Comparative Effect of Janda's Approach and Mckenzie Exercises on Pain Intensity, Craniovertebral Angle and Functional Disability in Patients With Upper Cross Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale
研究概览
简要总结
This study was conducted compare the effect Janda's Approach and Mckenzie Excercises in patients with Upper Crossed Syndrome
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both male and females
- •Age between 20-35 years
- •Excessive Forward Head > 46
- •Excessive Forward shoulder > 52
- •Excessive kyphosis > 42
- •Neck pain scores 4-8 on NPRS
- •Sedentary or moderately active individuals with prolonged desk/workstation use
- •Functional disability ≥10% on the Neck Disability Index
排除标准
- •Cervical and upper limb fracture history.
- •Has vertebrobasilar insufficiency.
- •History of surgery to the cervical spine.
- •Infections or neoplastic processes of the spine.
- •Diagnosed cases of osteoporosis.
- •Rheumatoid or other inflammatory arthritis.
- •Pregnancy
- •Neurological disorder
研究组 & 干预措施
Janda's Approach
干预措施: Janda's Approach (Other)
Janda's Approach
干预措施: Baseline Treatment (Other)
Mckenzie Excercises
干预措施: McKenzie Treatment (Other)
Mckenzie Excercises
干预措施: Baseline Treatment (Other)
结局指标
主要结局
Numeric Pain Rating Scale
时间窗: From enrollment to the end of treatment at 6 weeks.
The 11-point Numeric Pain Rating Scale (NPRS) ranged from 0 to 10, with 10 denoting "the highest level of pain imaginable" and 0 denoting "no pain". It was a simple indicator of pain intensity since patients chose the number that most accurately represented their level of pain.
Neck Disability Index
时间窗: From enrollment to the end of treatment at 6 weeks
The Neck Disability Index (NDI) was a standardized, self-administered questionnaire used to evaluate how neck pain affected a person's ability to perform everyday activities. It consisted of 10 items that assessed different aspects of life impacted by neck pain, including pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item was scored on a scale from 0 to 5, where higher scores indicated greater disability. The total score could range from 0 to 50 and was often converted into a percentage to interpret the level of disability. A score between 0-8% suggested no disability, 10-28% indicated mild disability, 30-48% moderate disability, 50-64% severe disability, and 70% or higher reflected complete disability.
Photogrammetry Method for Craniovertebral Angle
时间窗: From enrollment to the end of treatment at 6 weeks
A photogrammetric method was used to evaluate forward head posture (craniovertebral angle), rounded shoulders, and thoracic kyphosis from a lateral view. Key anatomical landmarks-tragus, acromion, C7, and T12-were marked on participants. Individuals stood in a natural posture, barefoot, on a marked board while facing forward. A digital camera, placed 265 cm away, captured three side-view photographs. The images were analyzed using USC software, which measured: * Forward head angle: angle between the line from tragus to C7 and the vertical. * Rounded shoulder angle: angle from acromion to the vertical. * Kyphosis angle: arc between C7 and T12.
ROM Cervical Spine (Flexion)
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine flexion ROM at baseline and 6th week of intervention was measured using goniometer.
ROM Cervical Spine (Extension)
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine extension ROM at baseline and 6th week of intervention was measured using goniometer.
ROM Cervical Spine (Lateral Flexion) Right Side
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine lateral flexion on right side ROM at baseline and 6th week of intervention was measured using goniometer.
ROM Cervical Spine (Lateral Flexion) Left Side
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine lateral flexion on left side ROM at baseline and 6th week of intervention was measured using goniometer.
ROM Cervical Spine (Rotation) Right Side
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine rotation on right side ROM at baseline and 6th week of intervention was measured using goniometer.
ROM Cervical Spine (Rotation) Left Side
时间窗: From enrollment to the end of treatment at 6 weeks
Changes in cervical spine rotation on left side ROM at baseline and 6th week of intervention was measured using goniometer.
次要结局
未报告次要终点