Clinical Trial: Physical Therapy Treatment Once a Month Versus Once a Week for Posture Improvement in Children and Adolescents
Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional
Official Title: Physical Therapy Treatment Once a Month Versus Physical Treatment Once a Week for Posture Improvement in Children and Adolescents Who Suffer From Posture Problem or Low Back Pain
Brief Summary:
Background: Life time prevalence of Low Back Pain among Children and Adolescent ranges from 32% to 66%. This prevalence gets higher with age and among 17 years old it`s equal to prevalence among adults. Previous episode of Low Back pain is a predicting risk factor to the next one, hence we should do preventative care at a young age, even before the first attack occur. Poor posture was found as one of the risk factors for Low Back Pain in children. Adolescence with neutral posture had less prevalence of Low Back Pain then those with poor posture. Prolong slouch sitting was associated with Low Back Pain. Prevention education programs, focusing on knowledge, did not show effective change in posture behavior. Hence, the researchers concluded that it`s better if they focus on exercise.
Research Goal: comparison between physical therapy treatment for good posture once a week versus once a month, on postural behavior, thorax curve angle and Low Back Pain.
Research type: randomize, Interventional, blinded. Methods and Procedures Population: the study will include 50 children and adolescents age 10-18 years suffering from poor back posture, with or without Low Back Pain.
Procedure: The study will consist of two groups: both groups will get personal meeting once a month and a program of exercising at home every day. Treatment group will have in addition group meeting once a week and control group not. The intervention program will include physical awareness and practice for good posture, and exercises for flexibility, strength and muscle endurance.
Measurement tools:Digital Inclinometer for measuring thorax curve angle. Postural observation for measuring postural habits. Back pain and postural habits questionnaire for measuring postur
Detailed Summary:
Sponsor: Assuta Hospital Systems
Current Primary Outcome: Thoracic kyphosis angle [ Time Frame: 2 time points. before starting intervention and after 3 months. ]
Normal thoracic kyphosis angle ranges between 25°-40°. Measuring by Digital Inclinometer by placing it on the spinous process of T1 and T12 and the outcome off subtraction the two numbers is our out come.
The participant is to stand how ever he think is the best posture.
Original Primary Outcome: Same as current
Current Secondary Outcome: Back postural behavior [ Time Frame: 2 time points. before starting intervention and after 3 months. ]
A number between 0-2 that represent the mean back postural behavior score. the investigator observes the participant in 8 different positions: sitting in the waiting room, walking to the treatment room, sitting in front of the therapist, placing a mattress on the floor, exercising in six position, exercising in sitting position, exercising in standing position, and changing between positions.
Each position get a score 0-bad posture 1-fair 2-good.
Original Secondary Outcome: Same as current
Information By: Assuta Hospital Systems
Dates:
Date Received: February 5, 2017
Date Started: February 2017
Date Completion: June 2018
Last Updated: February 7, 2017
Last Verified: February 2017
