Upper Cross Syndrome
Conditions
Keywords
proprioception, upper cross syndrome, neck
Brief summary
Correlation Between Upper Cross Syndrome and Neck Proprioception Hypothesis: No statistically significant relationship exists between upper cross syndrome and neck proprioception. Study Design: Randomized Controlled Trial Participants: Office workers (≥4h computer use/day) Age: 28-48 years Chronic nonspecific neck pain (\>3 months) Forward head posture (FHP) \<46° VAS score: 3-8 cm No cognitive impairments affecting participation Exclusion Criteria: Systemic, rheumatic, or neuromuscular diseases Neurological signs, spinal surgery, or recent physical therapy Missing ≥3 consecutive or 4 nonconsecutive sessions
Detailed description
Study Title:Correlation Between Upper Cross Syndrome and Neck Proprioception Hypothesis:There will be no statistically significant relationship between upper cross syndrome and neck proprioception. Methodology: Study Design:Randomized controlled trial Inclusion Criteria: Office workers using a computer for at least 4 hours daily Aged between 28 and 48 years Neck pain (NP) between 3 and 8 cm on a visual analog scale (VAS) (0 = no pain, 10 = unbearable pain) Chronic nonspecific neck pain lasting for more than 3 months Forward head posture (FHP) less than 46° Patients willing and able to participate in an exercise program safely without cognitive impairments that would limit participation Exclusion Criteria: Specific causes of NP (e.g., systemic, rheumatic, neuromuscular diseases) Central or peripheral neurological signs Cognitive impairment History of spinal surgery Physical therapy treatments in the last 6 months prior to baseline assessment Participants missing at least three consecutive or four nonconsecutive sessions Outcome Measures: Spinal Curvature Assessment Using Spinal Mouse DeviceThe spinal mouse device is physically guided along the skin of the spine Neck Pain MeasurementNP is evaluated using a 10-cm VAS, a widely used clinical tool for assessing pain treatment effectiveness. Neck Disability Index (NDI)Disability is assessed using the NDI questionnaire. Measurement of Cervical Range of Motion (CROM) Using a CROM Assessment of Cervical Proprioception Using the CROM DeviceHead Reposition Accuracy Tests: Neutral Head Position (NHP) Test: Measures the ability to actively reposition the head to the self-selected neutral position. Target Head Position (THP) Test: Measures the ability to actively reposition the head to a previously demonstrated target position.
Interventions
OTHERIntervention Group
Group/Cohort Description: Participants with Upper Cross Syndrome (UCS) who undergo the prescribed exercise or treatment protocol.
Sponsors
Cairo University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
28 Years to 48 Years
Healthy volunteers
No
Inclusion criteria
* office workers (using a computer at least 4 h), * aged between 28 and 48 years, * NP between 3 and 8 cm on a visual analog scale (VAS) (from 0 indicating no pain at all to 10 indicating unbearable pain), * chronic nonspecific neck pain lasting for more than 3 months, and FHP less than 46° (Fathollahnejad et al., 2019). * Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.
Exclusion criteria
* specific causes of NP (e.g., systemic, rheumatic, neuromuscular diseases), central or peripheral neurological signs, cognitive impairment, spinal surgery, or physical therapy treatments in the last 6 months prior to the baseline assessment. * Participants would be also excluded if they missed at least three consecutive or four nonconsecutive sessions (Fathollahnejad et al., 2019).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Proprioception: | 8 weeks | Measurement Tool: CROM device. Tests: Neutral Head Position (NHP): Assesses participants' ability to actively reposition their head to a self-selected neutral position. Target Head Position (THP): Assesses ability to reposition the head to a previously demonstrated target position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Pain | 8 weeks | Measurement Tool: Visual Analog Scale (10-cm scale) Purpose: Evaluate participants' subjective pain levels before and after the intervention. Scale Range: 0 (no pain) to 10 (unbearable pain). Interpretation: Higher scores indicate worse pain levels. |
| Balance | 8 weeks | Measurement Tool: Biodex Balance System. Parameters: Static and dynamic balance. Postural stability score (lower scores indicate better balance). Purpose: Explore the effect of UCS on overall balance and stability. |
| Neck Disability Index (NDI): | 8 weeks | Measurement Tool: NDI questionnaire. Purpose: Assess the impact of neck pain on daily activities and functional limitations. |
| Cervical Range of Motion (CROM) | 8 weeks | Measurement Tool: CROM device. Purpose: Measure the range of motion in the cervical spine to detect restrictions due to UCS. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Spinal Curvature: | 8 weeks | Measurement Tool: Spinal Mouse Device. Parameters: Sagittal plane alignment in neutral, flexion, and extension. Purpose: Assess structural changes or adaptations in the spine due to UCS. |
Contacts
Primary ContactElsayed
Outcome results
None listed