About this trial
This study will be conducted to investigate the effect of Kinesio taping versus dry cupping therapy in the treatment of thoracic kyphosis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects with thoracic kyphosis angle > 40° diagnosed by a medical doctor will be selected from Damietta University's clinic of physical education faculty.
Subjects from both genders with an age range between 18 and 30 years .
Subjects who are physically active in physical education sessions
Disqualifiers
Subjects with medical conditions that restrict activity.
Those who received exercise intervention for kyphosis.
Structural thoracic kyphosis, defined as thoracic kyphosis that did not partially or completely disappear during prone extension, as assessed by a physical therapist.
Medical history of spinal fracture, spinal surgery, shoulder joint injury or pelvic injury.
Trial design
Parallel
Treatments tested in this trial
Kinesio taping
Other interventionThe subjects in this group will be treated with KT in addition to the traditional treatment for thoracic kyphosis. Elastic tape (Kinesio tape, Kinesio® Tex Classic, Kinesio Holding Corporation, New Mexico, USA) 5 cm in width will be applied on the upper back of participants by a certified physiotherapist. When applying the tape, the participants will be in an upright standing position with both arms along the side of the body in a relaxed position. Taping will be applied from a starting point at the anterior aspect of the acromioclavicular joint and will be applied across the spinous process at T6 with the tape ending around T12 paraspinal muscle. The elastic tape will be applied with a stretch of approximately 150 %, .Taping will not be taken off for four days. After day four, it will be taken off and the skin will be rested for two days. Taping application will be repeated on day 7. The patients in this group will be followed for four weeks.
Dry Cupping Therapy
Other interventionParticipants in this group will receive three sessions per week for four weeks. Two sessions will include cupping therapy in addition to conventional treatment, while one session will consist of conventional treatment only. Six stationary cups will be placed directly around the thoracic spine three cups on each side of the spine. Reusable acrylic cups of medium diameter (3.5 cm) will be used for each individual at each session. The participant will be asked to lie prone. Before beginning the session, if any signs of dehydration are identified by the therapist, coconut oil will be applied to the region in order to hydrate the skin. cups will initially be applied through two suctions by the hand pump, "moderate" suction, which generates a negative pressure of approximately 300 millibar. For participants who report considerable discomfort, the pressure will slightly be minimized according to the individual sensation. cups will be positioned around the thoracic region for 10 Min.
Conventional treatment
Other interventionThe participants in this group will receive conventional treatment that will include advices, stretching, strengthening and functional exercises 3 sessions a week for 4 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity Level
A visual analogue scale (VAS) will be used to measure the intensity of pain. With a score of 0 for no pain and 10 for the worst pain ever, this psychometric response scale, which measures pain intensity based on numerical values, is 10 cm or 100 mm in length. The interclass correlation ranges for the VAS, a validated and dependable measure of pain intensity, are 0.95 to 0.98. Patients rated their level of pain as mild if they scored 3.4 or less, moderate if they scored 3.5 to 7.4, and severe if they scored 7.5 or higher.
Secondary outcomes
Thoracic-curve angle
The digital inclinometer will be used to measure thoracic-curve angle. It is a precision instrument designed to measure angles of slope, tilt, or inclination. The digital inclinometer is becoming a popular tool to assess the musculoskeletal system, including the antero-posterior curvatures of the spine, in both clinical practice and research. The digital inclinometer is a valid and reliable instrument for measuring thoracic kyphosis and can be used for regular screening.
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