Actively Recruiting

Phase Not Applicable
Age: 40Years - 60Years
All Genders
Healthy Volunteers
ID07293429

Effects of Combined Posture Correction Exercise and Resistive Respiratory Muscle Training on Breathing and Lung Function in COPD Patients with Forward Head Posture

Led by Riphah International University · Updated on 2026-01-05

72

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the effects of combined posture correction exercises and resistive respiratory muscle training on patients with chronic obstructive pulmonary disease (COPD) who also have forward head posture (FHP). This study aims to understand how these interventions impact breathing difficulties (dyspnea), chest expansion, neck posture measured by craniovertebral angle, and lung function. The study involves patients with COPD at stages 1 and 2 who exhibit muscular imbalances affecting their breathing efficiency.

CONDITIONS

Brief Title

Combined Posture Correction and Resistive Respiratory Muscles Training in COPD With FHP

Who Can Participate

Age: 40Years - 60Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients diagnosed with COPD at stage 1 or 2
  • Presence of forward head posture
  • Craniovertebral angle less than 53 degrees
  • Age between 40 and 60 years
  • Both male and female participants
  • Spirometric evidence of airflow limitation: FEV1 about 50% of predicted and FEV1/FVC ratio about 70%
  • Persistent breathlessness with self-rated intensity of 6 or more out of 10
  • Muscular tightness in pectoralis major and minor, upper trapezius, and sternocleidomastoid muscles
Not Eligible

You will not qualify if you...

  • COPD patients with severe complications such as respiratory infections, acute exacerbations, or pulmonary hypertension
  • COPD patients with cardiovascular complications including Cor Pulmonale, atherosclerosis, or risk of venous thromboembolism
  • Unstable respiratory, neurological, or cardiovascular conditions
  • Congenital deformities of the cervical spine
  • Patients with frozen shoulder, shoulder issues, or cervical radiculopathy
  • Uncontrolled underlying medical conditions

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants undergo posture correction exercises combined with resistive respiratory muscle training. Depending on group assignment, this includes inspiratory muscle training, expiratory muscle training, or combined inspiratory and expiratory muscle training. Training sessions occur 3 times per week with each session lasting 20 to 30 minutes, focusing on muscle strength and endurance.

Visits at pretreatment, Week 4, and Week 8 for assessments

Trial Site Locations

Total: 1 location

1

Riphah International University

Lahore, Pakistan, 54000

Actively Recruiting

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Research Team

I

Imran amjad, Phd

W

wajeeha zia, PP-DPT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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A combined inspiratory and expiratory muscle training program improves respiratory muscle strength and fatigue in multiple sclerosis.

Andrew D Ray, Supriya Udhoji, Terry L Mashtare...

https://pubmed.ncbi.nlm.nih.gov/23714277

Reply to Yigit, S.; Akinci, B. Comment on "Vázquez-Gandullo et al. Inspiratory Muscle Training in Patients with Chronic Obstructive Pulmonary Disease (COPD) as Part of a Respiratory Rehabilitation Program Implementation of Mechanical Devices: A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 5564".

Eva Vázquez-Gandullo, Antonio Hidalgo-Molina, Francisca Montoro-Ballesteros...

https://pubmed.ncbi.nlm.nih.gov/36981710

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Karin Postma, Janneke A Haisma, Maria T E Hopman...

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