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IRCT20240525061892N1 IRCT 2024-06-22 The University of Faisalabad Comparative Effects Of ELDOA Versus Upper Thoracic Mobilization And Mobility Exercise For Treatment of FHP ELDOA,FHP Comparative Effects Of Elongation Longitudinaux Avec Decoaption Osteo Articulaire Versus Upper Thoracic Mobilization And Mobility Exercise For Treatment of Forward Head Posture 2024-05-15 anticipated 36 Complete https://irct.ir/trial/77003 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Study Design: Parallel Two-Group Randomized Controlled Trial, Group A (ELDOA): Specific ELDOA exercises for FHP Group B (UpperThoracic Mobilization): Exercises targeting thoracic mobility and FHP, Randomization description: participants were allocated into two groups, using lottery methods. The lottery method for randomization is a straightforward technique used in this research to ensure unbiased group assignments. To implement this method, we first defined the groups required for the study. An equal number of tickets were prepared for each group, ensuring the total number of tickets matched the number of participants. All the tickets were then placed into a container and mixed thoroughly to ensure randomness. Each participant drew a ticket from the container, and their assignment to the indicated group was recorded. This method ensures fairness and simplicity, making it suitable for small to medium-sized samples. However, it requires careful execution to avoid human error and may not be practical for very large samples. This approach maintains the integrity of randomization, which is crucial for the validity of experimental results. 3 Forward Head Posture. Intervention 1: Intervention Group A . Group A will receive Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOA) exercises. At first hot pack will applied for 7-8 mins after that participants will explain specific body movements . Four ELDOA position will once show to the participants than ask them to make these positions. Once they make these positions stop watch will be set for 1 minute for each position. The positions will apply for three times per week for four week. Each session will take 20-25 mins. Intervention 2: Intervention Group B:Group B will receive Upper Thoracic Mobilization and thoracic mobility exercises. At first hot pack will applied for 7-8 mins after that, The Participant will prone position and physiotherapist will stand toward the side where mobilization will be applied. The index and middle finger of the left hand of the physiotherapist will be placed on the vertebral transverse process of the participants to the caudal side. The lateral side of the palm of right hand place over left hand index and middle finger and then applies thoracic mobilization toward ventral to caudal direction. After thoracic mobilization thoracic mobility exercise will be perform, participant will ask to put both hand on cervical spine and slowly lift his upper body, until gaining the feeling that the occipital bone pushed upward after moving the chin inward. Yes - There is a plan to make this available What will be shared: IPD collected for the primary outcome measure only When: After the completion of Study. In October 2024 To whom: With academic researchers. Conditions: For only the purpose of Research Where to obtain: physiofai@gmail.com faiza khalid How to obtain: An email request describing the purpose of study, with complete evidence showing person doing academic research. Comments:
public Dr. Mahvish Musharaf
Faisal Town, West Canal Road, Faisalabad
Faisalabad Pakistan 38000 +92 41 8868326 studentaffairshsw@tuf.edu.pk The University of Faisalabad scientific Faiza Khalid
Faisal Town, West Canal Road, Faisalabad
Faisalabad Pakistan 38000 +92 41 8750971 2022-ms-pt-009@tuf.edu.pk The University of Faisalabad Pakistan Both males and females. Age between 20 to 40 years. Patients have complained of neck pain. Patients having forward head posture. Patients having limited Cervical range of motion. Patients having Craniovertebral angle CVA less than 50. Pain more than 3 on NPRS scale with FHP. 20 years 40 years Both History of whiplash injury within 3 months of examination. History of tumor History of surgery of cervical or thoracic spine.• Positive neurological signs• Patients having pathology and infection in spine. • Patients having severe osteoporosis Congenital deformity Other Other Intervention Group A . Group A will receive Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOA) exercises. At first hot pack will applied for 7-8 mins after that participants will explain specific body movements . Four ELDOA position will once show to the participants than ask them to make these positions. Once they make these positions stop watch will be set for 1 minute for each position. The positions will apply for three times per week for four week. Each session will take 20-25 mins Intervention Group B:Group B will receive Upper Thoracic Mobilization and thoracic mobility exercises. At first hot pack will applied for 7-8 mins after that, The Participant will prone position and physiotherapist will stand toward the side where mobilization will be applied. The index and middle finger of the left hand of the physiotherapist will be placed on the vertebral transverse process of the participants to the caudal side. The lateral side of the palm of right hand place over left hand index and middle finger and then applies thoracic mobilization toward ventral to caudal direction. After thoracic mobilization thoracic mobility exercise will be perform, participant will ask to put both hand on cervical spine and slowly lift his upper body, until gaining the feeling that the occipital bone pushed upward after moving the chin inward CVA, Craniovertebral angle. Timepoint: Before intervention, 2, 4 weeks after intervention. Method of measurement: Calculated using each participant's profile photo. The self-balanced posture assessment method was used to force the participants to maintain their typical head posture. By drawing a vertical line from Targus to the seventh cervical vertebrae and a horizontal line across them, the angle between them may be calculated to determine the CVA angle. Ranges of neck movements ( CROM) cervical flexion, extension, right Side bending, left Side bending, right rotation and left rotation were measured using a goniometer. Timepoint: before intervention and 2, 4 weeks after intervention. Method of measurement: using a goniometer. The NPRS (Numeric Pain Rating Scale). Timepoint: before intervention and 2, 4 weeks after intervention. Method of measurement: The NPRS scale, which has good reliability and validity in prior research, was utilized to measure the degree of present pain. It consists 11 points that range from 0 to 10. NDI (Neck Disability Index). Timepoint: before intervention and 2, 4 weeks after intervention. Method of measurement: The Neck Disability Index (NDI) is a 10-item questionnaire designed to provide information about how neck discomfort affects an individual's capacity to carry out activities of daily living. NCT06440720 Clinical trials.gov The University of Faisalabad Approved 2024-02-17 RESEARCH AND ETHICS / TECHNICAL COMMITTEE/ The University of Faisalabad University Avenue, Faisal Town Canal Road, Faisalabad, Punjab Faisalabad Punjab Pakistan