Fascial Release on Upper Cross Syndrome.

NCT ID: NCT06004076

Last Updated: 2024-08-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-01
• Study Completion Date: 2024-02-10

Brief Summary

This study will be a randomized controlled trial conducted to investigate the effect of release of upper track of deep front fascial line on patients with Upper Cross Syndrome.A sample size of 40 will be randomly allocated to two group ,(20 participants in each group), by using computer-generated random number list method.

Experimental group will receive release of upper track of deep front fascial line in addition supervised corrective exercises for upper crossed syndrome and Control group which will receive supervised corrective exercise only. Both groups will receive eight sessions (2 sessions per week for 4 weeks).

Detailed Description

Upper Cross Syndrome is a characterized by muscular imbalance of skeletal muscles activation and inhibition rather than just single muscle involvement. Individuals who present with upper crossed syndrome will show a forward head and neck posture Working in abnormal posture for prolonged duration is the main risk factor.

Although this posture does not necessarily lead to pain, but when prolonged, individuals do often experience upper back and neck pain.Stress on cervico-cranial and Cervico-thoracic junction is caused by the poor posture .Some postural patterning of forward shoulders, increases kyphosis, forward head posture, and loss of cervical lordosis is created by this poor posture.

Many researches studied effect of Exercises, stretching ,muscle energy technique,active release technique.Research on fascia gains more and more attention in basic science.

Fascial tissue plays an important role not only in functional anatomy,but also in sport and exercise science as well as in numerous therapeutic approaches as well as in clinical rehabilitation.Accordingly,There is no studies in the literature investigated the the effect of release of upper anterior track of deep front fascial line in subjects with upper cross syndrome, therefore this is the purpose study.

Conditions

Upper Cross Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Release Group

Release of upper track of deep front fascial line

Group Type: EXPERIMENTAL

Release of upper track of deep front fascial line

Intervention Type: OTHER

I will work on upper track of deep front fascial line, I will make release to diaphragm,mediastinum,scalene muscles, scalene fascia,Fascia endothoracic, transversus thoracis,Infrahyoid muscles, fascia pretracheal and Suprahyoid muscles.

Corrective exercises for upper crossed syndrome

Intervention Type: OTHER

strength for scapular muscles and deep neck flexor

Corrective Group

Corrective exercises for upper crossed syndrome.

Group Type: OTHER

Corrective exercises for upper crossed syndrome

Intervention Type: OTHER

strength for scapular muscles and deep neck flexor

Interventions

Release of upper track of deep front fascial line

I will work on upper track of deep front fascial line, I will make release to diaphragm,mediastinum,scalene muscles, scalene fascia,Fascia endothoracic, transversus thoracis,Infrahyoid muscles, fascia pretracheal and Suprahyoid muscles.

Intervention Type: OTHER

Corrective exercises for upper crossed syndrome

strength for scapular muscles and deep neck flexor

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age ranged from 18 to 40 years.

2. Body Mass Index ≤30 kg/m².

3. All participants have forward head ,craniovertebral angle less than 48-50 degrees.

4. All participants have round back(kyphosis angle ≥ 42°).

5. The subjects were chosen from both genders.

6. Based on assessment for upper cross syndrome by photogrammetric analysis

Exclusion Criteria

1. History of trauma or surgery in cervical region.

2. Bone fractures or acute soft tissue injuries .

3. Osteoporosis .

4. Heart attack .

5. Unstable angina pectoris .

6. Implanted pacemaker or defibrillator .

7. Pregnant women.

8. Cancer .

9. Rheumatoid arthritis.

10. Connective tissue disease: This includes diseases such as osteomyelitis, lupus and scleroderma.

11. Neurological conditions.

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• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Asmaa Hussein Mostafa Mahmoud

physiotherapy practitioner

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Physical Therapy Cairo University

Giza, , Egypt

Countries

Egypt

Other Identifiers

UCS

Identifier Type: -

Identifier Source: org_study_id