Effects of Multimodal Therapy Versus Myofascial Release Techniques in Patient With Upper Cross Syndrome

NCT06905444 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall23/785
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Upper Cross Syndrome (UCS) is a frequent condition which is most commonly encountered in the musculoskeletal disorders showing a characteristics pattern of muscular imbalance and dysfunction in the joints of the neck and shoulder region. Upper Cross Syndrome remains a prevalent and debilitating condition, despite optimal approaches aimed at reducing pain and improving function.

Conditions

Upper Extremity Dysfunction

Outcome Measures

Primary Outcomes (3)

• NUMERIC PAIN RATING SCALE (NPRS)

  The 11-point numeric scale ranges from '0' representing "no pain" to feed '10' representing "pain as bad as you can imagine" or "worst pain imaginable".

  12 Months

• NECK DIABILITY INDEX (NDI)

  The questionnaire has been designed to evaluate how cervical pain affects ability in managing daily routine functions. There are 10 sections includes 10 questions related to pain intensity, personal care, weight lifting, reading, headaches, concentration, work , driving, sleeping and recreations. Scale between 0-5 score. Total score is 50. 22% or more score is considering significant activities of daily living disability.

  12 Months

• REEDCO POSTURE ASSESSMENT SCALE

  Standard tool for objective and quality measurement of postural deviation association with pictures. This includes name, sex, age, center, date and physiotherapist. The total score is out of 100. Normal range between 80-100% of ROM. Mild restriction 60-79% ROM.Moderate restriction 40-59% and Severe restriction: 0-39% ROM. Interpretation of scale is Good -10, Fair -5, Poor - 0 the assessment of muscle.

  12 Months

Study Arms (2)

Myofascial Release Technique

EXPERIMENTAL

Combination Product: Myofascial Release Technique

Multimodal Therapy

ACTIVE COMPARATOR

Combination Product: Multimodal Therapy

Interventions

Myofascial Release Technique COMBINATION_PRODUCT

"GROUP A (Multimodal Therapy) Group A was treated with multimodal therapy for 30-45 minutes for 2 sessions per week for 6 weeks. Postural education like correct posture and forward head posture exercises like chin tuck in. Patient was sitting on chair. Therapist was standing on side of patient treated part. Strengthening exercises for the deep cervical flexors, shoulder blade stabilizers, and core muscles with 3 Sets of 3 repetitions with hold for 5 seconds of each exercise. Then breathing exercises for 1 minute. Then grade A (pain free range) cervical spine mobilization 1 Set of 3 repetition. During entire treatment session, the therapist kept close eye on patient's discomfort.

Myofascial Release Technique

Multimodal Therapy COMBINATION_PRODUCT

Group B (Myofascial Release Technique) Group B was treated with multimodal therapy for 30-45 minutes for 2 sessions per week for 6 weeks. Palpate the muscles and fascia to identify areas of restriction. Apply gentle, sustained pressure to the restricted area using the fingertips or knuckles for Fascial Unwinding. Hold the pressure for 3-5 minutes to allow the fascia to release. Encourage the patient to breathe deeply and slowly to promote relaxation. The stretching of tight muscles 1 set of 3 repetitions. Apply gentle, sustained pressure to release tension of these tight muscles, Suboccipital, Scalene, Pectoralis Major, Trapezius, Levator Scapulae

Multimodal Therapy

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed by physician with sign and symptoms includes muscle in neck, chest and shoulder become overactive or underactive creating the X shape.
• Office worker.
• Aged 20 to 40 years.
• Male and females.

You may not qualify if:

• Recent trauma or surgery to the neck or shoulder region.
• Cancer or Metastasis in the neck or shoulder region.
• Infection or Abscess in the neck or shoulder region.
• Neurological conditions.

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Alkhidmat hospital Sahiwal

Sahiwal, Punjab Province, Pakistan

Location

MeSH Terms

Interventions

Myofascial Release Therapy; Combined Modality Therapy

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 25, 2025
• First Posted: April 1, 2025
• Study Start: March 20, 2025
• Primary Completion: June 20, 2025
• Study Completion: February 20, 2026
• Last Updated: May 20, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)