Effects of Scapular Stabilization Exercises Combined With Post Facilitation Stretch in Patients With Upper Cross Syndrome: A Randomized Control Trial

NCT ID: NCT06534736

Last Updated: 2024-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-10

Study Completion Date

2024-12-30

Brief Summary

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Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients

Detailed Description

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Conditions

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Upper Cross Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized controlled trial having two groups.Sample will be divided into two groups , Group A and Group B.Group A i.e Control group will receive Post Faciliation Stretch only for 4 weeks on alternative days.Group B i.e intervention hgroup will undergo Scapular Stabilization exercises along with post facilitation stretch for 4 weeks on alternative days
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Post Facilitation Stretch Group

Treatment protocol given to both groups will be carried out for 3 sessions per week for 4 weeks.

It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Group Type EXPERIMENTAL

Electrotherapy and physical agents

Intervention Type PROCEDURE

It will comprise of hot pack for 10 minutes, Tens for 10 minutes.

Post Facilitation Stretch

Intervention Type PROCEDURE

Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Stabilization Exercises along with the PFS Group

It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles Scapular Stabilization exercises protocol will be carried out in 4 weeks , 3 sessions per week. Scapular wall slide exercise will be carried out with body weight .Scapular retraction with body weight. Wall Ball Circle exercise with body weight for the first two weeks and then with dumbbells for the next two weeks. Scapular Squeeze again with the body weight and dumbbells. Wall press ups will be performed. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Group Type EXPERIMENTAL

Electrotherapy and physical agents

Intervention Type PROCEDURE

It will comprise of hot pack for 10 minutes, Tens for 10 minutes.

Post Facilitation Stretch

Intervention Type PROCEDURE

Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Scapular Stabilization Exercise

Intervention Type PROCEDURE

Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Interventions

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Electrotherapy and physical agents

It will comprise of hot pack for 10 minutes, Tens for 10 minutes.

Intervention Type PROCEDURE

Post Facilitation Stretch

Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Intervention Type PROCEDURE

Scapular Stabilization Exercise

Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Aged 18 to 45 with neck pain for more than 3 months
* Both genders males and females
* NPRS scoring of greater than or equal to 4 points
* No History of serious pathology or recent neck trauma
* Diagnosed Upper Cross Syndrome cases using Janda approach

Exclusion Criteria

* Known Scapular or shoulder pathology
* Cervical and thoracic fractures , dislocations or surgeries or whiplash injury
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Foundation University Islamabad

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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FUI/CTR/2024/19

Identifier Type: -

Identifier Source: org_study_id

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