Comparative Effects of Global Postural Re-education and NASM-based Corrective Exercises in Patients With Upper Cross Syndrome (UCS)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Mean change in endurance from baseline on Progressive iso-inertial lifting evaluation (PILE) test at 4 weeks and 8 weeks
研究概览
简要总结
The goal of this clinical trial is to learn the comparative effects of Global postural re-education (GPR) and National Academy of Sports Medicine (NASM) based corrective exercises in participants with upper cross syndrome (UCS). The main questions it aims to answer:
- Is there any difference between the effects of GPR and NASM-based corrective exercises in decreasing pain and disability and improving endurance in participants with upper cross syndrome?
- Is there any difference between the effects of GPR and NASM-based corrective exercises in improving cranio-vertebral angle of participants with upper cross syndrome? Researchers will compare GPR and NASM-based corrective exercises to see if there is difference between the two treatments in decreasing pain, disability and improving endurance and cranio-vertebral angle.
Participants will be:
- Given treatment 3 times a week for 8 weeks.
- Assessed before first treatment session (baseline), at 4th week of intervention and at the end of last treatment session (8th week).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 20-45 years
- •Pain in the upper back and neck region.
- •Both male and female patients
- •Rounded shoulders
- •Craniovertebral angle less than 47 degrees
- •Willingness to participate
排除标准
- •History of spinal surgery
- •Neurological deficits (radiculopathy, myelopathy, disc herniation)
- •Severe scoliosis or structural deformity
- •Active cervical spine pathology (spondylosis, stenosis and fracture)
研究组 & 干预措施
GPR+ Conventional Treatment
Participants in this arm will receive Global Postural re-education treatment in addition to the routine/conventional evidence based physiotherapy treatment. Participants will be asked to repeat each exercise three times a week for 8 weeks.
干预措施: Global Postural Re-education (Other)
NASM-based corrective exercises + Conventional Treatment
Participants in this arm will receive NASM-based corrective exercises in addition to the conventional treatment. Participants will be asked to repeat each exercise 10 to 15 times, for 1-2 sets, three times a week for 8 weeks.
干预措施: NASM-based Corrective exercises (Other)
结局指标
主要结局
Mean change in endurance from baseline on Progressive iso-inertial lifting evaluation (PILE) test at 4 weeks and 8 weeks
时间窗: From enrollment (before first treatment session) to the end of treatment at 8 weeks.
Progressive iso-inertial lifting evaluation (PILE) test has been recommended as a functional test to measure muscle endurance and involves lifting weights from waist to shoulder height (30-54 in.). Participants will begin with an 8- pound load and a 13-pound load for females and males respectively. Weight will be subsequently increased at a rate equal to the initial free weight every 20 s. Four lifting movements will actually performed at 20-s intervals. The test end-point will be established when aerobic capacity or neuromuscular fatigue being felt.
Mean change in pain score from baseline on Numeric Pain Rating Scale (NPRS) at 4 weeks and 8 weeks
时间窗: From enrollment (before first treatment session) to the end of treatment at 8 weeks.
The NPRS is an 11-point scale (0, no pain; 10, worst imaginable pain) used to assess the intensity of pain. Participants will be asked to rate their pain from 0 to 10.
Mean change in disability score from baseline on Neck Disability Index (NDI) at 4 weeks and 8 weeks
时间窗: From enrollment (before first treatment session) to the end of treatment at 8 weeks.
The NDI is 10 questions and each question has a possible total score of zero to 5. The total score from all 10 questions is divided by 50, the maximum score possible, with total scores expressed in percentage. Higher percentage scores indicate a worst disability.
次要结局
- Mean change in the Craniovertebral angle from baseline at 4 weeks and 8 weeks(From enrollment (before first treatment session) to the end of treatment at 8 weeks.)
研究者
Rehana Hayat
Principal Investigator
Superior University