such effects are commonly linked with spinal column pathologies and reduced lung volume.One of the most prevalent types of postural anomaly is called "forward head posture" (FHP), and it is typically characterized by the head being anterior to the body's vertical line gravity point. Chronic FHP issues develop from an excessive load being placed on the joint and muscle when cervical muscular imbalances brought on by postural misalignment are left untreated. Both an upper cervical extension and a lower cervical flexion define forward head position. These modifications in the cervical region could result in long-term bad head posture, which could cause "upper crossed syndrome" or other musculoskeletal disorders. Additionally, neck and shoulder pain are common complaints among FHPs patients . Numerous studies have shown that carrying a backpack that is 7.5% of or more of your body weight (BW) causes postural compensations. The increased weight of the backpack correlates with higher FHP, trunk flexion, spinal asymmetry, and tensile forces in the intervertebral discs under static settings
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postural Kyphosis
Keywords
forward head posture, posture correction exercises, strength training
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
86 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
control group A
Arm Type
Active Comparator
Arm Title
Postural correction exercises group B
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
strengthening exercise
Intervention Description
Perform general physical training activities conducted in schools including upper limb forward elevation, lateral elevation, touching toes in standing and cervical range of motion, strengthening exercise will be performed for 3days a week for 4 weeks.
Intervention Type
Other
Intervention Name(s)
Postural correction exercises
Intervention Description
Chin Tuck, Strengthening shoulder retractors, Stretching sternocleidomastoiD, Pectorals stretch For strengthening exercises 3 sets of 10 repetitions were performed with 6 seconds rest period between each set and a hold of 6 seconds. Stretching exercises will be performed in 3 sets of 10 repetitions ,30 seconds hold and 30 seconds rest period between each exercise. The exercises were performed 3days a week for 4 weeks.
Primary Outcome Measure Information:
Title
Forward head posture analysis app
Description
Changes form the Baseline will be measured. This Forward head posture analysis app can be used to assess the forward head posture using visual analysis through camera. the angle of the cervical spine was measured in the side view through pictures.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
numeric pain rating scale
Description
Changes form the Baseline will be measured. It measured the neck pain with 11 points, 0 showing min and 10 showing max pain
Time Frame
4th week
10. Eligibility
Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
13 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Both gender
Children who carry heavy backpacks to school (more than 10% of their body weight)
Forward head posture, defined as a craniovertebral angle of less than 50 degrees.
Willing to participate in the study.
Consent obtained from parents or legal guardians
Exclusion Criteria:
Cervical spine fracture or neurological disorder.
Scoliosis or torticollis.
Joint hypermobility or recent surgery . Prior history of physical therapy treatment for forward head posture in the past six months
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Imran Amjad, PHD
Phone
03324390125
Email
imran.amjad@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aisha Razzaq, MSPT-OMPT
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Private and Public Schools
City
Rawalpindi
State/Province
Punjab
ZIP/Postal Code
46000
Country
Pakistan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aisha Razzaq, MSPT-OMPT
Phone
03015030784
Email
aisha.razzaq@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
sidra sufian, MSPT-OMPT*
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effects of Postural Correction Exercises in Reducing Forward Head Posture in Children Carrying Heavy Bag Packs
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