Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Thoracic Kyphosis Assessed With Flexicurve Ruler
研究概览
简要总结
This randomized controlled trial aims to compare the effects of Maitland mobilization combined with Kendall exercises versus Kendall exercises alone on pain and postural alignment in adults with Upper Cross Syndrome (UCS). Upper Cross Syndrome is characterized by muscle imbalance leading to forward head posture, rounded shoulders, and increased thoracic kyphosis. The study will evaluate pain intensity, craniovertebral angle, thoracic kyphosis, and rounded shoulder posture
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)
盲法说明
Two-arm parallel group randomized controlled trial
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 to 45 years
- •Neck and/or upper thoracic pain for a duration of > 6 weeks
- •Pain Severity: VAS > 5 (Afzal, Noor, Mumtaz, Bashir, & Saqulain, 2023)
- •Pain exacerbated by prolonged postures
- •Adults diagnosed with Upper Cross Syndrome
- •Diagnostic criteria: Upper Cross Syndrome will be diagnosed when individuals demonstrate: thoracic kyphosis > 40°, craniovertebral angle < 50°, and acromion-to-couch distance > 2.5 cm based on established normative values.
排除标准
- •History of neck or shoulder surgery or trauma
- •Inflammatory conditions such as rheumatoid arthritis or gout
- •Pregnancy
- •Neurological conditions affecting upper limb function, and
- •Cardiovascular Problems
- •Congenital issues i.e.; torticollis, and scoliosis
- •Disc prolapse and other spine issues
- •Currently taking any medication or taking physical therapy
研究组 & 干预措施
Maitland Mobilization Combined With Kendall Exercises
Participants in this group will receive Maitland mobilization techniques applied to the cervical and thoracic spine, combined with Kendall exercises targeting postural correction. Mobilization will be performed by a trained physiotherapist using graded oscillatory techniques. The exercise program will focus on strengthening weak postural muscles and stretching tight musculature associated with upper cross syndrome.
干预措施: Kendall Exercises combined Maitland Mobilization (Other)
Kendall Exercises Alone
Participants in this group will receive a Kendall exercise program focusing on postural correction. The program includes strengthening of weak muscles and stretching of tight muscles associated with upper cross syndrome.
干预措施: Kendall Exercise alone (Other)
结局指标
主要结局
Thoracic Kyphosis Assessed With Flexicurve Ruler
时间窗: baseline to last week (8 week)
Thoracic kyphosis will be measured using a flexicurve ruler. The spinous processes of C7 and T12 will be palpated and marked. The flexicurve ruler will mold along the thoracic curvature between these landmarks, and the curve will be transferred onto paper. . Based on previously published literature, thoracic kyphosis is considered 'normal' between 20 and 40°. Where this exceeds 40°, the curvature is described as hyperkyphosis.
Forward Head Posture Assessed with Protractor mobile application
时间窗: baseline to last week (8 week)
Forward head posture will be assessed by measuring the craniovertebral angle (CVA) using the protractor mobile application. Measuring CVA from a lateral view by drawing a line from the ear tragus to the spinous process of the seventh cervical vertebra and a horizontal reference line through C7. The angle formed between these two lines will represent the craniovertebral angle.A reduced craniovertebral angle indicates increased forward head posture, with values less than 50° commonly used to identify this condition
Rounded Shoulder Assessed with Vernier Caliper
时间窗: baseline to last week (8 week)
Rounded shoulder posture was assessed using a vernier caliper. Participants were positioned supine on a firm couch with arms relaxed by their sides. The vertical distance between the posterolateral edge of the acromion process and the couch surface was measured using a vernier caliper. Measurements will be taken bilaterally; an acromion-to-couch distance greater than 2.5cm will be considered indicative of rounded shoulder posture.
Visual Analogue Scale
时间窗: baseline to last week
The intensity of the pain will be measured with the help of the Visual Analogue Scale (VAS). The VAS is a 10-cm horizontal line with two opposite endpoints marked with the following words: "no pain" at one end and "worst imaginable pain" at the other. The patient will then mark a point on the line that they feel most accurately reflects their current pain. The distance in centimeters or millimeters between the "no pain" point and the patient's mark will be taken as the measure of the patient's pain.
次要结局
未报告次要终点