Dynamic Neuromuscular Stabilization Versus Corrective Exercises in Upper Cross Syndrome
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Dynamic neuromuscular stabilization, NASM corrective exercises.
- Кому может быть актуально
- Состояния в реестре: Upper Crossed Syndrome, Upper Cross Syndrome, Upper Crossed Syndorme. Базовые параметры: 20 лет — 40 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Египет
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Effect of Dynamic Neuromuscular Stabilization Versus Corrective Exercises on Pain, Functional Disability, and Postural Alignment in Upper Crossed Syndrome.
Обзор
The purpose of the study will be to investigate dynamic neuromuscular stabilization versus National American Academy of Sports Medicine (NASM) corrective exercises on pain, functional disability, cranio-vertebral angle, forward shoulder angle, and thoracic kyphosis in upper cross syndrome.
Подробное описание
Upper Cross Syndrome (UCS) is a frequent condition that is most commonly encountered in musculoskeletal disorders, showing a typical pattern of imbalance in muscles and neck and shoulder region joint dysfunction. It causes pain in shoulders, upper back, thoracic and cervical spine. It is frequently associated with inadequate posture or forward head position, muscular weakness, and alterations in movement patterns, leading to pain, restricted mobility, and dysfunction in the affected areas of patients suffering from UCS.
Dynamic Neuromuscular Stabilization (DNS) is a developing rehabilitation approach based on reflex locomotion. The idea of reflex locomotion describes particular involuntary motor reactions/movement patterns that occur when firm pressure is applied to specific muscle zones. These movement patterns are standard and referred to as "global patterns". The global pattern generated from the prone position is known as "reflex creeping," whereas the one from the supine or side lying posture is known as "reflex rolling". Furthermore, some motor motions such as gripping, turning, crawling, and eventually walking occur automatically without the need for specific training in normal babies.
The National American Academy of Sports Medicine (NASM) provided a corrective exercise protocol for postural malalignment. It includes 4 steps: inhibition (self-mobilization release technique targeting trigger points), lengthening (stretching techniques for tight muscles), third: activation (strengthening techniques for weak muscles), and integration (retraining all muscles through functionally progressive movements). It was successful in treating UCS.
Вмешательства
- Другое Dynamic neuromuscular stabilization
Dynamic neuromuscular stabilization involves precise co-activation of the intrinsic muscles of the spine which forms the Integrated spinal stabilization system (ISSS) and includes cervical flexors and extensors, diaphragm, transverses abdominis, multifidus and pelvic floor. - Другое NASM corrective exercises
It is corrective exercise protocol, which includes four phases, i.e. inhibit, lengthen, activate, and integrate stage
Первичные конечные точки
- Neck pain intensity [Срок оценки: At baseline at the first session and reassessed at the end of six weeks of intervention.]
Вторичные конечные точки (4)
- Neck disability [Срок оценки: At baseline at the first session and after 6 weeks of intervention.]
- Craniovertebral angle [Срок оценки: At baseline and after 6 weeks of intervention]
- Forward shoulder angle [Срок оценки: At baseline and after 6 weeks of intervention]
- Thoracic kyphosis angle [Срок оценки: At baseline and after 6 weeks of intervention]
Критерии участия
Критерии включения
- Having non-specfic neck Pain.
- Patients having a CVA of < 52 .
- Forward shoulder angle > 52 degrees.
Критерии исключения
- Participants having conditions such as osteoporosis, blood disease, congestive heart disease, cancer, severe skin sensitization, major mental disease, and frozen shoulder, will be excluded from the study. Neck pain has a specific underlying pathology such as fractures, rheumatoid arthritis, osteoporosis, or whiplash injuries as well as neck pain associated with radiculopathy.
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
- Открытое
- Основная цель
- Лечение
Центры проведения
Египет · 1 центр
- Outpatient clinic at faculty of physical therapy - Cairo University — Cairo
Идентификаторы
NCT: NCT07698392 · P.T.REC/012/006422