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IRCT20191030045287N2 IRCT 2021-03-11 The University of Faisalabad Effects of two exercises for bad head posture in Desk Workers Effectiveness of Upper Thoracic and Cervical Spine Mobilization for Forward Head Posture in Desk Workers 2021-01-10 anticipated 45 Complete https://irct.ir/trial/53528 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A convenient sampling technique will be used for the selection of a sample from the populations and then the sample will be allocated to groups A, B, and C using the lottery method of randomization in which the researcher will randomly pick numbers, with each number corresponding to a subject, in order to create the sample. Allocation concealment will not be carried out. N/A Forward Head Posture. Intervention 1: Intervention group 1: Thoracic mobilization group: Subjects will be in the prone position. Mobilization will be performed for 30-second bout of grade I, II and III, according to clinical indication, mobilization at the T1 spinous process. After 30-sec the technique will proceed to T2 with the same protocol. This process will be sequentially continued in a caudal direction towards T6, for an overall interventional time of approximately <5 min with a 10-sec break between the mobilizations of each joint. Intervention 2: Intervention group 2: Cervical mobilization group: Cervical mobilization will be conducted for 30 sec, three times for each segment. The mobilization will last for a total of <5 mins, with a 10-sec break between the mobilizations of each joint. The total time of inter-segmental movement and break intervals will be 30 sec. This process will be continued from C3-C7. Intervention 3: Intervention group 3: Cervico-thoracic mobilization group: Cervical mobilization will be performed for 30 sec, three repetitions for each segment for a total of <5 min. there was a 10-sec break between each mobilization for each joint according to tissue resistance. The total time of inter-segmental movement, as well as break intervals, will be the 30s. This mobilization for the cervical region will be continued from C3 to C7 and then continued towards mobilization at the T1 spinous process. After the 30-sec treatment in the cervical region, the same technique will be applied to T2. The same process will be sequentially continued in a caudal direction from C7 to T6. The interventional time at the thoracic region will be <5 min with a break of 10 sec between the mobilizations of each joint. An overall interventional time of mobilization treatment at the cervicothoracic region will be approximately <10 min with a 10-sec break between the mobilizations of each joint. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Nimra Arshad
House no 91,street no 4,Muslim town no 3,Sargodha road Faisalabad,Pakistan
Faisalabad Pakistan 38000 +92 41 8811692 nimraarshad70@yahoo.com The University of Faisalabad scientific Nimra Arshad
House no 91,street no 4,Muslim town no 3,Sargodha road Faisalabad,Pakistan
Faisalabad Pakistan 38000 +92 41 8811692 nimraarshad70@yahoo.com The University of Faisalabad Pakistan Age between 20-40 years. Sings and symptoms of FHP last for one month like general soreness, intense pain, muscle tightness. Pain greater than 3 on NPRS. Office workers who engage in their work with computer for minimum 3 hours continuously. Only female participants. 20 years 40 years Female Any history of neck trauma or accident Degenerative condition Prior history of surgery to the cervical or thoracic spine at least before 6 months ago Diagnosed/known psychiatric illness Signs of nerve root compression Systemic disease e.g. hyper/hypotension, diabetes and hypo/hyperthyroidism Inflammatory arthritis Any known malignancy / neoplasm Any medication for current condition Any known vascular condition Rehabilitation Rehabilitation Rehabilitation Intervention group 1: Thoracic mobilization group: Subjects will be in the prone position. Mobilization will be performed for 30-second bout of grade I, II and III, according to clinical indication, mobilization at the T1 spinous process. After 30-sec the technique will proceed to T2 with the same protocol. This process will be sequentially continued in a caudal direction towards T6, for an overall interventional time of approximately <5 min with a 10-sec break between the mobilizations of each joint. Intervention group 2: Cervical mobilization group: Cervical mobilization will be conducted for 30 sec, three times for each segment. The mobilization will last for a total of <5 mins, with a 10-sec break between the mobilizations of each joint. The total time of inter-segmental movement and break intervals will be 30 sec. This process will be continued from C3-C7. Intervention group 3: Cervico-thoracic mobilization group: Cervical mobilization will be performed for 30 sec, three repetitions for each segment for a total of <5 min. there was a 10-sec break between each mobilization for each joint according to tissue resistance. The total time of inter-segmental movement, as well as break intervals, will be the 30s. This mobilization for the cervical region will be continued from C3 to C7 and then continued towards mobilization at the T1 spinous process. After the 30-sec treatment in the cervical region, the same technique will be applied to T2. The same process will be sequentially continued in a caudal direction from C7 to T6. The interventional time at the thoracic region will be <5 min with a break of 10 sec between the mobilizations of each joint. An overall interventional time of mobilization treatment at the cervicothoracic region will be approximately <10 min with a 10-sec break between the mobilizations of each joint. Craniovertebral angle (CVA). Timepoint: Cranio-Vertebral Angle will be measured before treatment at the baseline 1st week and at the end of treatment of last session at 4th week. Method of measurement: Will be Measured by taking photograph of each participant. Neck Range of Motion. Timepoint: ROM measurements will only be filled at baseline 1st week, mid-session 2nd week and after the last session 4th week. Method of measurement: Goniometer. Neck Disability. Timepoint: NDI score will be measured before at 1st week and at the end of session at 4th week. Method of measurement: Neck Disability Index. Neck Pain. Timepoint: Pain measurements will be taken after each week till 4 weeks. Method of measurement: Numeric Pain Rating Scale (NPRS). The University of Faisalabad Approved 2020-10-22 Ethics committee of The University of Faisalabad,Pakistan Sargodha Road, University Town, Faisalabad, Pakistan Faisalabad Punjab Pakistan