Scapular Stabilization Exercises Versus Eccentric Muscle Energy Techniques in Patients With Upper Crossed Syndrome

Not Applicable

Recruiting

• Conditions: Upper Crossed Syndrome
• Interventions: Other: Protocol of Scapular Stabilization Exercises; Other: Protocol of Muscle Energy technique;

• Registration Number: NCT06509594
• Lead Sponsor: Riphah International University

Brief Summary

This study will be a Randomized Clinical Trial in which Scapular Stabilization Exercises and Eccentric Muscle Energy technique will be applied on the individuals with upper crossed syndrome and changes will be recorded using different method and tools. Convenient sampling technique will be used to collect the data. The sample size of 34 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method. 17 patients will be allocated in each group. Group A will be treated with Scapular Stabilization Exercises along with hot pack; Group B will be treated with Eccentric Muscle Energy Technique along with hot pack. Craniovertebral Angle (CVA), Numeric Pain Rating Scale (NPRS), and Neck Disability Index (NDI) will be used as Data collecting tools.

Detailed Description

Upper Crossed Syndrome is defined byJanda as the involvement of different muscles of skeletal system which leads to shortness and tightness of anterior and upper trunk or weakness of posterior part of skeletal muscles. Alteration of muscles activity such as facilitation of different muscles as levator scapula, sternocleidomastoid, pectoralis muscles and inhibition of cervical flexors, serratus anterior The muscular imbalance occurs because of weak/tight and tonic muscles. Neck pain is the most frequent problem in developed countries. The prevalence of neck pain is approximately 10-15%. Neck pain is the most common reason for patients visiting healthcare professionals. Poor posture typically causes upper cross syndrome (UCS), resulting in neck pain. This syndrome can cause dysfunctional tone in posture and muscular disparity of head, neck and shoulder region.

Study Timeline

• Study Start: 2023-11-23
• Status Verified: 2024-07
• Study First Submitted: 2024-07-15
• Study First Submitted QC: 2024-07-15
• Last Update Submitted: 2024-07-15
• Study First Posted: 2024-07-19
• Last Update Posted: 2024-07-19
• Primary Completion: 2024-08
• Study Completion: 2024-09

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• • Age: participants having range 18-35 years both male and female are included.

  • Craniovertebral angle<52
  • NPRS>3 and NDI>10
  • Patients having neck pain during movements.
  • Patients having neck pain due to sustained posture and after activity

Read More

Exclusion Criteria

• Inflammation malignancy, neurological disorder
• Metabolic disorders
• Neck pain radiating into arms and upper extremity
• Neck pain associated with headache and facial pain
• Recent surgery
• History of recent trauma and fractures of cervical spine
• Patients having any other therapeutic intervention or medical treatment.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A will be treated with Scapular Stabilization Exercises along with hot pack;	Protocol of Scapular Stabilization Exercises;	Participants in the exercise group performed three scapular stabilization exercises at 3 sets of 10 repetitions, holding 10 seconds per one repetition, 5 days per week for 4 weeks under supervision. The exercises included:
Group B will be treated with Eccentric Muscle Energy Technique along with hot pack.	Protocol of Muscle Energy technique;	Eccentric muscle energy technique was applied to subjects' cervical spine. The Cervical spine was brought to the barrier of motion in each plane i.e. Flexion/extension, lateral bending and rotation. Then subjects were asked to push their heads into the direction opposite that of the barrier. The therapist provided Isometric resistance for 7-10 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. Three to five repetitions were performed(2). We will apply protocol for 4 weeks 20 Sessions (5 sessions in a week) and 10 sec rest between each segment with 3-5 time's repetition than their will 7-10 sec Isometric contraction followed by 5 sec relaxation than 30 sec hold for MET stretch.

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale (NPRS)	4 weeks	The NPRS was used to capture the patient's level of pain. Patients were asked to indicate the intensity of their current pain level using an 11-point scale, ranging from 0 (no pain) to 10 (worst pain imaginable)(8).; 0 = no pain; 1 to 4 indicate mild pain 5 or 6 indicate moderate pain 7 to 10 indicate severe pain NPRS exhibited moderate reliability (ICC = 0.67) in t

Secondary Outcome Measures

Name	Time	Method
Neck Disability Index (NDI)	4 weeks	The NDI consists of ten items. Each item has six different assertions expressing progressive levels of pain or limitation in activities. Item scores range from 0 (no pain or limitation) to 5 (as much pain as possible or maximal limitation). The total NDI score ranges from 0 to 5 points.

Trial Locations

Locations (1)

Faisal masaood teaching hospital Sargodha; 🇵🇰 Sargodha, Punjab, Pakistan