Upper Cross Syndrome
Conditions
Keywords
Forward head angle, Pain, ROM, Rounded Shoulder
Brief summary
This study will see the effects of IASTM along with comprehensive corrective exercise program in upper cross syndrome through their effects on pain and cervical ranges as well as postural improvement. Our study targets both male and female population. In the reference study only male population was targeted which did not show effects of both techniques on the female population though females have high stress levels which may alter results.
Detailed description
The upper cross syndrome involves stiffness of levator scapulae, pectoralis major and upper trapezius muscles and serratus anterior, deep neck flexors, rhomboids, middle and lower trapezius and scalene muscles weakness. Numerous bodily abnormalities such as headache, early deterioration of cervical spine and loss of cervical spine curve can be brought on by this syndrome. This syndrome can also result in thoracic spine abnormality and impaired glenohumeral joint biomechanics. Upper cross syndrome develops abnormality in head, neck and shoulder and develops in upper 1⁄4 of the trunk. The underlying causative agents of Upper cross syndrome are long surgeries, weakness, female gender, disability and poor posture. It was a randomized, controlled trial, conducted among patient with upper cross syndrome with Sample size was 44 by using G- Power software. Group A will be given IASTM with Graston's tool and comprehensive corrective exercise program and Group B will receive only comprehensive corrective exercise program. The protocol will consist of 12 sessions in total with 3 sessions a week 45 minutes / session for both groups. Assessment will be at baseline then after 2 weeks after that 2 weeks home plan for exercises and then after 4 weeks assessment will be done. Only pain will be assessed on alternative days
Interventions
OTHERTraditional treatment
Hot Pack will be applied at the beginning of the session for 10 minutes. Wall corner stretching exercises, neck isometric exercises and neck stretching exercises will be performed Cold pack will be applied at the end of the session for a few minutes.
OTHERIASTM and CCEP
Instrument Assisted Soft Mobilization Technique (IASTM); For pectoralis major: Subjects will be asked to lay supine with their thorax front side exposed. In abduction, restriction or adhesions will be located using scanning and gel will be applied. IASTM also address soft tissue restrictions and pain in levator scapulae, suboccipital muscles and sternocleidomastoid muscle. The Comprehensive Corrective Exercise Program (CCEP) will be designed in three phases, including initial, improvement, and maintenance.. The exercises in appropriate muscles in correct alignment during the movement pattern, the protocol focused on improving sustained postures. Exercises in initial phase protocol from 10 s hold x7 to 15 s hold x 10 from roller Exercises in improvement phase protocol from 10 repetition x 5 to 15 repetition x 6 from dumbbell , thera band, swiss ball and balance board
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants were informed that they would receive treatment either from group 1 or group 2 without indicating which group should undergo IASTM and comprehensive corrective exercise program and which group undergo only comprehensive corrective exercise program
Intervention model description
Participants were randomly assigned to the experimental group or control group after a baseline assessment with sealed enveloped method. Each participant took a envelope that identified their group and gave it to the researchers without seeing what was written. Participants were not notified which group was assigned to.
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Age 18-40 years. * Diagnosed patients with the upper crossed syndrome who have chronic neck * pain for more than 3 months. * Having neck pain scoring more than 3 on the Numeric Pain Scale were included * in this study. * Any abnormality in the position and rhythm of the scapula, as measured by the Scapular dyskinesis test, having postural changes such as excessive thoracic kyphosis (≥42°), forward head (≥44°) or round shoulder (≥49°) as measured by Flexicurve and photogrammetry. * Both male and female population will be included
Exclusion criteria
The subjects with any previous surgery, any type of Infection Hypersensitive skin Diabetes Mellitus type II Having Traumatic Injury Psychological disorder Manual Therapy contraindication like osteoporosis, infection, Disc- Herniation acute Inflammation, burn scars, closed /non-complicated fractures and open wound.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ROM Cervical ( Left Rotation) | 4 week | Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Left Rotation was taken. |
| ROM Cervical( Right Lateral Flexion) | 4 week | Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Right Lateral flexion was taken with the help of bubble Inclinometer |
| ROM Cervical ( Right Rotation) | 4 week | Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Right Rotation was taken |
| Range of motion Cervical (Flexion) | 4 week | Changes from baseline,2nd week, 4th week ROM range of motion of cervical flexion was taken |
| ROM Cervical (Extension) | 4 Week | Changes from baseline,2nd week, 4th week ROM range of motion of cervical extension was taken |
| ROM Cervical (Left Lateral Flexion) | 4 week | Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Left Lateral Flexion was taken |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flexicurve Ruler and Photogrammetry for posture | 4 week | Excessive thoracic kyphosis, forward head or round shoulder as measured by Flexicurve and photogrammetry. For posture correction assessment will be at baseline and then after 2 weeks and then after 4 weeks. |
| Numeric Pain Rating Scale (NPRS) | 4 week | NPRS is used for pain assessment. Pain assessment will be at baseline and in week one on alternative days and then after 2nd, 3rd and 4th weeks pain will be assessed on alternative days. |
Countries
Pakistan
Contacts
Primary ContactRida Alam, MSOMPT
Outcome results
None listed