Comparative Effects of Egoscue and Feldenkrais Exercises on in Upper Cross Syndrome

NCT07628413 | Recruiting

• 1 other identifier: REC/RCR&AHS/25/0111
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Upper cross syndrome is a common postural dysfunction that is caused due to alternating tightness and weakness in the opposite muscle groups of the neck, shoulders and upper back which results in abnormal postural deviations. The aim of the study will be to compare the effects of Egoscue exercises and Feldenkrais exercises on pain, craniovertebral angle and functional disability in upper cross syndrome. A Randomized clinical trial will be conducted at Ghurki Trust Teaching Hospital, Lahore and Riphah clinic, Lahore through non probability convenience sampling technique on 54 patients which will be allocated using simple random sampling through sealed opaque envelop into Group A and Group B. Group A will be treated with Egoscue exercises and conventional therapy and Group B will be treated with Feldenkrais exercises and conventional therapy at the frequency of 3 sets with 10 repetitions thrice a week. Outcome measures will be conducted through pain, craniovertebral angle and functional disability after 4 weeks. Data will be analyzed with SPSS software version 26. After assessing the normality of data by Shapiro-Wilk test, it will be decided either parametric or non- parametric will be used within the group or between the groups.

Conditions

Upper Cross Syndrome

Keywords

Craniovertebral angle,; upper cross syndrome

Outcome Measures

Primary Outcomes (2)

• Disability Index (DNI)

  This questionnaire will be used to asses disability. It comprises of 10 items; 7 related to daily living activities; 2 related to pain and 1 related to concentration. Each item is scored from 0 to 5. Total score is expressed as a percentage, with higher scores related to greater disability. Minimum detectable change measurements vary from 4.2 to 13.4, and minimum clinically important differences vary from 5 and 9.5

  6th week

• Craniovertebral angle (CVA)

  Craniovertebral angle can be measured with Image J software. If the angle is less than 50 degrees (\< 50 degree). The angle will be between tragus of the ear to cervical spinous process C7.

  6th week

Study Arms (2)

Egoscue exercises

EXPERIMENTAL

Other: Egoscue exercises

Feldenkrais exercises

ACTIVE COMPARATOR

Other: Feldenkrais exercises

Interventions

Egoscue exercises OTHER

* Static Back (for 5 - 10 minutes) * Cervical retractions (10- 15 reps) * Wall Angels (2 sets of 10) * Standing arm circles (40 forward reps \& 40 backward reps) * Static wall (for 5-8 minutes) * Modified pre stretch on wall (Hold for 30- 45 secs on each side) * Air bench (for 1- 2 minutes) * Tower shoulder rolls (stay for 10 minutes)

Egoscue exercises

Feldenkrais exercises OTHER

* Shoulder Circles with awareness * Head Rolls with Breath awareness * Arm Clock (Arm circles on the floor) * Scapular Glides * Pelvic clock with shoulder integration * Shoulder blades and arm lifting

Feldenkrais exercises

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 25 to 45 years
• Both genders (male and female)
• Chronic neck pain for more than three months - NPRS (3 to 7)
• Craniovertebral angle less than 50 degrees
• Tight Pectoralis muscle and trapezius
• Weak rhomboids and deep neck flexors

You may not qualify if:

• Any malignancy related to soft tissue and shoulder joint
• Congenital joint deformity
• Recent fractures to joint
• Recent surgery of shoulder joint or associated structures
• Patients with shoulder dislocation

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rabiya Noor

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Jeong GH, Lee BH. Effects of Telerehabilitation Combining Diaphragmatic Breathing Re-Education and Shoulder Stabilization Exercises on Neck Pain, Posture, and Function in Young Adult Men with Upper Crossed Syndrome: A Randomized Controlled Trial. J Clin Med. 2024 Mar 11;13(6):1612. doi: 10.3390/jcm13061612.

  PMID: 38541838 BACKGROUND

MeSH Terms

Conditions

Oculocerebral hypopigmentation syndrome type Preus

Study Officials

• areesha shakeel, MSPT(CP)

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Rabiya Noor, phd

CONTACT

03344355660; Rabiya.Noor@riphah.edu.pk

Iqbal Tariq, phd

CONTACT

03338236752; Iqbal.tariq@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: June 1, 2026
• First Posted: June 5, 2026
• Study Start: December 15, 2025
• Primary Completion: June 15, 2026
• Study Completion (Estimated): July 15, 2026
• Last Updated: June 5, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)