ELDOA's Effect in Upper Cross Syndrome

NCT06564077 | Completed DMC

• 1 other identifier: REC 01937 Sundas Sultan
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized clinical trial is to find the effects of ELDOA on decreasing pain ,kyphosis , improving range of motion and reducing disability

Conditions

Neck Pain

Keywords

Upper Cross Syndrome; ELDOA; pain

Outcome Measures

Primary Outcomes (4)

• Numeric Pain Rating Scale (NRPS)

  The NPRS is a self-reported or clinician-administered measurement tool consisting of a numerical point scale with extreme anchors of "no pain" to "extreme pain". The scale is typically set up on a horizontal or vertical line, ranges most commonly from 0-10 or 0-100 and can be administered in written or verbal form. The test-retest reliability for the NPRS has been demonstrated to be moderate to high, varying from 0.67 to 0.96. the NPRS has 0.79 to 0.95 convergent validity.

  two weeks

• Neck disability index (NDI).

  NDI is a patient completed, condition specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headache, concentration, work, driving, sleeping and recreation each section of 5 marks. Interpretation of this scale is as 0 score indicates no activity limitation and 5 score indicates complete activity limitation. Score ranges from 0 to 50 in which 0 indicates no disability and 50 means maximum disability. A higher score indicated a greater level of activity limitation

  two weeks

• Inclinometer.

  It is used to measure the cervical range of motion. Cervical spine in neutral position place one inclinometer on C7 spinous process and other over the top of head. adjust both inclinometer dial to 0. Patient perform ranges and record reading on both inclinometer. Mathematically difference between the 2 readings is range of motion.

  two weeks

• Flexi curve ruler

  A flexi curve ruler, is used for measuring a kyphotic index that is calculated as the width divided by the length of the thoracic curve, multiplied by 100. the evaluator mark the second and twelfth back vertebrae with a marker. All the measurements conduct in a relax standing position, that the subjects ask to put their weight between their legs and look directly to the front. After marking the intended points, the flexible ruler place on the spine in such a way that it takes shape of the selected area and there is no empty space between the ruler and the spine. Then, the marked points on the spine transfer to the ruler. At the end, the ruler carefully separate from the spine and place on the target paper, and the curves draw on the paper with a pencil and the target points specified. The distance between two points L and the depth of curvature H measure by the ruler and then measure through formula

  two weeks

Study Arms (2)

Eldoa technique with conventional therapy

EXPERIMENTAL

It is myofascial stretching technique of the cervical spine. Patients were asked to adopt desired position to target intervertebral segments. Breathing is also important factor in ELDOA stretch. Patients were instructed to not to hold or strain breathing through promoting diaphragmatic breathing. * Hot pack for 20 minutes * Strengthening exercises for deep neck flexors, rhomboids, serratus anterior, and lower trapezius (2 sets of 10 reps per day). * Stretching exercise for pectoralis muscle (20 sec hold,5 reps)

Other: Eldoa technique with conventional therapy

conventional therapy

ACTIVE COMPARATOR

* Hot pack for 20 minutes * Strengthening exercises for deep neck flexors, rhomboids, serratus anterior, and lower trapezius (2 sets of 10 reps per day). * Stretching exercise for pectoralis muscle (20 sec hold,5 reps)

Other: conventional therapy

Interventions

Eldoa technique with conventional therapy OTHER

is myofascial stretching technique of the cervical spine. Patients were asked to adopt desired position to target intervertebral segments. Breathing is also important factor in ELDOA stretch. Patients were instructed to not to hold or strain breathing through promoting diaphragmatic breathing. * Hot pack for 20 minutes * Strengthening exercises for deep neck flexors, rhomboids, serratus anterior, and lower trapezius (2 sets of 10 reps per day). * Stretching exercise for pectoralis muscle (20 sec hold,5 reps)

Eldoa technique with conventional therapy

conventional therapy OTHER

* Hot pack for 20 minutes * Strengthening exercises for deep neck flexors, rhomboids, serratus anterior, and lower trapezius (2 sets of 10 reps per day). * Stretching exercise for pectoralis muscle (20 sec hold,5 reps)

conventional therapy

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Forward head posture (Measuring Tape used to record the tragus and wall distance in (cm) ,with considering the normative value 10 to 1055 cm in females and male respectively)
• Limited cervical range of motion (Flexion: less than 80◦, Extension: less than 70◦, Rotation: less than 90◦ both sides., Lateral flexion: less than 20◦)
• Kyphosis measure through flexi curve ruler
• Neck Pain more than 3 on NPRS scale

You may not qualify if:

• Participants having complaints of dizziness
• History of surgery or fracture
• Severe skin sensitization
• Cervical radiculopathy
• Trauma of upper extremity
• Malignancy of the upper limb or thorax
• Scoliosis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DHQ Hospital

Chak Six Hundred Twenty-four, KPK, Pakistan

Location

MeSH Terms

Conditions

Neck Pain; Oculocerebral hypopigmentation syndrome type Preus; Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: August 19, 2024
• First Posted: August 21, 2024
• Study Start: August 20, 2024
• Primary Completion: December 2, 2024
• Study Completion: January 10, 2025
• Last Updated: August 22, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)