Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: : Many subjects throughout life have a source of dysfunction from thoracic spine. Kyphosis is one of the most musculoskeletal disorders. Objectives: The purpose of the research is to assess the effect of Mulligan SNAGS on respiratory function and thoracic kyphotic angle in thoracic kyphosis. Subjects and Methods: We enrolled in this prospective study 40 patients (15 males, 25 female) with age ranging from 18 to 28 years.Patients were divided into 2 groups randomly. Group A (Experimental Group): 20 patients received mulligan Sustained Natural Apophyseal Glides on the thoracic region and traditional posture correction exercises, and Group B (Control Group): 20 patients received traditional posture exercises only. Patients had received the treatment for a period 3 session per week for 4 weeks. They were referred from sherbin out patient Orthopedic clinic. Digital X-ray was done for all patients to measure kyphotic angle, and simple spirometer was used to measure respiratory function. Results: Mixed MANOVA has been conducted to compare the effect of treatment (pre- post- therapy), as well as the impact of treatment on the mean values of Forced vital capacity(FVC), Forced expiratory volume in the 1st second(FEV1), FEV1/FVC ratio,and Maximum voluntary ventilation( MVV), and kyphotic angle. Results revealed that there were statistical significant increase in the respiratory function (FVC, FEV1, MVV) in experimental group in comparison with control group as P value was{u2264}0.05. Also it revealed statistical significant decrease in kyphotic angle in the experimental group in comparison to control group as P value was{u2264}0.05

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