Thoracic Spine Rotation Stretching and Scapular Retraction in Asthma Patients

Asthma is a prevalent chronic respiratory condition that affects millions worldwide, characterized by airway inflammation and reversible airflow obstruction. Patients often experience difficulty in breathing, which can severely impact their quality of life. People with asthma are less active that their peers, and consequently, the patient becomes more sedentary. This study focusses to compare the effects of thoracic spine rotation stretching and Scapular Retraction exercises on chest expansion, pulmonary function, and dyspnea in patients with asthma. By investigating these interventions, the study seeks to provide practical recommendations for enhancing the management of asthma symptoms, ultimately improving respiratory function and mobility may improve asthma control and quality of life. A randomized clinical trial will enroll participants aged 18 to 50 with a confirmed diagnosis of chronic asthma. The study will take place at Rai Medical College Teaching Hospital Sargodha, utilizing a non- probability convenient sampling technique for participant selection. Participants will be randomly assigned to two groups using a lottery method, ensures a diverse yet unbiased sample. Group A will perform thoracic spine rotation stretching, while Group B will engage in Scapular Retraction exercises, following a standardized warm-up. Baseline treatment will include breathing exercises, postural education, bronchodilators, and nebulization Each group will engage in their respective exercises for a defined duration, focusing on improving respiratory mechanics and muscle flexibility. Study will be completed in 4 weeks (3x/week). After data collection, data will be analyzed using SPSS version 26. Assessments will be conducted before and after the intervention period, measuring chest expansion with a measuring tape, pulmonary function through digital spirometer (including FEV1 and FVC their ratio and peak expiratory flow), and dyspnea levels using the Modified borg dyspnea scale, thoracic rotation range of motion measured with a goniometer. The integration of targeted physical therapy in this study has the potential to significantly improve asthma management by enhancing respiratory function, reducing dyspnea, and increasing chest expansion.