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

NCT ID: NCT06907459

Last Updated: 2025-04-02

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-01
• Study Completion Date: 2025-07-01

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.

Detailed Description

Upper cross syndrome is a postural dysfunction that can cause a variety of upper-body musculoskeletal problems. Early detection and physiotherapy can help to prevent further complications. Maintaining bad posture over an extended duration can cause postural dysfunction and misalignment.

The first and most obvious sign of upper crossed syndrome is the characteristic postural dysfunction of protracted scapulae, medially rotated humeri, hyperkyphotic upper thoracic spine, and a protracted/ anteriorly held head, which is created by hypo lordosis or even kyphosis (excessive flexion) of the lower cervical spine, hyper lordosis of the upper cervical spine and head, and anterior translation of the head upon the atlas.

The available treatments for upper cross syndrome are Stretching, strengthening, myofascial release, postural relaxation exercise, electrical stimulations, and deep neck flexors activations are the most used techniques. Numerous studies have highlighted various benefits in terms of time efforts, and prognosis. Those are corrective exercise, Kinesio taping, scapular stabilization exercise, and PNF techniques.

Studies have demonstrated the role of fascia in various musculoskeletal dysfunctions as the fascial tissues connect the skeletal muscles forming a body-wide web in a pattern called myofascial meridians. As fascia is able to modify its tensional state, strain transmission along the meridians might occur in response to changes in muscle activity.

Deep fascia tends to be highly vascularized and contain well developed lymphatic channels. In some instances, deep fascia can even contain free encapsulated nerve endings, such as Ruffini and Pacinian corpuscles. It is present in our body in different tissue planes and in different forms with specific function and the musculoskeletal fascial system can be affected by various localized disorders with variable time course and prognosis.

Conditions

Upper Cross Syndrome

Study Design

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

Study Groups

Upper Track of Deep Front Facial Line realese

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

Group Type: EXPERIMENTAL

upper Track of Deep Front Facial Line realese

Intervention Type: 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

supervised corrective exercises

Intervention Type: 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

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

Group Type: EXPERIMENTAL

Myofascial Release With IASTM

Intervention Type: 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

supervised corrective exercises

Intervention Type: 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.

supervised corrective exercises

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

Group Type: ACTIVE_COMPARATOR

supervised corrective exercises

Intervention Type: 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.

Interventions

upper Track of Deep Front Facial Line realese

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

Intervention Type: OTHER

Myofascial Release With IASTM

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

Intervention Type: OTHER

supervised corrective exercises

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.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• 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-

• 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

Al Shaymaa Shaaban Abd El Azeim

principle investigator : alshaymaa shaaban abd el azeim

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

alshaymaa abd elazeim, phd

Role: CONTACT

alshaymaa.shaaban@pt.cu.edu.eg

01033771553

mariam grase, phd

Role: CONTACT

Dr.mariamomran@cu.edu.eg

01281940603

Other Identifiers

P.T.REC/012/005666

Identifier Type: -

Identifier Source: org_study_id