Effect of Release of Upper Track of Deep Front Fascial Line on Upper Cross Syndrome.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Neck disability index
研究概览
简要总结
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).
详细描述
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.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranged from 18 to 40 years.
- •Body Mass Index ≤30 kg/m².
- •All participants have forward head ,craniovertebral angle less than 48-50 degrees.
- •All participants have round back(kyphosis angle ≥ 42°).
- •The subjects were chosen from both genders.
- •Based on assessment for upper cross syndrome by photogrammetric analysis
排除标准
- •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 .
- •Pregnant women.
- •Rheumatoid arthritis.
- •Connective tissue disease: This includes diseases such as osteomyelitis, lupus and scleroderma.
- •Neurological conditions.
结局指标
主要结局
Neck disability index
时间窗: up to 4 weeks
The neck disability index (NDI) is the most widely used and validated instrument to assess the impact of neck pain on the patient's functional activities and to measure outcomes in clinical practice and research. Each of the 10 items scores from 0 to 5. The maximum score is 50. The obtained score can be multiplied by two to produce a percentage score. The disability categories for NDI are 0-8%, no disability; 10-28%, mild; 30-48%, moderate; 50-64%, severe; and 70-100%, complete dysfunction.
Craniovertebral angle (CVA)
时间窗: up to 4 weeks
The CVA is the angle between a horizontal line passing through the spinous process of C7, and a line extending from the tragus of the ear to C7. Photogrammetric analysis will be used to measure the angle.A lateral photograph of the craniocervical region were taken simultaneously from each subject's lateral side view,the distance between the camera and subject will be 150 cm, and the height of the camera will be held at the shoulder height of each subject and each subject will be told to stand in their bare feet. The subjects were instructed to fix their eyes on a marker that was attached to the front wall at height of eye while they were comfortably standing straight. were then instructed to assume their natural standing position on a paper sheet barefoot . Then, using the USC software application, the angle of the line connecting the tragus and the seventh neck vertebra with the perpendicular line is the forward head angle.
次要结局
- Chest expansion(up to 4 weeks)
- Thoracic kyphosis angle(up to 4 weeks)
研究者
Asmaa Hussein Mostafa Mahmoud
physiotherapy practitioner
Cairo University