Effects of a telerehabilitation program combining respiratory retraining and shoulder stabilization exercises on upper body
| ISRCTN | ISRCTN18316830 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN18316830 |
| Secondary identifying numbers | KCT0008383 |
- Submission date
- 16/10/2023
- Registration date
- 24/10/2023
- Last edited
- 24/10/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Musculoskeletal Diseases
Plain English summary of protocol
Background and study aims
Forward head posture is one of the most common posture-related conditions affecting the neck, characterized by an anterior shift of the head over the cervical spine. Due to the increased use of electronic devices, the prevalence of forward head posture is on the rise and can affect individuals from adolescents to working adults. If forward head posture persists, it can lead to various health issues, ranging from compromised respiratory function to musculoskeletal disorders, rounded shoulders, and even neurological conditions such as cervical disc herniation. Improving these conditions often requires consistent exercise and respiratory training. To date, research specifically addressing the combined effect of diaphragmatic breathing re-education and shoulder stabilization exercises in young adult males with forward head posture is limited. Therefore, this study aims to assess the effects of a 4-week intervention, involving diaphragmatic breathing re-education and shoulder stabilization exercises, on neck pain, posture, and function in young adult males with forward head posture.
Who can participate?
Young adult males, aged 20-30 years, who do not have any musculoskeletal disorders or experience low back pain while performing shoulder stabilization exercises.
What does the study involve?
Participants will undergo an initial assessment of forward head posture, neck pain, function, and posture, which will take about 10 minutes. They will then be randomly allocated into one of two groups: the intervention group, who will receive diaphragmatic breathing re-education and shoulder stabilization exercises for 30-40 minutes, three times a week, over a 4-week period, or the control group, who will receive shoulder stabilization exercises for 20-30 minutes, three times a week, over the same 4-week period. After the 4-week intervention period, participants will undergo a re-assessment of the initial measures in the treatment facility.
What are the possible benefits and risks of participating?
Participating in this study may lead to improvements in forward head posture, neck pain, function, and posture. It can help enhance your understanding of daily posture management and neck pain management. To compensate you for your time and effort, you will receive a 30,000 KRW gift card for chicken and pizza. The assessments conducted in this study do not involve any invasive procedures, and there are no known or anticipated side effects. However, potential reactions could include fatigue, discomfort, or dizziness. If such reactions occur, you may request rest and adjustment of the exercises from the physical therapist at any time. Safety measures are always in place during assessments and treatments, and immediate actions can be taken in case of unexpected incidents. If you have any questions about possible side effects or risks during the study, please contact the assigned researcher.
Where is the study run from?
Seoul Chukchuk Neurosurgery Clinic (South Korea)
When is the study starting and how long is it expected to run for?
January 2023 to March 2023
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
GyeongHyeon Jeong, jgh10108@naver.com
Contact information
Public, Scientific, Principal Investigator
51, Bonghwasan-ro 56-gil, Jungnang-gu
Seoul
02068
Korea, South
 ORCID ID |
0000-0002-3022-828X |
|---|---|
| Phone | +82 (0)10 3122 3435 |
| jgh10108@naver.com |
Study information
| Study design | Randomized controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Workplace |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use the contact details to request a participant information sheet |
| Scientific title | Effects of diaphragmatic breathing re-education and shoulder stabilization exercise on neck pain, posture, and function in young adult men with upper crossed syndrome in tele-rehabilitation: a randomized controlled trial |
| Study objectives | The experimental group receiving diaphragmatic breathing re-education and shoulder stabilization through telerehabilitation is expected to show significant improvements in pain pressure threshold (PPT), craniovertebral angle (CVA), round shoulder posture (RSP), shoulder tilt degree (STD), neck disability index (NDI), and closed kinetic chain upper extremity stability test (CKCUEST) compared to the control group, which only received shoulder stabilization through telerehabilitation. |
| Ethics approval(s) |
Approved 31/01/2023, Sahmyook University IRB (815, Hwarang-ro Nowon-gu, Seoul, 01795, Korea, South; +82 (0)2 3399 3903; IRB@syu.ac.kr), ref: SYU 2022-12-008-001 |
| Health condition(s) or problem(s) studied | Upper crossed syndrome with neck pain |
| Intervention | A total of 40 participants who initially indicated their willingness to participate were randomly assigned to either the experimental group that performed DB re-education and shoulder stabilization exercises (DB + SSE group; n = 20) or the control group that performed only SSE (n = 20). Experimental Group: 4 weeks of diaphragmatic breathing retraining, 10 minutes per day, three times a week, along with four shoulder stabilization exercises, 20 minutes per day, three times a week Control Group: 4 weeks of four shoulder stabilization exercises, 20 minutes per day, three times a week. Random sampling was conducted using SPSS 'Random Sample of Cases - Approximately 50%. |
| Intervention type | Behavioural |
| Primary outcome measure | 1. Pain measured using Pressure Pain Threshold (PPT) at baseline and after 4 weeks of the experiment 2. Posture assessed using Craniovertebral Angle (CVA) at baseline and after 4 weeks of the experiment 3. Functionality evaluated using the Neck Disability Index (NDI) at baseline and after 4 weeks of the experiment |
| Secondary outcome measures | 1. Posture assessed using Round Shoulder Posture (RSP), and Shoulder Tilt Degree (STD) at baseline and after 4 weeks of the experiment 2. Functionality evaluated using the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) at baseline and after 4 weeks of the experiment |
| Overall study start date | 31/01/2023 |
| Completion date | 31/03/2023 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 20 Years |
| Upper age limit | 39 Years |
| Sex | Male |
| Target number of participants | 40 |
| Total final enrolment | 37 |
| Key inclusion criteria | 1. No history of outpatient or hospitalization treatment 2. No musculoskeletal or neurological diseases 3. No back pain during diaphragmatic breathing re-education and training 4. No shoulder pain during shoulder stabilization exercises 5. An craniovertebral angle of less than 52 degrees |
| Key exclusion criteria | 1. Inability to continue plank exercise due to back or shoulder pain 2. Diagnosis of neck or lumbar disc herniation 3. History of neck or lumbar surgery within the past 6 months |
| Date of first enrolment | 31/01/2023 |
| Date of final enrolment | 28/02/2023 |
Locations
Countries of recruitment
- Korea, South
Study participating centre
Seoul
02164
Korea, South
Sponsor information
University/education
Graduate School, Department of Physical Therapy
815, Hwarang-ro, Nowon-gu
Seoul
01795
Korea, South
| Phone | +82 (0)2 3399 3390 |
|---|---|
| 3679@syu.ac.kr | |
| Website | https://www.syu.ac.kr/grad/ |
"ROR" |
https://ror.org/04vxr4k74 |
Funders
Funder type
Other
No information available
Results and Publications
| Intention to publish date | 31/10/2023 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Data sharing statement to be made available at a later date |
| Publication and dissemination plan | Planned publication in the PLOS ONE journal. |
| IPD sharing plan | The data-sharing plans for the current study are unknown and will be made available at a later date |
Editorial Notes
23/10/2023: Study's existence confirmed by the Sahmyook University IRB.
