Smartphone Application with Global Postural Re-education in Patients with Upper Cross Syndrome

NCT06800573 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005034
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

The Effect of Integrating a Smartphone Application with Global Postural Re-education on Cervical Proprioception in Patients with Upper Cross Syndrome Design: Randomized Controlled Trial (RCT). Procedures: Patients with cervical pain resulting from Upper Cross Syndrome (UCS), recruited from El Amal Clinic in Fayoum, will be randomly assigned to one of three groups: Group A: Receives experimental interventions for 50 minutes per day, 4 days per week, over 8 weeks. The exercises are assisted by a smartphone application designed to support the intervention. Group B: Receives the same interventions as Group A but without the use of the smartphone application. The exercises focus on stretching the anterior and posterior muscle chains. Control Group: Receives conventional physiotherapy for 50 minutes per day, 4 days per week, over 8 weeks. This includes postural correction, neck education, and exercise therapy. Inclusion Criteria: Office workers aged between 28 and 48 years. Chronic nonspecific neck pain with a Visual Analog Scale (VAS) score between 3 and 8. Persistent pain for more than 3 months. Absence of cognitive impairments and the ability to safely participate in an exercise program. Postural changes characteristic of UCS, such as forward head posture and elevated shoulders. Exclusion Criteria: Specific causes of neck pain, such as systemic diseases or neurological signs. History of spinal surgery or physical therapy treatments within the last 6 months. Failure to attend three consecutive sessions or four non-consecutive sessions. Instrumentation: Assessment Tools: Visual Analog Scale (VAS) to measure cervical pain. Cervical Range of Motion (CROM) device to assess cervical range of motion and proprioception. Neck Disability Index (NDI) to evaluate neck function. Treatment Tools: Smartphone application named "Kyphosis and Rounded Back." Global Postural Reeducation methods. Traditional physiotherapy techniques.

Conditions

Upper Cross Syndrome

Outcome Measures

Primary Outcomes (1)

• VAS (visual analogue scale)

  1\. VAS (visual analogue scale) to assess cervical pain.

  8 weeks

Secondary Outcomes (2)

• Cervical ROM

  8 weeks

• Neck disability index (NDI)

  8 weeks

Study Arms (3)

Group A: underwent the experimental interventions about 50 min a day, 4 days a week for an 8-week

EXPERIMENTAL

Other: smartphone app exercises

• Group B: underwent the experimental interventions about 50 min a day, 4 days a week for an 8-week

EXPERIMENTAL

• Group B: underwent the experimental interventions about 50 min a day, 4 days a week for an 8-week period.

Other: lying posture with progression

• control group: The participants in the performed an evidence-based physiotherapy program about 50

ACTIVE COMPARATOR

• control group: The participants in the performed an evidence-based physiotherapy program about 50 min a day, 4 days a week for an 8-week period, described as a postural correction on daily activities .

Other: Conventional physical therapy

Interventions

Conventional physical therapy OTHER

including strengthening exercises for deep neck flexors, rhomboids, lower trapezius and serratus anterior, (2 sets of 10 repetitions per day) and stretching exercises for pectoralis muscles (20seconds hold, 5 repetition.

• control group: The participants in the performed an evidence-based physiotherapy program about 50

lying posture with progression OTHER

Exercise 1, the lying posture with leg extension progression, was aimed to stretch the anterior muscle chain (diaphragm, pectoralis minor, scalene, sternocleidomastoid, intercostalis, iliopsoas, arm, forearm, and hand flexors)(Bonetti et al., 2010). Exercise 2, the lying posture with flexion of the thighs, was intended to stretch the posterior chain (upper trapezius, levator scapulae, suboccipital, erector spinae, gluteus maximus, ischiotibial, triceps surae, and foot intrinsic muscles).

• Group B: underwent the experimental interventions about 50 min a day, 4 days a week for an 8-week

smartphone app exercises OTHER

about 50 min a day, 4 days a week for an 8-week period also, performed exercises which were reminded by a smartphone app at predetermined times.

Group A: underwent the experimental interventions about 50 min a day, 4 days a week for an 8-week

Eligibility Criteria

• Age: 28 Years - 48 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• office workers(using a computer at least 4 h),
• aged between 28 and 48years,
• NP between 3 and 8 cm on a visual analog scale(VAS) (from 0 indicating no pain at all to 10 indicating unbearable pain),
• Chronic non specific neck pain lasting for more than 3 months (Fathollahnejad et al., 2019).

You may not qualify if:

• Specific causes of NP (e.g., systemic, rheumatic, neuromuscular diseases), central or peripheral neurological signs, cognitive impairment, spinal surgery, or physical therapy treatments in the last 6 months prior to the baseline assessment.
• Participants would be also excluded if they missed at least three consecutive or four non consecutive sessions (Fathollahnejad et al., 2019).

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Central Study Contacts

Kafr El-Sheikh university

CONTACT

047 3109590; rania49.ahmed@gmail.com

Kafr El-Sheikh university

CONTACT

047 3109590

Study Design

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

Model Details: The Effect of Integrating a Smartphone Application with Global Postural Re-education on Cervical Proprioception in Patients with Upper Cross Syndrome Design: Randomized Controlled Trial. Participants: The sample size will be determined using G power analysis. Procedures: Patients of both sexes (men and women) suffering from cervical pain caused by Upper Cross Syndrome (UCS) will be randomly selected from El Amal Clinic in Fayoum. They will be randomly assigned into three groups: Group A: Participants will undergo experimental interventions for approximately 50 minutes a day, 4 days a week, for an 8-week period. Exercises will be assisted and reminded by a smartphone app at predetermined times. Group B: Participants will undergo the same experimental interventions for approximately 50 minutes a day, 4 days a week, for an 8-week period, without app assistance. The exercises include: Exercise 1: The lying posture with leg extension progression, aimed to stretch the anterior muscle c

Study Record Dates

• First Submitted: January 22, 2025
• First Posted: January 30, 2025
• Study Start: March 25, 2025
• Primary Completion: July 20, 2025
• Study Completion: August 28, 2025
• Last Updated: January 30, 2025

Record last verified: 2025-01