Comparative Effects of Global Postural Re-education and NASM-based Corrective Exercises in Patients With Upper Cross Syndrome (UCS)

Обзор

The goal of this clinical trial is to learn the comparative effects of Global postural re-education (GPR) and National Academy of Sports Medicine (NASM) based corrective exercises in participants with upper cross syndrome (UCS). The main questions it aims to answer: * Is there any difference between the effects of GPR and NASM-based corrective exercises in decreasing pain and disability and improving endurance in participants with upper cross syndrome? * Is there any difference between the effects of GPR and NASM-based corrective exercises in improving cranio-vertebral angle of participants with upper cross syndrome? Researchers will compare GPR and NASM-based corrective exercises to see if there is difference between the two treatments in decreasing pain, disability and improving endurance and cranio-vertebral angle. Participants will be: * Given treatment 3 times a week for 8 weeks. * Assessed before first treatment session (baseline), at 4th week of intervention and at the end of last treatment session (8th week).

Вмешательства

• Другое Global Postural Re-education
  Global Postural Re-education 1st position: Patient will lie in supine, shoulders abducted to 30°, forearms supinated and the pelvis will be kept in a neutral position, while the lumbar spine remain supported. This position is characterized by a progression from flexion to extension of both hips and knees. 2nd position: Patient will remain in supine with their hips at 90° of flexion and perform gradual knee extensions. The participants will remain between 15 \& 20 min in each of these two positi
• Другое NASM-based Corrective exercises
  NASM-based Corrective Exercises The four-stage exercise for UCS begins with preventing or reducing excessive muscle contraction (frequent foam wrapping), relaxing these same muscles, which fully eliminates dysfunctional muscles, and finally restores functional mobility. Step 1: inhibit or self-myofascial release overactive muscles: It includes the levator scapulae, trapezius (upper fibre), and sternocleidomastoid muscles. Hold pressure will be applied for 30 s on the tender spots. Step 2: Len

Первичные конечные точки

• Mean change in endurance from baseline on Progressive iso-inertial lifting evaluation (PILE) test at 4 weeks and 8 weeks [Срок оценки: From enrollment (before first treatment session) to the end of treatment at 8 weeks.]
• Mean change in pain score from baseline on Numeric Pain Rating Scale (NPRS) at 4 weeks and 8 weeks [Срок оценки: From enrollment (before first treatment session) to the end of treatment at 8 weeks.]
• Mean change in disability score from baseline on Neck Disability Index (NDI) at 4 weeks and 8 weeks [Срок оценки: From enrollment (before first treatment session) to the end of treatment at 8 weeks.]

Вторичные конечные точки (1)

• Mean change in the Craniovertebral angle from baseline at 4 weeks and 8 weeks [Срок оценки: From enrollment (before first treatment session) to the end of treatment at 8 weeks.]

Критерии участия

Критерии включения

• Age between 20-45 years
• Pain in the upper back and neck region.
• Both male and female patients
• Rounded shoulders
• Craniovertebral angle less than 47 degrees
• Willingness to participate

Критерии исключения

• History of spinal surgery
• Neurological deficits (radiculopathy, myelopathy, disc herniation)
• Severe scoliosis or structural deformity
• Active cervical spine pathology (spondylosis, stenosis and fracture)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• District Headquarter Hospital (DHQ) Okara — Okāra

Публикации

• Azam H, Fatima N, Asjad A, Ashraf I, Asif T, Rehman F. Comparative effects of comprehensive corrective exercises versus muscle energy techniques in patients with upper cross syndrome: A randomized controlled trial: corrective exercises vs muscle energy techniques in patients with upper cross syndrome. Pakistan BioMedical Journal. 2022 Jul 31:173-7.
• Almasoodi MC, Mahdavinejad R, Ghasmi G. The effect of 8 weeks national academy of sports medicine exercises training on posture, shoulder pain, and functional disability in male with upper cross syndrome. spine (cervicothoracic angle). 2020;21:22.
• Abadiyan F, Hadadnezhad M, Khosrokiani Z, Letafatkar A, Akhshik H. Adding a smartphone app to global postural re-education to improve neck pain, posture, quality of life, and endurance in people with nonspecific neck pain: a randomized controlled trial. Trials. 2021 Apr 12;22(1):274. doi: 10.1186/s13063-021-05214-8. PMID 33845880
• Chaudhuri S, Chawla JK, Phadke V. Physiotherapeutic Interventions for Upper Cross Syndrome: A Systematic Review and Meta-Analysis. Cureus. 2023 Sep 18;15(9):e45471. doi: 10.7759/cureus.45471. eCollection 2023 Sep. PMID 37859911
• Chang MC, Choo YJ, Hong K, Boudier-Reveret M, Yang S. Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare (Basel). 2023 Aug 17;11(16):2328. doi: 10.3390/healthcare11162328. PMID 37628525
• Gillani SN, Ain Q-, Rehman SU, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. J Pak Med Assoc. 2020 Mar;70(3):394-398. doi: 10.5455/JPMA.300417. PMID 32207413
• Mendes Fernandes T, Mendez-Sanchez R, Puente-Gonzalez AS, Martin-Vallejo FJ, Falla D, Vila-Cha C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. Eur J Phys Rehabil Med. 2023 Feb;59(1):42-53. doi: 10.23736/S1973-9087.22.07554-2 PMID 36598342
• Karimian R, Rahnama N, Ghasemi G, Lenjannejadian S. Photogrammetric Analysis of Upper Cross Syndrome among Teachers and the Effects of National Academy of Sports Medicine Exercises with Ergonomic Intervention on the Syndrome. J Res Health Sci. 2019 Jul 3;19(3):e00450. PMID 31586371

Идентификаторы

NCT: NCT07528248 · IRB/FAHS/REHAB/10/25/MS/RS3458

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗