Effect of Diaphragmatic Release on Upper Crossed Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- chest expansion with tape measurement
研究概览
简要总结
the study aims to investigate the effectiveness of diaphragmatic release on upper crossed syndrome
详细描述
Poor posture typically causes upper cross syndrome, resulting in neck pain. Neck pain is the most common reason for patients to visit healthcare professionals. This syndrome can cause dysfunctional tone in posture and muscular disparity of the head, neck, and shoulder region . Evidence suggests that 6-48% of the upper crossed syndrome population complain of pain in the shoulder girdle and cervicothoracic region.
Many disorders are linked with the upper crossed syndrome, including migraine headaches; chronic headaches; Subacromial impingement; biceps tendinitis; thoracic outlet syndrome; degeneration of the cervical spine; and joint dysfunction at the C1-C2 segment, C4-C5 segment, cervicothoracic joint, and T4-T5 segment.
Upon the available research studies, there is no study conducted to investigate the effect of diaphragmatic release on upper crossed syndrome patients.
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)
盲法说明
the patients and investigator do not know the groups receive treatment
入排标准
- 年龄范围
- 17 Years 至 22 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranged from 17 to 22 years .
- •Body Mass Index from 20 to 25 kg/m².
- •All participants have an intensity of neck pain on VAS (4-8) (moderate cases).
- •The subjects were chosen from both sexes.
- •All participants have kyphosis angle ≥42°
- •All participants have mechanical neck pain and FHP (craniovertebral angle CVA < 49).
排除标准
- •Malignancy
- •Fractures of the cervical spine
- •Cervical radiculopathy or myelopathy
- •Vascular syndromes such as vertebrobasilar insufficiency
- •Rheumatoid arthritis
- •Neck or upper back surgery
- •Taking anticoagulants
- •Local infection
- •Whiplash injury
研究组 & 干预措施
GroupA diaphragmatic release + conventional
Group A: diaphragmatic release +conventional The patients will be positioned in the supine position. The therapist stood at the head of the patient contact thoracic cage and ask the patient to take inspiration and move laterally then ask the patient to expire.
conventional Subjects will form the letter 'Y' with their arms then they will flex their elbows and move into a position of shoulder extension so that their arms will form the letter 'w L to Y Exercise: Subjects will begin with arms abducted to 90° and elbows flexed to 90° Chin tucks: Subjects will length the neck by pushing the chin into the table in an entirely posterior motion stretch the pectoral area from the supine lying position
干预措施: effect of diaphragmatic release on upper crossed syndrome (Other)
Group B: conventional
Group B: conventional posture correction exercises Subjects will form the letter 'Y' with their arms then they will flex their elbows and move into a position of shoulder extension, so that their arms will form the letter 'w L to Y Exercise: Subjects will begin with arms abducted to 90° and elbows flexed to 90° Chin tucks : Subjects will length the neck by pushing the chin into the table in an entirely posterior motion stretch pectoral area from supine lying position
干预措施: effect of diaphragmatic release on upper crossed syndrome (Other)
结局指标
主要结局
chest expansion with tape measurement
时间窗: up to four weeks
using tape to measure chest expansion during inspiration and expiration at axillary level and at the level of T10
次要结局
- pain intensity with pain numerical scale scale(up to four weeks)
研究者
Zeinab Mohamed Abd El-Rahem
teaching assistant at basic science department, faculty of physical therapy egyptian chinese university
Cairo University