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Effect of Pilates on Balance and Spinal Curvature In Upper Crossed Syndrome

Not Applicable
Completed
Conditions
Postural; Defect
Interventions
Other: postural correction exercise
Other: Pilates exercises
Registration Number
NCT05591729
Lead Sponsor
Cairo University
Brief Summary

The study will be conducted to investigate the effect of Pilates exercise on spinal curvature and balance in patients with the upper cross syndrome. .

Detailed Description

Upper crossed syndrome (UCS) is the most common postural dysfunction in the musculature of the shoulder girdle /cervicothoracic region, which creates joint dysfunction, particularly at the atlanto-occipital joint, cervicothoracic joint C4-C5 segment, glenohumeral joint and T4-T5 segment. Pilates is designed as a program that will work with other exercise programs to strengthen, rebalance and realign the body. Pilates trains individuals to identify their own musculoskeletal strengths and weaknesses and equips them with the knowledge to correct and rebalance their entire body mechanics (Worth,2004) thus, the focus is also placed on improving personal body awareness which further decreases the risks of strain or injury that can occur with imbalances. forty patients with UCS will be allocated randomly into two groups; one experimental group will receive pilates exercise and postural correction twice a week for four weeks, and the control group will receive postural correction exercise along twice a week for four weeks

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • The patient's age ranged from 17 to 22 years
  • Body mass index between 20-25 kg/m2
  • The participants are diagnosed with upper cross syndrome
  • Patients with normal cognitive aspects willing and able to participate in a program safely
Exclusion Criteria
  • The participants have experienced any recent trauma (within 3 months of the initial consultation)
  • The participant's primary complaint is that of headaches or facial pain.
  • Contra-indications to pilates are found pregnancy, hypertension, osteoporosis, and spinal tumors.
  • Participants have any sort of structural abnormality in upper and middle back e.g., Scoliosis, or had a positive Adams test.
  • Participants who are taking anti-inflammatory or muscle relaxant medication had to have a three-day "wash out" period before participating in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
postural correction exercisepostural correction exercisepostural correction exercises will be received twice a week for four weeks
Pilates exercisePilates exercisespilates exercise will be received twice a week for four weeks
Pilates exercisepostural correction exercisepilates exercise will be received twice a week for four weeks
Primary Outcome Measures
NameTimeMethod
spinal curvatureup to four weeks

spinal mouse will be used to assess thoracic spine curvature. Total angle of the thoracic spine is 41-44 degree.

balanceup to four weeks

balance will be measured by Biodex balance system

Secondary Outcome Measures
NameTimeMethod
craniovertebral angleup to four weeks

craniovertebral angle will be measured by photogrammetric method

neck functionup to four weeks

neck function will be measured by Arabic neck disability index.. It consisting of 10 items with six choices. There is no disability for scores from 0 to 4; 5-14 is mild; 15-24 is moderate; 25-34 is severe, and finally more than 34 is a complete disability.

pain intensityup to four weeks

pain will be measured by visual analogue scale

shoulder postureup to four weeks

The shoulder's rounded position will be measured by tap measurement. the patients will be in supine and the therapist measure the distance from their shoulder to the plinth using tape measurements.

Trial Locations

Locations (1)

Faculty of physical therapy Cairo

🇪🇬

Giza, Egypt

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