Background: Maigne’s syndrome particularly originates from mid-thoracic region and effects muscles of cervical and scapular plane, causes functional limitation, prohibits spine for rotation and bending without pain.

Objective: To determine the comparative effects of thoracic extension and thoracic stabilization exercises on range of motion, disability, pain, posture and stiffness in individuals with Maigne's Thoracic Pain.

Methodology: A randomized trial was carried out. Inclusion criteria were participants of age between 20-45 years, Numeric pain rating scale (NPRS) value ≥4, Cobb's Angle more than 40° and thoracic region pain at T4-T6. Based on the eligibility criteria, a total of 32 participants were categorized into two groups. First group received thoracic extension exercises while the second group received thoracic stabilization exercises. The baseline values of all variables including pain, stiffness, range of motion, disability and posture was recorded on day one, at the end of the three-week treatment session, using numeric pain rating scale, bubble inclinometer, Standing Thoracic X-ray, Kyphosis Index, and Thoracic Stiffness Index and Revised Oswestry Thoracic Pain Questionnaire.

Results: Mean age in group A was 26.93 ± 5.16 and in group B it was 28.60 ± 6.42. Mean BMI of group B participants was 21.25 ± 3.37 and group A had mean BMI of 23.62 ± 2.07. 33.3% participants in group. Across group analysis revealed a statistical significant disparity (p-value<0.05) was found on NPRS, Cobb’s angle, thoracic extension, kyphotic index relax posture, kyphotic best relax posture, thoracic stiffness index and ROTPDQ in both groups (A and B) after intervention of 3 weeks.

Conclusion: Thoracic extension exercises were found to more effective than thoracic stabilization exercises in managing pain, stiffness and disability along with improving range of motion and posture in patients with Maigne’s thoracic pain.

Keywords: Extension exercises, Hyperkyphosis, Kyphosis, Maigne's Thoracic Pain, Posture, Thoracic Stabilization Exercises.