NCT04603716

Brief Summary

This project was a Randomized control trial conducted to check the effects of eccentric and concentric muscle energy techniques on patients with upper cross syndrome so that we can have best treatment option for patients with upper cross syndrome, duration was of 6months,convenient sampling was done, subject following eligibility criteria from Mansoura hospital female physiotherapy department, Lahore were randomly allocated in two groups via lottery method, baseline assessment was done, Group A participants were given conservative treatment along with eccentric muscle energy technique and Group B participants were given conservative treatment along with concentric muscle energy technique than on 1st,3rdand 6th week post intervention assessment was done via neck disability index, Numeric rating scale, inches tape method,3 sessions per week were given, data was analyzed by using SPSS version 26.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 30, 2019

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2020

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

October 19, 2020

Completed
8 days until next milestone

First Posted

Study publicly available on registry

October 27, 2020

Completed
Last Updated

October 27, 2020

Status Verified

October 1, 2020

Enrollment Period

8 months

First QC Date

October 19, 2020

Last Update Submit

October 26, 2020

Conditions

Neck Syndrome

Keywords

upper cross syndrome,MET,NDI,NPRS

Outcome Measures

Primary Outcomes (1)

  • Neck disability index

    10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher NDI score means the greater a patient's perceived disability due to neck pain. 10 item score from 0-5.maximum score is 50. * 0 to 4(0-8%)=no disability * 5 to14(19-28%)=mild * 15 to24(30-48%)=moderate * 25 to 34 (50-64%)=severe * Above 34(70-80%)=complete. 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher NDI score means the greater a patient's perceived disability due to neck pain. 10 item score from 0-5.maximum score is 50. * 0 to 4(0-8%)=no disability * 5 to14(19-28%)=mild * 15 to24(30-48%)=moderate * 25 to 34 (50-64%)=severe * Above 34(70-80%)=complete

    6th Week

Secondary Outcomes (1)

  • NPRS

    6th Week

Other Outcomes (1)

  • Inches Tape method

    6th Week

Study Arms (2)

Eccentric Muscle Energy Technique

EXPERIMENTAL

conventional physical therapy Along with eccentric muscle energy technique

Other: Eccentric Muscle Energy Technique

concentric muscle energy technique

EXPERIMENTAL

Conventional physical therapy along with concentric muscle energy technique

Other: Concentric muscle energy technique

Interventions

Eccentric Muscle Energy TechniqueOTHER

Conventional Treatment given to both groups (Hot pack for 15 minutes, Mobilization, AROM Exercises 10 sets x 3days in a week) Reciprocal inhibition of target muscle (i.e. levator scapulae ,pectoralis major, upper trapezius) causing relaxation, patient force is minimal towards maximal therapist force, 5-7 repetition for 2-4seconds 3 days in a week up to 6 weeks. Muscle is taken from shortened to lengthened position.

Eccentric Muscle Energy Technique
Concentric muscle energy techniqueOTHER

Group B: Concentric Muscle Energy Technique: (Autogenic inhibition of target muscle (i.e. levator scapulae ,pectoralis major, upper trapezius) patient force is greater than therapist force, 5-7repitition for 3-4seconds)Muscle is taken from lengthened to shortened position. On eligible participants baseline assessment was done,3 session were given 3days per week, post intervention assessment was taken at 1st 3rd and 6th week

concentric muscle energy technique

Eligibility Criteria

Age25 Years - 40 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • month chronic neck pain
  • upper cross syndrome:
  • Clinical picture (Postural Changes):
  • Forward head posture
  • Increased cervical lordosis and thoracic kyphosis
  • Elevated and protracted shoulders (Rounded shoulders)
  • A hunched upper back
  • Rotation or abduction and winging of the scapula
  • Test: Janda test: Patient supine tries to elevate the head from the couch. Normally the lordosis will disappear and the chin will touch the sternum. Otherwise pathological picture shows that the head is lifted with the very tense neck muscles

You may not qualify if:

  • Patients having any serious trauma on neck i.e. whiplash injury
  • Spinal fracture
  • Cervicogenic headache
  • History of systemic disease RA, SLE, TUMOR
  • psychiatric disorder
  • Any Red flag

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mansoora hospital, Lahore

Lahore, Punjab Province, Pakistan

Location

Related Publications (15)

  • Joshi S, Srivastava N. To Compare the Effectiveness of Active Release Technique and Conventional Physical Therapy in the Management of Upper Cross Syndrome. Indian Journal of Physiotherapy & Occupational Therapy. 2018;12(4).

    BACKGROUND

  • Rivera CE. Core and Lumbopelvic Stabilization in Runners. Phys Med Rehabil Clin N Am. 2016 Feb;27(1):319-37. doi: 10.1016/j.pmr.2015.09.003.

    PMID: 26616187BACKGROUND

  • Rajalaxmi V, Paul J, Nithya M, Lekha SC, Likitha B. Effectiveness of three dimensional approach of schroth method and yoga on pulmonary function test and posture in upper crossed syndrome with neck Pain-A double blinded study. Research Journal of Pharmacy and Technology. 2018;11(5):1835-9.

    BACKGROUND

  • Izzo R, Popolizio T, D'Aprile P, Muto M. Spinal pain. Eur J Radiol. 2015 May;84(5):746-56. doi: 10.1016/j.ejrad.2015.01.018. Epub 2015 Feb 13.

    PMID: 25824642BACKGROUND

  • Yoo K-T, Lee H-S. Effects of therapeutic exercise on posture, pain and asymmetric muscle activity in a patient with forward head posture: Case report. Journal of Korean Society of Physical Medicine. 2016;11(1):71-82.

    BACKGROUND

  • Rajalaxmi V, Ranjani V, Paul J, Subramanian S, Cyrus BE, Pavithralochani V. Efficacy of Neck Stabilization and Postural Correction Exercise on Pain, Posture, Disability, Respiratory Dysfuntions and Mental Status in Desk Job Workers-A Randomised Controlled Double Blinded Study. Research Journal of Pharmacy and Technology. 2019;12(5):2333-8.

    BACKGROUND

  • Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015 Feb;90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008.

    PMID: 25659245BACKGROUND

  • Mujawar JC, Sagar JH. Prevalence of Upper Cross Syndrome in Laundry Workers. Indian J Occup Environ Med. 2019 Jan-Apr;23(1):54-56. doi: 10.4103/ijoem.IJOEM_169_18.

    PMID: 31040591BACKGROUND

  • Tiefel K. The Efficacy of Treatment for Upper Crossed Syndrome and the Involvement of Chiropractic. 2012.

    BACKGROUND

  • Shahzad AN, Shakil-ur-Rehman S, Rafique N. Effectiveness of eccentric and concentric muscle energy techniques on hamstring length in healthy population. Rawal Medical Journal. 2019;44(2):350-2.

    BACKGROUND

  • Osama M, Tassadaq N, Malik RJ. Effect of muscle energy techniques and facet joint mobilization on spinal curvature in patients with mechanical neck pain: A pilot study. J Pak Med Assoc. 2020 Feb;70(2):344-347. doi: 10.5455/JPMA.14189.

    PMID: 32063632BACKGROUND

  • Osama M, Shakil Ur Rehman S. Effects of static stretching as compared to autogenic inhibition and reciprocal inhibition muscle energy techniques in the management of mechanical neck pain: a randomized controlled trial. J Pak Med Assoc. 2020 May;70(5):786-790. doi: 10.5455/JPMA.9596.

    PMID: 32400728BACKGROUND

  • Rana AA, Ahmad A, Gillani SA, Idrees MQ, Awan I. Effects of conventional physical therapy with and without muscle energy techniques for treatment of Upper Cross Syndrome. Rawal Medical Journal. 2020;45(1):127-32.

    BACKGROUND

  • Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016 Apr 14;35:5-11. doi: 10.1016/j.hkpj.2015.12.002. eCollection 2016 Dec.

    PMID: 30931028BACKGROUND

  • Reese NB, Bandy WD. Joint range of motion and muscle length testing-E-book: Elsevier Health Sciences; 2016.

    BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Officials

  • Syed Shakil Ur-Rehman, PhD

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Parallel Assignment
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 19, 2020

First Posted

October 27, 2020

Study Start

December 30, 2019

Primary Completion

August 30, 2020

Study Completion

September 30, 2020

Last Updated

October 27, 2020

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)