Comparing Back Extensor and Core Stability Training in Kyphosis

Riphah International University

Status: Enrolling

Conditions: Thoracic Kyphosis

Treatments: Other: Back Extensor Strengthening Exercises; Other: Core Stability Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06888609

REC-01003 Zahoor Ahmad

Details and patient eligibility

About

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

Full description

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.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 18-40 years with a diagnosis of mild to moderate thoracic kyphosis (Cobb angle between 40° and 60°).
• The presence of back pain or discomfort is attributed to kyphosis.
• Willingness to participate and commit to the study's duration (6 weeks of intervention and follow-up).
• Ability to provide informed consent.

Exclusion criteria

• Severe thoracic kyphosis (Cobb angle > 60°).
• Other spinal conditions such as scoliosis or spinal fractures.
• Previous spinal surgery or contraindications to physical activity.
• Neurological disorders affecting motor function.
• Pregnancy or severe medical comorbidities that would preclude participation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Back Extensor Strengthening Exercises

Experimental group

Description:

Usage of modalities like hot pack \& TENS along with certain exercises mentioned in the following: 1. Superman Exercise (Prone position, lift chest off ground, arms extended) 2. Prone Arm and Leg Raise (Prone, lift opposite arm \& leg) 3. Seated Row (Resistance Band) (Pull band towards chest) 4. Wall Angels (Standing against wall, moving arms up/down)

Treatment:

Other: Back Extensor Strengthening Exercises

Core Stability Exercises

Experimental group

Description:

Usage of modalities like hot pack \& TENS along with certain exercises mentioned in the following: 1. Side Plank (Side-lying, lift hips while maintaining straight posture) 2. Dead Bug Exercise (Supine, extend opposite arm \& leg) 3. Bridging Exercise (Supine, lift hips to straight line) 4. Bird-Dog Exercise (Quadruped, extend opposite arm \& leg)

Treatment:

Other: Core Stability Exercises