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Effect of upper back manual therapy combined with corrective exercises on muscle activity in individuals with upper crossed posture: A randomized clinical trial

Combined Effect of Thoracic Spine Manipulation with Jandas Approach on Electromyographic Activity in Subjects with Upper Cross Syndrome:A Randomized Clinical Trial - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/02/104541
Enrollment
36
Registered
2026-02-23
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M628- Other specified disorders of muscle

Interventions

Intervention1: Group A-Thoracic Manipulation with Janda based exercise: Participants in the manipulation group received a prone high-velocity, low-amplitude thrust manipulation technique directed bila

Sponsors

MANOJ PAPPU
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Forward head posture - craniovertebral angle more than 50 At least two of the tests-Tight pectoralis minor or major on muscle length test Tight upper trapezius on palpation and muscle length test. Weakness of lower trapezius/serratus anterior on clinical muscle tests.

Exclusion criteria

Exclusion criteria: 1.History of shoulder or spinal surgery in the past year. 2.Partial or full-thickness rotator cuff tear, adhesive capsulitis, neurogenic radiculopathy, or other diagnosed shoulder pathology requiring surgery. 3.Contraindications to spinal manipulation: known osteoporosis, vertebral fracture, spinal infection, malignancy, bleeding disorder or current anticoagulant therapy, uncontrolled systemic disease, signs of upper motor neuron lesion. 4.Received spinal or shoulder manipulation within last 4 weeks.

Design outcomes

Primary

MeasureTime frame
Change in electromyographic (EMG) activity of selected postural muscles (Upper Trapezius, Pectoralis Major, Lower Trapezius, and Serratus Anterior) measured using surface electromyography, from baseline to post-intervention (4 weeks).Timepoint: Change in electromyographic (EMG) activity of selected postural muscles (Upper Trapezius, Pectoralis Major, Lower Trapezius, and Serratus Anterior) measured using surface electromyography, from baseline to post-intervention (4 weeks).

Secondary

MeasureTime frame
Change in craniovertebral angle (CVA) measured using photogrammetry (Kinovea software) from baseline to post-intervention (4 weeks). Change in shoulder range of motion & functional reach assessed using Apley s Scratch Test from baseline to post-intervention (4 weeks).Timepoint: 1

Countries

India

Contacts

Public ContactMANOJ PAPPU

KLE INSTITUTE OF PHYSIOTHERAPY

manojpappu2014@gmail.com9449735254

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026