NCT06108635

Brief Summary

Upper cross syndrome is a postural condition that is characterized by muscle imbalance in neck region. It is described as a pattern of crossed tightness in trapezius, levator scapulae and pectoralis major and minor with crossed weakness in neck flexors,rhomboids,serratus anterior weakness due to poor working habits and inappropriate ergonomics. It has multiple treatment options and manual therapy is on of them. Maitland mobilizations are widely used for upper cross syndrome. However limited literature is available on the additional effects of Maitland mobilizations with Mckenzie exercises in upper cross syndrome.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
28

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2023

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 15, 2023

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

October 25, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 31, 2023

Completed
20 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 20, 2023

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 10, 2024

Completed
Last Updated

October 31, 2023

Status Verified

October 1, 2023

Enrollment Period

9 months

First QC Date

October 25, 2023

Last Update Submit

October 25, 2023

Conditions

Upper Cross Syndrome

Outcome Measures

Primary Outcomes (2)

  • Kinesiophobia

    It will be defined as an excessive irrational and debilitating fear of movement and is associated with a feeling of vulnerability to injury in response to movement and includes more than 20 score on Tampa scale of kinesiophobia.

    2 weeks

  • Range of motion

    It is composed of three inclinometers in frontal, sagittal and horizontal position. Each compass of the inclinometer is placed on the zero degree and measures the range of motion.

    2 weeks

Secondary Outcomes (1)

  • Severity of neck pain

    2 weeks

Study Arms (2)

Group A

ACTIVE COMPARATOR

McKenzie exercises with moist heat therapy will be given as intervention to experimental group. 2 sets of 5 reps will be given then progressed to 3 sets of 10 repetitions .Participants will be given Hot pack for 15 minutes.

Procedure: McKenzie ExercisesProcedure: Heat Therapy

Group B

EXPERIMENTAL

The patients will be given Maitland mobilization (central glide on effected cervical spinous process) with McKenzie exercises. Grade i and ii mobilizations will be given in week 1 and then progressed to grade iii and iv in week 2. The total time duration will be 25-30 minutes. Participants will be given Hot pack for 15 minutes.

Procedure: McKenzie ExercisesProcedure: Maitland mobilizationProcedure: Heat Therapy

Interventions

McKenzie ExercisesPROCEDURE

These can be performed in sitting and the protocol includes, 1. Retraction and extension 2. Retraction and extension with rotation 3. Postural correction There will be 2 sets of 5 repetitions in week 1 and 3 sets of 10 repetitions in week 2 followed by alternative days in a week. Each set is 30 seconds and each repetition is given in 2 seconds.

Group AGroup B
Maitland mobilizationPROCEDURE

The grade I and II Maitland mobilizations are given in week 1 and then progressed to grade III and IV in week 2

Group B
Heat TherapyPROCEDURE

Moist heat therapy with hot pack.

Group AGroup B

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age group:18-45 years with diagnosed upper cross syndrome
  • Both males and females
  • Neck pain with a score between 4-8 in NPRS
  • Able to provide informed consent and understand therapists instruction

You may not qualify if:

  • History of Cervical or upper limb fracture
  • Vertibrobasilar insufficiency
  • Cervical spine surgery
  • Spinal infections and tumors
  • Osteoporosis
  • Metabolic disorders
  • Rheumatiod Arthritis
  • Inflammatory Arthritis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Interventions

Diathermy

Intervention Hierarchy (Ancestors)

Hyperthermia, InducedTherapeutics

Central Study Contacts

Hira Nawaz, DPT,MS-MSKPT

CONTACT

03165311943hiranawaz09@gmail.com

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
A single blinded study will be used in which data analyzer will be blind.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Parallel Group Randomized Control Trial
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 25, 2023

First Posted

October 31, 2023

Study Start

February 15, 2023

Primary Completion

November 20, 2023

Study Completion

February 10, 2024

Last Updated

October 31, 2023

Record last verified: 2023-10

Locations

PA(1)