Kyphosis, Neck Muscle Issue
Conditions
Brief summary
the study aims to investigate the effectiveness of diaphragmatic release on upper crossed syndrome
Detailed description
Poor posture typically causes upper cross syndrome, resulting in neck pain. Neck pain is the most common reason for patients to visit healthcare professionals. This syndrome can cause dysfunctional tone in posture and muscular disparity of the head, neck, and shoulder region . Evidence suggests that 6-48% of the upper crossed syndrome population complain of pain in the shoulder girdle and cervicothoracic region. Many disorders are linked with the upper crossed syndrome, including migraine headaches; chronic headaches; Subacromial impingement; biceps tendinitis; thoracic outlet syndrome; degeneration of the cervical spine; and joint dysfunction at the C1-C2 segment, C4-C5 segment, cervicothoracic joint, and T4-T5 segment. Upon the available research studies, there is no study conducted to investigate the effect of diaphragmatic release on upper crossed syndrome patients.
Interventions
OTHEReffect of diaphragmatic release on upper crossed syndrome
The patients will be positioned in the supine position. The therapist stood at the head of the patient.therapist make manual contact of ribs and ask patient to inspire the move ribs laterally and then expire conventional exercise Subjects will form the letter 'Y' with their arms then they will flex their elbows and move into a position of shoulder extension, so that their arms will form the letter 'w L to Y Exercise: Subjects will begin with arms abducted to 90° and elbows flexed to 90° Chin tucks : Subjects will length the neck by pushing the chin into the table in an entirely posterior motion stretch pectoral area from supine lying position
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
the patients and investigator do not know the groups receive treatment
Eligibility
Sex/Gender
ALL
Age
17 Years to 22 Years
Healthy volunteers
No
Inclusion criteria
* Age ranged from 17 to 22 years . * Body Mass Index from 20 to 25 kg/m². * All participants have an intensity of neck pain on VAS (4-8) (moderate cases). * The subjects were chosen from both sexes. * All participants have kyphosis angle ≥42° * All participants have mechanical neck pain and FHP (craniovertebral angle CVA \< 49).
Exclusion criteria
* Malignancy * Fractures of the cervical spine * Cervical radiculopathy or myelopathy * Vascular syndromes such as vertebrobasilar insufficiency * Rheumatoid arthritis * Neck or upper back surgery * Taking anticoagulants * Local infection * Whiplash injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| chest expansion with tape measurement | up to four weeks | using tape to measure chest expansion during inspiration and expiration at axillary level and at the level of T10 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity with pain numerical scale scale | up to four weeks | The subject was instructed to place a vertical mark on the line to indicate his/her pain which zero is no pain and ten being severe pain. |
Outcome results
None listed