Musculoskeletal Diseases
Conditions
Interventions
Group A multimodal approach group
Group B muscle energy technique group
Sponsors
Faculty of physical Therapy Cairo University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age ranging from 30 to 60 years old. 2. Male and female. 3. subjects who have weakness in deep neck flexors, serratus anterior, middle and lower trapezius and rhomboid muscles and tightness in upper trapezius, levator scapulae, scallenii, posterior neck and subocciptal muscles, pectoralis major and minor and sternocleidomastoid muscles according to the specialized tests that will be conducted. 4. Subjects complaining of this syndrome for more than 3 months. 5. All participants who will be conscious and cooperative. 6. Subjects who are not receiving medications.
Exclusion criteria
Exclusion criteria: 1. BMI more than 40. 2. age older than 60 or younger than 30 years. 3. History of congenital deformity or surgery in spine or shoulder. 4. Participants will be excluded if their cervical and shoulder angles will be =48°and =52°, respectively as above these values are considered normal. 5. Recent cervical whiplash injury and recent spinal fracture. 6. Osteoporotic subjects and compressive fractures caused by osteoporosis. 7. Marked limitation in shoulder ROM. 8. Leg length discrepancy and functional or structural scoliosis. 9. visual deficits and balance disorders. 10. Pregnancy and subjects with sever comorbid diseases. 11. psychosocial problem and cognitive impairment or inability to understand the scale. 12. Systemic inflammatory diseases. 13. Spinal Tumor and stenosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| craniovertebral angle CVA;Sagittal shoulder angle SSA | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity ;Functional status | — |
Countries
Egypt
Contacts
Public Contacthanaa Kenawy Atta
Lecturer of Basic Science Department Faculty of Physical Therapy Cairo University
Outcome results
None listed