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Randomised controlled trial on myofascial release and feedback respiratory exercises for optimising posture and pulmonary function in forward head posture

In: Comparative Exercise Physiology
Authors:
U. Panihar Department of Physiotherapy, Guru Jambheshwar University of Science & Technology, Hisar, Haryana, India, 125001

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https://orcid.org/0000-0002-1512-5055
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S. Joshi Department of Physiotherapy, Guru Jambheshwar University of Science & Technology, Hisar, Haryana, India, 125001

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https://orcid.org/0000-0003-1497-9734
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Abstract

Background: Forward head posture (FHP) is characterised by altered postural angles leading to reduced pectoralis minor length and pulmonary functions such as forced vital capacity and forced expiratory volume in one second. Purpose: The purpose of this study was to enhance pectoralis minor muscle length and pulmonary parameters along with postural parameters by implementing feedback respiratory exercises (FRE) and myofascial release (MFR) technique in individuals with FHP. Materials and methods: The study was a randomised controlled trial, conducted on 96 participants with FHP, aging between 20-45 years. The participants were randomly allocated to 4 groups-control group, MFR group, FRE group, and combination group. The assessment of outcome measures-craniovertebral angle (CVA), cranial angle (CA), pectoralis minor length (PML), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1) was done at baseline, after 6 weeks of intervention and after 10 weeks (follow up period of 4 weeks). Results: The result of the study indicates statistically significant difference for each measured outcome variables among all four groups when within-group comparison was performed. Furthermore, between groups comparison results revealed statistically significant differences between the groups where combination group participants having maximal improvements in comparison to other groups after 6 weeks as well as after 10 weeks. Conclusions: The study concludes that combining FRE and MFR with conventional intervention provides promising results in postural angles, pectoralis minor length along with pulmonary functions such as FVC and FEV1.

Clinical Trial Registry of India (CTRI) Registration No. CTRI/2021/06/034227.

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