The Effectiveness of Muscle Energy Technique Combined With Strengthening of Deep Neck Flexors With and Without Core Stability Exercise in Upper Cross Syndrome Patients.

NCT06139146 | Completed DMC

• 1 other identifier: 2695
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Upper cross syndrome (UCS) is a common muscles related postural disorder which is increasing every new day that is affecting the health related quality of life. It is most prevalent amongst the individuals who work at computers or laptops, or on desks. The UCS is caused by poor posture. Weak core musculature leads to poor body posture causing chronic degenerative changes and disturbing body alignment and body equilibrium. Core stability exercises (CSE) are a good strategy to improve body posture. The purpose of this study is to determine the effects of muscle energy technique (MET) combined with the strengthening of deep neck flexors with and without core stability exercise to manage Upper Cross Syndrome (UCS) patients.

Conditions

Upper Cross Syndrome; Forward Head Posture

Keywords

core stability; muscle energy technique; core stability exercise; Goniometer; craniovertebral (CV) angle

Outcome Measures

Primary Outcomes (1)

• Visual analog scale (change is being assessed)

  The primary outcome is self-reported neck pain on visual analog scale. VAS validate subjective measure for acute and chronic pain. The VAS consists of a line that is 10 cm long, with two end points that stand for 0 (meaning "no pain") and 10 (meaning "pain as bad as it could be"). VAS is the most reliable among numerical rating scale (NRS) and verbal rating scale (VRS)

  Baseline and 3 weeks.

Secondary Outcomes (3)

• Craniovertebral angle (change is being assessed)

  Baseline and 3 weeks.

• Neck Disability Index (change is being assessed)

  Baseline and 3 weeks.

• Cervical range of motions (change is being assessed)

  Baseline and 3 weeks.

Study Arms (2)

Group A Control

EXPERIMENTAL

A moist heat pack for 15-20 minutes MET of the upper trapezius, levator scapula and pectoral Major muscles Strengthening exercise of deep neck flexors

Other: Muscle energy technique (MET)

Group B Experimental

EXPERIMENTAL

A moist heat pack for 15-20 minutes Core stability exercises MET of the upper trapezius, levator scapula and pectoral Major muscles Strengthening exercise of deep neck flexors

Other: Core stability exercises:

Interventions

Muscle energy technique (MET) OTHER

MET treatment protocol of pectoral major: The patient's position was supine lying. Starting with the position which took the affected fibres to just short of their restriction barrier, the patient introduced a light contraction involving adduction of the arm against resistance from the therapist for 7-10 seconds. As the patient exhaled the therapist stretched across the new barrier. MET treatment protocol of upper trapezius: The patient moved the stabilized shoulder in a shrug motion toward the ear, and the ear toward the shoulder, with a light resistance (20% of possible strength). The contraction was sustained for 7-1 0 seconds MET treatment protocol of levator scapula The patient was in a supine position, with the hand supinated and the arm of the side to be tested extended alongside the trunk. Strengthening of deep neck flexors: Patient was instructed to his nod head to flatten the neck's curve. 10 reps for 10 sec.

Also known as: Strengthening of deep neck flexors, Moist heat pack

Group A Control

Core stability exercises: OTHER

Warm up: The cat and camel stretches Exercises: * It included Crook lying, abdominal bracing, and 10 second - 20 repetitions (reps). * Crook lying, abdominal Bracing with leg lifts holding the position for 3 second for 10 reps. * Crook lying, abdominal Bracing with bridging with 10 reps with a 10 second hold. * It included a Quadruped position with abdominal bracing for 10 s - 10 reps * Quadruped position arm lifts with abdominal bracing 10 reps on each side. * Quadruped position leg lifts with abdominal bracing 10 reps on each side. * Quadruped position alternate arm and leg lifts with abdominal bracing holding position for 3 s - 10 reps on each side. * The curl-up in hook lying, Fold arms across the torso. Lift shoulder blades off the ground. 1 to 2 seconds holds - 10 reps. * Side plank on knees; holding position for 10 s - 5 reps .

Group B Experimental

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants who were diagnosed or referred with UCS
• The participant with the age of 18 - 45 years old.
• Both male and female.
• Craniovertebral angle less than 48.
• Restricted cervical range of motion.

You may not qualify if:

• Participants who were diagnosed with: Inflammatory/Rheumatoid Arthritis , neurological disorders, History of trauma or fracture with cervical spine, Cervical spine surgery or trauma or any spinal Congenital deformities.

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Sites (1)

Dr. SUNDUS NAZ

Karachi, Sindh, 74900, Pakistan

Location

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

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: Principal Investigator

Study Record Dates

• First Submitted: November 15, 2023
• First Posted: November 18, 2023
• Study Start: January 20, 2023
• Primary Completion: January 27, 2024
• Study Completion: January 27, 2024
• Last Updated: March 21, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)