Effect of Release of Upper Track of Deep Front Facial Line Versus Myofascial Release With IASTM on Patients With Upper Cross Syndrome

NCT06907459 | Completed

• 1 other identifier: P.T.REC/012/005666
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

this study will be conducted to compare the effect of release of upper track of deep front facial line versus myofascial release with IASTM on patients with Upper Cross Syndrome.

Conditions

Upper Cross Syndrome

Keywords

upper cross syndrome; IASTM; Release of Upper Track of Deep Front Facial Line

Outcome Measures

Primary Outcomes (1)

• neck disability

  The neck disability assessment will be performed using the Neck Disability Index (NDI) questionnaire - it contains ten items that refer to neck pain (intensity) and the level of ability to manage daily living activities (personal care, reading, lifting, headache, work, concentration, driving, sleep and recreation). The NDI score is interpreted as 0-4=no disability, 5-14=mild disability, 15-24=moderate disability, 25-34=severe disability, and over 34= total disability, where a score of 50 converted to percentiles represents 100%. NDI score is calculated as follows: total score/total possible score, transformed to percentage multiplied by 100=% points

  up to four weeks

Secondary Outcomes (6)

• pain intensity

  up to four weeks

• craniovertebral angle

  up to four weeks

• kyphosis angle

  up to four weeks

• upper chest expansion

  up to four weeks

• lower chest expansion

  up to four weeks

Study Arms (3)

Upper Track of Deep Front Facial Line realese

EXPERIMENTAL

Thirty subjects received release of upper track of deep front facial line in addition supervised corrective exercises three times a week for four weeks.

Other: upper Track of Deep Front Facial Line realese; Other: supervised corrective exercises

Myofascial Release With IASTM

EXPERIMENTAL

thirty subjects received myofascial release with IASTM in addition supervised corrective exercises three time a week for four weeks

Other: Myofascial Release With IASTM; Other: supervised corrective exercises

supervised corrective exercises

ACTIVE COMPARATOR

thirty subjects received supervised corrective exercises three time a week for four weeks

Other: supervised corrective exercises

Interventions

upper Track of Deep Front Facial Line realese OTHER

The MFR techniques were applied to the designated regions, with soft, steady pressure lasting 90 to 120 seconds postural correction exercises The upper track of deep front facial line release procedures were applied. Hyoid mobilization; Larynx mobilization; Sternal oscillations; and Barral's Transversus Thoracis mobilization. The thoracic inlet releasing ; intrathoracic fascia elongation; scalene releasing and diaphragm relaxation

Upper Track of Deep Front Facial Line realese

Myofascial Release With IASTM OTHER

The instrument is designed to mobilize soft tissues. Facilitation approaches were employed to break apart adhesions. Emollient Gel/Lubrication Gel (Hawk Grips product) was also used to lubricate the skin and allow the instrument to move more easily. The tool has two sides: one for therapy and the other for holding plus postural correction exercises

Myofascial Release With IASTM

supervised corrective exercises OTHER

The exercise program included cervical stabilization exercises performed in 3 sets of 10 repetitions with a 10-second maintenance, scapular stabilization exercises plus stretching of cervical muscles.

Myofascial Release With IASTM; Upper Track of Deep Front Facial Line realese; supervised corrective exercises

Eligibility Criteria

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

You may qualify if:

• Age between 18-40 years old
• All participants had forward head, craniovertebral angle \< 50.
• All participants had rounded back (kyphosis angle ≥ 42°)
• Based on assessment of upper cross syndrome by photogrammetric analysis.
• The subjects were chosen from both genders.

You may not qualify if:

• History of trauma or surgery in cervical region.
• Bone fractures or acute soft tissue injuries.
• Osteoporosis.
• Heart attack.
• Unstable angina pectoris -Implanted pacemaker or defibrillator- -Cancer-
• Rheumatoid arthritis
• Connective tissue disease: This includes diseases such as osteomyelitis, lupus and scleroderma -Neurological conditions-

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Alshaymaa Shaaban Abdelazeim

Giza, Dokki, 11351, Egypt

Location

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Interventions

Myofascial Release 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: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : alshaymaa shaaban abd el azeim

Model Details: release upper track of frontal line facia and IASTM

Study Record Dates

• First Submitted: March 26, 2025
• First Posted: April 2, 2025
• Study Start: April 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: February 12, 2026

Record last verified: 2026-02

Locations

EG (1)