Effects of Klapp Method in Upper Cross Syndrome Patients

NCT07435519 | Not Yet Recruiting

• 1 other identifier: REC/RCR&AHS/24/01101
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study was conducted to determine the effects of Klapp Method on posture, craniovertebral angle and disability in upper cross syndrome patients.

Conditions

Upper Cross Syndrome

Keywords

Craniovertebral Angle; Klapp Method; Neck Disability Index; Posture; Upper Cross Syndrome

Outcome Measures

Primary Outcomes (3)

• Craniovertebral Angle

  Universal Goniometer is utilized to measure the craniovertebral angle. An angle between 50 to 53 degrees is considered normal

  From enrollment to the end of treatment at 6 weeks

• Reedco Posture Score

  Reedco Posture score is used to assess posture. The RPS includes personal information about the person being evaluated, along with a scoring system for various body parts. Each body part is assigned a score between 0 and 10, with 10 indicating good posture 5 indicating fair posture, and 0 indicating poor posture. The total score is calculated by adding up the scores for all the body parts. A perfect score would be 100, indicating excellent posture.

  From enrollment to the end of treatment at 6 weeks

• Neck Disability Index

  Neck Disability Index is 10-item questionnaire regarding functional activities of the neck. Each item has 6 categories with 0 being the least score and 5 being the highest score. The sum of the selected categories in each item are calculated and scored out of a total possible score of 50. The NDI score is assessed as a percentage if the patient skips an item.

  From enrollment to the end of treatment at 6 weeks

Study Arms (2)

Klapp Method with Conventional Physical Therapy treatment

EXPERIMENTAL

Other: Klapp Method; Other: Conventional treatment

Conventional Physical Therapy Treatment

ACTIVE COMPARATOR

Other: Conventional treatment

Interventions

Klapp Method OTHER

Klapp Method: 3 sessions/week for 6 weeks Four-point walk followed by two-point walk \& back walk Breathing exercise from a kneeling position Simple bounce glide with simultaneous breathing Bunny hop Breathing exercise from a quadrupedal position: Greetings

Klapp Method with Conventional Physical Therapy treatment

Conventional treatment OTHER

Conventional Physical Therapy Treatment : 3 sessions/week for 6 weeks Hot pack 10 min Stretching exercises for Levator scapulae 3 sets for 30 sec hold each. Upper trapezius 3 sets for 30 sec hold each. Pectoralis stretches: 3 sets for 30 sec hold each. Strengthening was given to : Upper, Middle and Lower Trapezius: 10 repetitions 3 sets. Serratus anterior: 10 repetitions and 3 sets. Infraspinatus: 10 repetitions 3 sets. Deep neck flexors: 30 seconds hold 3 sets.

Conventional Physical Therapy Treatment; Klapp Method with Conventional Physical Therapy treatment

Eligibility Criteria

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

You may qualify if:

• Both genders were included
• Participants were between the ages of 18 to 40.
• The craniovertebral angle was less than or equal to 50 degrees
• The REEDCO Posture Assessment Scale of 59% or less.

You may not qualify if:

• Patients that had a history of vascular syndrome, cervical spine infection, trauma, surgery, or cervical spine damage
• Patients with inflammatory arthritis (such as rheumatoid arthritis or ankylosing spondylitis)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Fazle Omar Hospital

Rabwah, Punjab Province, 35460, Pakistan

Location

Related Publications (4)

• Yu L-J, Kim T-H. The effect of cervical stabilization exercises with thoracic spine extension exercises on forward head posture. International Journal of Human Movement and Sports Sciences. 2021;9(5):852-7.

  BACKGROUND

• Mocke RCF. A Comparison of Cervical and Thoracic Manipulation, Kinesio™ Abdominal Core Taping and the Combination of the Two in the Management of Upper Cross Syndrome: University of Johannesburg (South Africa); 2019.

  BACKGROUND

• Kang NY, Im SC, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turk J Phys Med Rehabil. 2021 Sep 1;67(3):291-299. doi: 10.5606/tftrd.2021.6397. eCollection 2021 Sep.

  PMID: 34870115 BACKGROUND

• Dhage P, Anap D. Prevalence of an "Upper Crossed Syndrome in Physiotherapy College Students"-A Cross-Sectional Study. VIMS Health Science Journal. 2019;6(1):10-3.

  BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Officials

• Ali Raza

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Ph.D

CONTACT

+923324390125; imran.amjd@iphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 22, 2026
• First Posted: February 27, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): November 18, 2026
• Study Completion (Estimated): November 18, 2026
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)