Posture correction plus resistive breathing muscle training for COPD with forward head posture

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial combines targeted posture correction exercises with resistive inspiratory and expiratory muscle training to address forward head posture and respiratory muscle weakness in COPD patients. Participants are adults 40–60 years old with stage 1–2 COPD, a craniovertebral angle below 53°, persistent dyspnea, and specific upper‑chest/neck muscle tightness. Interventions include guided stretching/strengthening for posture and device‑based resisted inhalation and exhalation training, with outcomes likely to include spirometry (FEV1, FEV1/FVC), respiratory muscle strength, dyspnea scores, and posture angle. Patients with unstable cardiorespiratory conditions or significant cervical/shoulder pathology are excluded.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* • Patients of COPD at stage 1 and 2

  * COPD with forward head posture.
  * Craniovertebral angle \< 53 degrees (20)
  * Age 40-60
  * Both genders
  * Spirometric evidence of significant chronic air-flow limitation (ie, FEV1 of 50% of predicted and FEV1/FVC ratio of 70% of predicted) in whom COPD had been diagnosed (21)
  * Persistent dyspnea with a self-rated intensity of ⩾6 (out of 10) on a visual analogue
  * Having muscular tightness (pectoralis major and minor, upper trapezius, sternocleidomastoid)

Exclusion Criteria:

* • COPD with severe complications (respiratory infections, acute exacerbations, pulmonary hypertension)

  * COPD with cardiovascular complications (Cor Pulmonale, atherosclerosis, risk of venous thromboembolism)
  * Unstable respiratory, neurological, and cardiovascular conditions
  * Congenital Cervical/spinal deformity
  * Patients with frozen shoulder, shoulder, cervical radiculopathy)
  * Uncontrolled underlying conditions(22)

Where it's running

• Riphah International University
  Lahore, Pakistan Recruiting

Study contacts

• Principal investigator: wajeeha zia, PP-DPT — Riphah International University
• Study coordinator: Imran amjad, Phd
• Email: imran.amjab@riphah.edu.pk
• Phone: 03324390125

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.