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Effects of Klapp Method in Upper Cross Syndrome Patients

Effects of Klapp Method on Posture, Craniovertebral Angle and Disability in Upper Cross Syndrome Patients

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07435519
Enrollment
40
Registered
2026-02-27
Start date
2026-02-01
Completion date
2026-11-18
Last updated
2026-02-27

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

Conditions

Upper Cross Syndrome

Keywords

Craniovertebral Angle, Klapp Method, Neck Disability Index, Posture, Upper Cross Syndrome

Brief summary

This study was conducted to determine the effects of Klapp Method on posture, craniovertebral angle and disability in upper cross syndrome patients.

Interventions

OTHERKlapp Method

Klapp Method: 3 sessions/week for 6 weeks Four-point walk followed by two-point walk \& back walk Breathing exercise from a kneeling position Simple bounce glide with simultaneous breathing Bunny hop Breathing exercise from a quadrupedal position: Greetings

OTHERConventional treatment

Conventional Physical Therapy Treatment : 3 sessions/week for 6 weeks Hot pack 10 min Stretching exercises for Levator scapulae 3 sets for 30 sec hold each. Upper trapezius 3 sets for 30 sec hold each. Pectoralis stretches: 3 sets for 30 sec hold each. Strengthening was given to : Upper, Middle and Lower Trapezius: 10 repetitions 3 sets. Serratus anterior: 10 repetitions and 3 sets. Infraspinatus: 10 repetitions 3 sets. Deep neck flexors: 30 seconds hold 3 sets.

Sponsors

Riphah International University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* Both genders were included * Participants were between the ages of 18 to 40. * The craniovertebral angle was less than or equal to 50 degrees * The REEDCO Posture Assessment Scale of 59% or less.

Exclusion criteria

* Patients that had a history of vascular syndrome, cervical spine infection, trauma, surgery, or cervical spine damage * Patients with inflammatory arthritis (such as rheumatoid arthritis or ankylosing spondylitis)

Design outcomes

Primary

MeasureTime frameDescription
Craniovertebral AngleFrom enrollment to the end of treatment at 6 weeksUniversal Goniometer is utilized to measure the craniovertebral angle. An angle between 50 to 53 degrees is considered normal
Reedco Posture ScoreFrom enrollment to the end of treatment at 6 weeksReedco Posture score is used to assess posture. The RPS includes personal information about the person being evaluated, along with a scoring system for various body parts. Each body part is assigned a score between 0 and 10, with 10 indicating good posture 5 indicating fair posture, and 0 indicating poor posture. The total score is calculated by adding up the scores for all the body parts. A perfect score would be 100, indicating excellent posture.
Neck Disability IndexFrom enrollment to the end of treatment at 6 weeksNeck Disability Index is 10-item questionnaire regarding functional activities of the neck. Each item has 6 categories with 0 being the least score and 5 being the highest score. The sum of the selected categories in each item are calculated and scored out of a total possible score of 50. The NDI score is assessed as a percentage if the patient skips an item.

Countries

Pakistan

Contacts

CONTACTImran Amjad, Ph.D
imran.amjd@iphah.edu.pk+923324390125
PRINCIPAL_INVESTIGATORAli Raza

Riphah International University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026