Fascial Release on Upper Cross Syndrome.

NCT06004076 | Completed

• 1 other identifier: UCS
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a randomized controlled trial conducted to investigate the effect of release of upper track of deep front fascial line on patients with Upper Cross Syndrome.A sample size of 40 will be randomly allocated to two group ,(20 participants in each group), by using computer-generated random number list method. Experimental group will receive release of upper track of deep front fascial line in addition supervised corrective exercises for upper crossed syndrome and Control group which will receive supervised corrective exercise only. Both groups will receive eight sessions (2 sessions per week for 4 weeks).

Conditions

Upper Cross Syndrome

Outcome Measures

Primary Outcomes (2)

• Neck disability index

  The neck disability index (NDI) is the most widely used and validated instrument to assess the impact of neck pain on the patient's functional activities and to measure outcomes in clinical practice and research. Each of the 10 items scores from 0 to 5. The maximum score is 50. The obtained score can be multiplied by two to produce a percentage score. The disability categories for NDI are 0-8%, no disability; 10-28%, mild; 30-48%, moderate; 50-64%, severe; and 70-100%, complete dysfunction.

  up to 4 weeks

• Craniovertebral angle (CVA)

  The CVA is the angle between a horizontal line passing through the spinous process of C7, and a line extending from the tragus of the ear to C7. Photogrammetric analysis will be used to measure the angle.A lateral photograph of the craniocervical region were taken simultaneously from each subject's lateral side view,the distance between the camera and subject will be 150 cm, and the height of the camera will be held at the shoulder height of each subject and each subject will be told to stand in their bare feet. The subjects were instructed to fix their eyes on a marker that was attached to the front wall at height of eye while they were comfortably standing straight. were then instructed to assume their natural standing position on a paper sheet barefoot . Then, using the USC software application, the angle of the line connecting the tragus and the seventh neck vertebra with the perpendicular line is the forward head angle.

  up to 4 weeks

Secondary Outcomes (2)

• Thoracic kyphosis angle

  up to 4 weeks

• Chest expansion

  up to 4 weeks

Study Arms (2)

Release Group

EXPERIMENTAL

Release of upper track of deep front fascial line

Other: Release of upper track of deep front fascial line; Other: Corrective exercises for upper crossed syndrome

Corrective Group

OTHER

Corrective exercises for upper crossed syndrome.

Other: Corrective exercises for upper crossed syndrome

Interventions

Release of upper track of deep front fascial line OTHER

I will work on upper track of deep front fascial line, I will make release to diaphragm,mediastinum,scalene muscles, scalene fascia,Fascia endothoracic, transversus thoracis,Infrahyoid muscles, fascia pretracheal and Suprahyoid muscles.

Release Group

Corrective exercises for upper crossed syndrome OTHER

strength for scapular muscles and deep neck flexor

Corrective Group; Release Group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age ranged from 18 to 40 years.
• Body Mass Index ≤30 kg/m².
• All participants have forward head ,craniovertebral angle less than 48-50 degrees.
• All participants have round back(kyphosis angle ≥ 42°).
• The subjects were chosen from both genders.
• Based on assessment for upper cross syndrome by photogrammetric analysis

You may not qualify if:

• History of trauma or surgery in cervical region.
• Bone fractures or acute soft tissue injuries .
• Osteoporosis .
• Heart attack .
• Unstable angina pectoris .
• Implanted pacemaker or defibrillator .
• Pregnant women.
• Cancer .
• Rheumatoid arthritis.
• Connective tissue disease: This includes diseases such as osteomyelitis, lupus and scleroderma.
• Neurological conditions.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Giza, Egypt

Location

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physiotherapy practitioner

Model Details: Release of upper track of deep front fascial line and supervised corrective exercises

Study Record Dates

• First Submitted: August 8, 2023
• First Posted: August 22, 2023
• Study Start: August 1, 2023
• Primary Completion: January 4, 2024
• Study Completion: February 10, 2024
• Last Updated: August 23, 2024

Record last verified: 2024-08

Locations

EG (1)