Effects of Scapular Stabilization Exercises Combined With Post Facilitation Stretch in Patients With Upper Cross Syndrome: A Randomized Control Trial

NCT06534736 | Active Not Recruiting

• 1 other identifier: FUI/CTR/2024/19
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients

Conditions

Upper Cross Syndrome

Outcome Measures

Primary Outcomes (3)

• pain intensity

  Measured with Numeric Pain Rating Scale

  4 weeks

• Neck Disability

  Neck disability index is used for assessing self-rated disability in neck pain patients

  4 weeks

• Cervical Range of Motion

  Goniometer will be used to measure Cervical Range of Motion

  4 weeks

Study Arms (2)

Post Facilitation Stretch Group

EXPERIMENTAL

Treatment protocol given to both groups will be carried out for 3 sessions per week for 4 weeks. It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Procedure: Electrotherapy and physical agents; Procedure: Post Facilitation Stretch

Stabilization Exercises along with the PFS Group

EXPERIMENTAL

It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles Scapular Stabilization exercises protocol will be carried out in 4 weeks , 3 sessions per week. Scapular wall slide exercise will be carried out with body weight .Scapular retraction with body weight. Wall Ball Circle exercise with body weight for the first two weeks and then with dumbbells for the next two weeks. Scapular Squeeze again with the body weight and dumbbells. Wall press ups will be performed. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Procedure: Electrotherapy and physical agents; Procedure: Post Facilitation Stretch; Procedure: Scapular Stabilization Exercise

Interventions

Electrotherapy and physical agents PROCEDURE

It will comprise of hot pack for 10 minutes, Tens for 10 minutes.

Post Facilitation Stretch Group; Stabilization Exercises along with the PFS Group

Post Facilitation Stretch PROCEDURE

Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Post Facilitation Stretch Group; Stabilization Exercises along with the PFS Group

Scapular Stabilization Exercise PROCEDURE

Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Stabilization Exercises along with the PFS Group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Aged 18 to 45 with neck pain for more than 3 months
• Both genders males and females
• NPRS scoring of greater than or equal to 4 points
• No History of serious pathology or recent neck trauma
• Diagnosed Upper Cross Syndrome cases using Janda approach

You may not qualify if:

• Known Scapular or shoulder pathology
• Cervical and thoracic fractures , dislocations or surgeries or whiplash injury

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Interventions

Electric Stimulation Therapy

Intervention Hierarchy (Ancestors)

Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

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

Model Details: This is a randomized controlled trial having two groups.Sample will be divided into two groups , Group A and Group B.Group A i.e Control group will receive Post Faciliation Stretch only for 4 weeks on alternative days.Group B i.e intervention hgroup will undergo Scapular Stabilization exercises along with post facilitation stretch for 4 weeks on alternative days

Study Record Dates

• First Submitted: July 30, 2024
• First Posted: August 2, 2024
• Study Start: June 10, 2024
• Primary Completion: December 10, 2024
• Study Completion: December 30, 2024
• Last Updated: August 2, 2024

Record last verified: 2024-07

Locations

PA (1)