Upper Cross Syndrome
Conditions
Brief summary
Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients
Interventions
PROCEDUREElectrotherapy and physical agents
It will comprise of hot pack for 10 minutes, Tens for 10 minutes.
PROCEDUREPost Facilitation Stretch
Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles
PROCEDUREScapular Stabilization Exercise
Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a randomized controlled trial having two groups.Sample will be divided into two groups , Group A and Group B.Group A i.e Control group will receive Post Faciliation Stretch only for 4 weeks on alternative days.Group B i.e intervention hgroup will undergo Scapular Stabilization exercises along with post facilitation stretch for 4 weeks on alternative days
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Aged 18 to 45 with neck pain for more than 3 months * Both genders males and females * NPRS scoring of greater than or equal to 4 points * No History of serious pathology or recent neck trauma * Diagnosed Upper Cross Syndrome cases using Janda approach
Exclusion criteria
* Known Scapular or shoulder pathology * Cervical and thoracic fractures , dislocations or surgeries or whiplash injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Range of Motion | 4 weeks | Goniometer will be used to measure Cervical Range of Motion |
| Neck Disability | 4 weeks | Neck disability index is used for assessing self-rated disability in neck pain patients |
| pain intensity | 4 weeks | Measured with Numeric Pain Rating Scale |
Countries
Pakistan
Outcome results
None listed