Effect of Cervicothoracic Mobilization on Upper Crossed Syndrome

NCT05665296 | Unknown

• 1 other identifier: P.T.REC/012/003840
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

PURPOSE: To investigate the effect of cervicothoracic mobilization on Craniovertebral angle (CVA), sagittal shoulder angle (SSA), kyphotic angle and pain intensity level in upper crossed syndrome.

Conditions

Upper Crossed Syndrome

Keywords

Forward head posture; Rounded Shoulders; Thoracic kyphosis; UCS; Mobilization

Outcome Measures

Primary Outcomes (4)

• change in Craniovertebral angle (CVA) .

  Craniovertebral angle (CVA) will be measured using Computerized photogrammetry is utilized markers, Digital camera and Kinovea software.

  before treatment,and after eight weeks of treatment.

• change in Sagittal shoulder angle (SSA).

  Sagittal shoulder angle (SSA) will be measured using Computerized photogrammetry is utilized markers, Digital camera and Kinovea software.

  before treatment,and after eight weeks of treatment.

• change in thoracic kyphosis angle.

  thoracic kyphosis angle will be measured using the flexicurve ruler

  before treatment,and after eight weeks of treatment.

• change in pain level

  pain severity will be measured using visual analogue scale Each participant will be asked to put a mark on a 10-cm horizontal line that is marked with 'zero' at one end to indicate no pain and marked with'10' at the other end to indicate maximum pain.

  before treatment,and after eight weeks of treatment.

Study Arms (2)

cervicothoracic mobilization

EXPERIMENTAL

This group will receive cervicothoracic mobilization with comprehensive corrective exercise

Other: cervicothoracic mobilization; Other: CCE

control group: comprehensive corrective exercise (CCE).

ACTIVE COMPARATOR

This group will receive traditional treatment comprehensive corrective exercise (CCE).

Other: CCE

Interventions

cervicothoracic mobilization OTHER

Each participant in study group will receive cervicothoracic mobilization (central PA and transverse Grade III or grade IV) with comprehensive corrective exercise. The duration will eight weeks three sessions per week.

cervicothoracic mobilization

CCE OTHER

Each participant will receive comprehensive corrective exercise include three phases: Initial phase -Improvement phase and Maintenance phase. The initial phase exercises progress in frequency and intensity during this phase, as long as participants are able to demonstrate good quality movement. The initial phase duration is 2 weeks and the exercises will be performed for seven sets of 10-s hold . Improvement phase exercises are progressed by considering individual characteristics of each participant and by observing the overload principle and the progression in the number of repetitions of each set during the 4 weeks of the improvement phase. The exercises will be performed from five sets of ten repetitions to six sets of 15 repetitions . Maintenance phase exercises:The exercises are the same as in the improvement phase without any progression in intensity and frequency. The maintenance phase duration is 2 weeks

cervicothoracic mobilization; control group: comprehensive corrective exercise (CCE).

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 20-50 years .
• Participants will included if their CVA less than 48° ( SSA less than 52°) , as above these values are considered normal and thoracic kyphosis (with flexicurve angle more than 45 degrees) .
• Subjects who have weakness in deep neck flexors, serratus anterior, middle and lower trapezius and rhomboid muscles and tightness in upper trapezius, levator scapulae, scalene, posterior neck and suboccipital muscles, pectoralis major and minor and sternocleidomastoid muscles.
• Subject complaining of this symptom for more than 3mothes.
• Marking pain intensity score visual analog scale (VAS) ≥3 in neck and shoulder

You may not qualify if:

• History of surgery or joint diseases of the spine or shoulder.
• Osteoporosis, or fracture ,cervical instability or any sign those with other contraindications against joint mobilization.
• Individuals with any cervical condition e.g. radiculopathy, cervical rib, whiplash injury and individuals with any neurological/ condition .
• History of congenital spinal deformity (congenital scoliosis) .
• Any malignancy related to soft tissue and joints .
• Subjects taking analgesics and/or muscle relaxants.
• pregnancy.
• Being in weight out of the normal range (18 ≥ BMI ≥ 25).
• Cognitive impairment and inability to understand the scale.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (1)

• Seidi F, Bayattork M, Minoonejad H, Andersen LL, Page P. Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: randomized controlled trial. Sci Rep. 2020 Nov 26;10(1):20688. doi: 10.1038/s41598-020-77571-4.

  PMID: 33244045 BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Officials

• Abeer Yamany, professor

  Professor of physical therapy, Cairo University

  STUDY CHAIR

Central Study Contacts

Reem M El-kaffas, ass lecturer

CONTACT

01124434473; reem_elqaffas@yahoo.com

Abeer Yamany, professor

CONTACT

01006899872; abeer.yamany@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer of physical therapy-Benha University

Study Record Dates

• First Submitted: December 16, 2022
• First Posted: December 27, 2022
• Study Start: April 1, 2023
• Primary Completion: August 1, 2023
• Study Completion: September 1, 2023
• Last Updated: April 11, 2023

Record last verified: 2023-04