Thoracic KyphosisNCT06464783
Effectiveness of Comprehensive Corrective Exercises Program on Kyphosis in Recreational Cyclists
A study testing Comprehensive Corrective Exercise Program and Thoracic Exercise Program in people with Thoracic Kyphosis and Cyclists, run by Riphah International University at 1 site in Pakistan.
Trial summary
My study aim to investigate the effectiveness of comprehensive corrective exercise program on kyphosis in recreational cyclists. Additionally, i want to investigate the post exercise effects on thoracic kyphosis angle, pain levels and thoracic ranges of motion. Read more about this study
- Who is it for?
- Ages 18 to 40 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Thoracic Kyphosis, Cyclists
- What is being tested?
- Comprehensive Corrective Exercise Program and Thoracic Exercise Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Nov 2023to 24 Apr 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 40 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
None listed.
Who cannot join
- • All females
- Elite or master category cyclists
- Any spinal disorder or recent spinal pain or surgery
- Any bone pathology or deformity
- Any musculoskeletal injury
- Any postural changes due to occupational work setup
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effectiveness of Comprehensive Corrective Exercise Program on Kyphosis in Recreational Cyclists
My study aim to investigate the effectiveness of comprehensive corrective exercise program on kyphosis in recreational cyclists. Additionally, i want to investigate the post exercise effects on thoracic kyphosis angle, pain levels and thoracic ranges of motion. Our study on kyphosis in cyclists and what treatment plan could be best to minimize and treat the conditions which are affecting cyclist posture, daily life quality this is very rare study as there are no studies which explains such parameters, in these studies we will effectively describe comprehensive exercise plan to reduce kyphosis angle, increase thoracic roms, decrease pain levels and maintain good quality of life.
Read the detailed description
Sagittal plane deformity, another name for excessive thoracic spine curvature, is a postural condition marked by an unnatural increase in the thoracic kyphosis angle. This angle typically falls between 20° and 40°, but values of 45° to 50° or higher are thought to be suggestive of hyperkyphosis, increased kyphosis, or postural kyphosis. Because of spinal misalignment, excessive upper back curvature, or hyperkyphosis, can happen at any age.
Athletes are becoming increasingly concerned about kyphosis, an excessive forward curvature of the upper spine, particularly those who play sports like cycling that require a forward-leaning posture. Continuously hunching over the handlebars for extended periods when cycling can exacerbate this condition and result in discomfort, pain, and other problems. Long-term cycling postures can increase the risk of developing kyphosis by causing muscle imbalances, decreased spinal flexibility, and altered biomechanics. In addition to impairing athletic performance, these problems can result in chronic musculoskeletal disorders if left untreated. Sports medicine specialists and physiotherapists need to understand and treat kyphosis in cyclist's top priority as cycling becomes more and more popular. Sports requiring a forward-leaning stance, like swimming, cycling, and some track events, are more likely to cause kyphosis. Because cycling involves postural demands that can result in muscle imbalances and adaptations that increase the risk of kyphosis, cyclists are particularly vulnerable. In this context, the specific postural requirement of cycling includes forward leaning which is crucial for manageability and speed; in relation to kyphosis, this expresses a high degree of causality. This is especially evident during the long training sessions and the continued forward-leaning position in long bike rides that puts a constant stress on the thoracic spine leading to muscle imbalances and hardness in the thoracic region.
Corrective exercise can be defined as exercise that is designed to counter the effects of poor posture and can be effectively done by following the corrective exercise protocol that was created by the National Academy of Sports Medicine (NASM) and has been proven to reduce forward head posture and enhance cervical proprioception which in turn will enhance the general spinal stability. Corrective exercise is needed in fixing postural and musculoskeletal problems. It is a comprehensive process that involves using one's hands to assess muscles and joints, especially for strength and weakness, evaluating one's posture and movement, and prescribing specific exercise regimens to help a client achieve the proper body positioning and function. Corrective exercise training is an advanced method that incorporates ways to avoid overused muscles, stretch short muscles, recruit weak muscles, and embed new movement patterns with the purpose of identifying movement dysfunctions. Besides, it is used in the rehabilitation, conditioning, and performance enhancement training for various impairments that may affect the body regions and flexibility, strength, neuromuscular coordination, and balance. Corrective exercise is an all-inclusive solution for individuals which addresses movement dysfunctions and assist in achieving the maximum physical capability and performance of an individual without causing injury.
- Conditions
- Thoracic Kyphosis, Cyclists
- Being tested
- Comprehensive Corrective Exercise Program, Thoracic Exercise Program
- Keywords
- Comprehensive corrective, Thoracic Flexion, Thoracic Extension, Side flexion, Kyphosis Angle
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Comprehensive Corrective Exercise ProgramOther
Week 1st to 2nd: Corrective exercises +Core strengthening (2 sets 10 reps). Stretchings (30 sec hold, 3 reps).
Week 3rd to 5th: Corrective exercises +Core strengthening (3 sets 15 reps). Stretchings (30 sec hold, 3 reps).
Week 5th to 8th: Corrective exercises +Core strengthening (3 sets 20 reps). Stretchings (30 sec hold, 3 reps).
Thoracic Exercise ProgramOther
Week 1st to 2nd: Thoracic extension (2 sets 10 reps). Mobilization (60 sec 2 reps). Stretching (30 sec hold and 3 reps).
Week 3rd to 5th: Thoracic extension (2 sets 15 reps). T W Y I thoracic exercise in prone (2 sets 15 reps). Self-mobilization (60 seconds 2 reps). Stretching (30 sec hold and 3 reps)
Week 5th to 8th. Thoracic extension (3 sets 20 reps). T W Y I thoracic exercise in prone position (3 sets 20 reps). Self-mobilization (60 sec 2 reps). Stretching (30 sec hold and 3 reps)
| Study group | Role | What they receive |
|---|---|---|
| Comprehensive Corrective Exercise Program | Experimental | Comprehensive Corrective Exercise Program includes following exercises.
Corrective Exercises+ Core strengthening exercises include Chin tuck Supine bridging on stable surface supine bridging with knee flexed on unstable surface unilateral lifting of arms and legs in crawling position Activation of transverse abdominous muscle. Unilateral arms and legs movements in siting position on unstable surface (ball) Cat and camel exercises Contralateral arms and legs movements in siting position on unstable surface (ball)
Stretching include Stretching of neck extensor muscle Stretching of pectoral muscle group in standing and supine position Receives: Other: Comprehensive Corrective Exercise Program |
| Thoracic Exercise Program | Active comparator | Thoracic Exercise Program includes following exercises.
Extension exercises include Thoracic extension in kneeling position T W Y I thoracic exercise in prone position.
Mobilization includes Self-mobilization
Stretching includes Stretching of pectoral muscle group in standing and supine position Receives: Other: Thoracic Exercise Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Thoracic Kyphosis Angle
thoracic spine curvature, is a postural condition marked by an unnatural increase in the thoracic kyphosis angle. This angle typically falls between 20° and 40°, but values of 45° to 50° or higher are thought to be suggestive of hyperkyphosis, increased kyphosis, or postural kyphosis.
Measured: 4th week
Secondary outcomes (2)
Visual Analogue Scale
The 10 cm visual analogue scale (VAS), that varies from 0 to 10 and 0 represents "no pain" to 10 as "worst pain imaginable," was used to measure the primary effectiveness outcome based on self-reported pain levels
Measured: 4th week
Thoracic Ranges of motions
Normal values of Thoracic Ranges of motions are as in Thoracic Flexion 50 degrees , thoracic extension 45 degrees, Side Flexion 40 degrees, and thooracic rotation 30 degrees
Measured: 4th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2024
- Study start20 Nov 2023
- Primary completion23 Feb 2024
- Study completion24 Apr 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Thoracic KyphosisStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Waqar ahmed awan, Phd, Study chair, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06464783
- Sponsor's protocol ID
- REC/01822 M Khalil Ur Rehman
- Status last verified
- Jun 2024
- First submitted
- 13 Jun 2024
- Last updated
- 18 Jun 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Comprehensive Corrective Exercise Program on Kyphosis in Recreational Cyclists
- ClinicalTrials.gov ID
- NCT06464783
- Acronym / sponsor ID
- REC/01822 M Khalil Ur Rehman
- Conditions
- Thoracic Kyphosis, Cyclists
- Keywords
- Comprehensive corrective, Thoracic Flexion, Thoracic Extension, Side flexion, Kyphosis Angle
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 20 Nov 2023 (actual)
- Primary completion
- 23 Feb 2024 (actual)
- Study completion
- 24 Apr 2024 (actual)
- First posted
- 18 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
My study aim to investigate the effectiveness of comprehensive corrective exercise program on kyphosis in recreational cyclists. Additionally, i want to investigate the post exercise effects on thoracic kyphosis angle, pain levels and thoracic ranges of motion. Our study on kyphosis in cyclists and what treatment plan could be best to minimize and treat the conditions which are affecting cyclist posture, daily life quality this is very rare study as there are no studies which explains such parameters, in these studies we will effectively describe comprehensive exercise plan to reduce kyphosis angle, increase thoracic roms, decrease pain levels and maintain good quality of life.
Detailed description
Sagittal plane deformity, another name for excessive thoracic spine curvature, is a postural condition marked by an unnatural increase in the thoracic kyphosis angle. This angle typically falls between 20° and 40°, but values of 45° to 50° or higher are thought to be suggestive of hyperkyphosis, increased kyphosis, or postural kyphosis. Because of spinal misalignment, excessive upper back curvature, or hyperkyphosis, can happen at any age.
Athletes are becoming increasingly concerned about kyphosis, an excessive forward curvature of the upper spine, particularly those who play sports like cycling that require a forward-leaning posture. Continuously hunching over the handlebars for extended periods when cycling can exacerbate this condition and result in discomfort, pain, and other problems. Long-term cycling postures can increase the risk of developing kyphosis by causing muscle imbalances, decreased spinal flexibility, and altered biomechanics. In addition to impairing athletic performance, these problems can result in chronic musculoskeletal disorders if left untreated. Sports medicine specialists and physiotherapists need to understand and treat kyphosis in cyclist's top priority as cycling becomes more and more popular. Sports requiring a forward-leaning stance, like swimming, cycling, and some track events, are more likely to cause kyphosis. Because cycling involves postural demands that can result in muscle imbalances and adaptations that increase the risk of kyphosis, cyclists are particularly vulnerable. In this context, the specific postural requirement of cycling includes forward leaning which is crucial for manageability and speed; in relation to kyphosis, this expresses a high degree of causality. This is especially evident during the long training sessions and the continued forward-leaning position in long bike rides that puts a constant stress on the thoracic spine leading to muscle imbalances and hardness in the thoracic region.
Corrective exercise can be defined as exercise that is designed to counter the effects of poor posture and can be effectively done by following the corrective exercise protocol that was created by the National Academy of Sports Medicine (NASM) and has been proven to reduce forward head posture and enhance cervical proprioception which in turn will enhance the general spinal stability. Corrective exercise is needed in fixing postural and musculoskeletal problems. It is a comprehensive process that involves using one's hands to assess muscles and joints, especially for strength and weakness, evaluating one's posture and movement, and prescribing specific exercise regimens to help a client achieve the proper body positioning and function. Corrective exercise training is an advanced method that incorporates ways to avoid overused muscles, stretch short muscles, recruit weak muscles, and embed new movement patterns with the purpose of identifying movement dysfunctions. Besides, it is used in the rehabilitation, conditioning, and performance enhancement training for various impairments that may affect the body regions and flexibility, strength, neuromuscular coordination, and balance. Corrective exercise is an all-inclusive solution for individuals which addresses movement dysfunctions and assist in achieving the maximum physical capability and performance of an individual without causing injury.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Comprehensive Corrective Exercise Program | Experimental | Other: Comprehensive Corrective Exercise ProgramComprehensive Corrective Exercise Program includes following exercises. Corrective Exercises+ Core strengthening exercises include Chin tuck Supine bridging on stable surface supine bridging with knee flexed on unstable surface unilateral lifting of arms and legs in crawling position Activation of transverse abdominous muscle. Unilateral arms and legs movements in siting position on unstable surface (ball) Cat and camel exercises Contralateral arms and legs movements in siting position on unstable surface (ball) Stretching include Stretching of neck extensor muscle Stretching of pectoral muscle group in standing and supine position |
| Thoracic Exercise Program | Active comparator | Other: Thoracic Exercise ProgramThoracic Exercise Program includes following exercises. Extension exercises include Thoracic extension in kneeling position T W Y I thoracic exercise in prone position. Mobilization includes Self-mobilization Stretching includes Stretching of pectoral muscle group in standing and supine position |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (0 listed)
Key exclusion criteria (6 listed)
- • All females
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Comprehensive Corrective Exercise ProgramWeek 1st to 2nd: Corrective exercises +Core strengthening (2 sets 10 reps). Stretchings (30 sec hold, 3 reps). Week 3rd to 5th: Corrective exercises +Core strengthening (3 sets 15 reps). Stretchings (30 sec hold, 3 reps). Week 5th to 8th: Corrective exercises +Core strengthening (3 sets 20 reps). Stretchings (30 sec hold, 3 reps). | Other | Comprehensive Corrective Exercise Program |
| Thoracic Exercise ProgramWeek 1st to 2nd: Thoracic extension (2 sets 10 reps). Mobilization (60 sec 2 reps). Stretching (30 sec hold and 3 reps). Week 3rd to 5th: Thoracic extension (2 sets 15 reps). T W Y I thoracic exercise in prone (2 sets 15 reps). Self-mobilization (60 seconds 2 reps). Stretching (30 sec hold and 3 reps) Week 5th to 8th. Thoracic extension (3 sets 20 reps). T W Y I thoracic exercise in prone position (3 sets 20 reps). Self-mobilization (60 sec 2 reps). Stretching (30 sec hold and 3 reps) | Other | Thoracic Exercise Program |
Primary outcome
Thoracic Kyphosis Angle
Time frame: 4th week
thoracic spine curvature, is a postural condition marked by an unnatural increase in the thoracic kyphosis angle. This angle typically falls between 20° and 40°, but values of 45° to 50° or higher are thought to be suggestive of hyperkyphosis, increased kyphosis, or postural kyphosis.
2 secondary outcomes
Visual Analogue Scale
Time frame: 4th week
Thoracic Ranges of motions
Time frame: 4th week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jun 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Waqar ahmed awan, Phd study chair
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Comprehensive Corrective Exercise Program and Thoracic Exercise Program in people with Thoracic Kyphosis and Cyclists, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 0 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Thoracic Kyphosis Angle (time frame: 4th week). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2024.