The Effect of Proprioceptive Neuromuscular Facilitation Combined With Postural Education on Pressure Pain Threshold in Upper Back Among Students With Upper Cross Syndrome: an Experimental Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Upper Cross Syndrome
- Sponsor
- Gulf Medical University
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Forward Head Posture
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this study was to investigate the effectiveness of PNF and conventional neck stretching, combined with a postural education program in improving forward head posture in students with clinical signs and symptoms of UCS. The study included a sample of undergraduate Gulf Medical University students with clinical signs and symptoms of UCS. A total of 24 samples were divided into two groups of 12. Group A received PNF pattern neck stretching and self-resisted neck PNF pattern, whereas Group B received Conventional neck stretches along with isometric strengthening of the neck muscles. Both groups were given a common postural education program. The intervention duration was 5 days per week for 4 weeks.
Detailed Description
Collegiate students are prone to adopt slouched posture and develop muscular imbalance which is considered as a causative factor for the development of UCS. Studies have shown that students in medical universities have a higher risk of developing UCS. Even though PNF is considered to be simple and effective to improve inter and intramuscular coordination, its application to collegiate students with UCS is limited. Application of PNF combined with postural education programs may benefit the students to reduce UCS-associated clinical problems such as reduced forward head posture, pain intensity and improving muscle strength etc. Our current study might open the door of simple and effective management of UCS among collegiate students. Therefore, our study was conducted to find out the effect of PNF and active muscle stretching, both in combination with postural education programs, on forward head posture of the students with upper crossed syndrome. Objectives: ● To compare the effect of PNF with active muscle stretching, both in combination with postural education programs on forward head posture of students with upper cross syndrome.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Students of Gulf Medical University.
- •Both genders.
- •Age between 18 - 30 years.
- •Presence of clinical signs and symptoms of UCS.
- •Presence of FHP with CVA of 49 degrees and below.
Exclusion Criteria
- •Musculoskeletal disorder such as strain, sprain, scoliosis.
- •Students participating in any other interventions.
- •Nutritional deficiencies.
- •Unwilling participate.
- •Degenerative joint disorder
- •Neurologically unstable individuals
Outcomes
Primary Outcomes
Forward Head Posture
Time Frame: Day one before the treatment, Four weeks post treatment.
Measured by using a mobile phone app (physio master) and have taken craniovertebral angle, sagittal head tilt, and, head shoulder angle to identify a forward head posture.
Secondary Outcomes
- Trigger point tenderness(Day one before the treatment, Four weeks post treatment.)
- Cervical spine range of motion(Day one before the treatment, Four weeks post treatment.)