Effect of Pilates on Balance and Spinal Curvature In Upper Crossed Syndrome (UCS)

The study will be conducted to investigate the effect of Pilates exercise on spinal curvature and balance in patients with the upper cross syndrome. .

Study Overview

• Status: Completed
• Conditions: Postural; Defect
• Intervention / Treatment: Other: Pilates exercises; Other: postural correction exercise

Detailed Description

Upper crossed syndrome (UCS) is the most common postural dysfunction in the musculature of the shoulder girdle /cervicothoracic region, which creates joint dysfunction, particularly at the atlanto-occipital joint, cervicothoracic joint C4-C5 segment, glenohumeral joint and T4-T5 segment. Pilates is designed as a program that will work with other exercise programs to strengthen, rebalance and realign the body. Pilates trains individuals to identify their own musculoskeletal strengths and weaknesses and equips them with the knowledge to correct and rebalance their entire body mechanics (Worth,2004) thus, the focus is also placed on improving personal body awareness which further decreases the risks of strain or injury that can occur with imbalances. forty patients with UCS will be allocated randomly into two groups; one experimental group will receive pilates exercise and postural correction twice a week for four weeks, and the control group will receive postural correction exercise along twice a week for four weeks

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: mariam O gras, lecturer; Phone Number: 01005541018; Email: Dr.mariamomran@yahoo.com

Study Locations

• Egypt
  • Giza, Egypt
    • Faculty of physical therapy Cairo

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 17 years to 22 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• The patient's age ranged from 17 to 22 years
• Body mass index between 20-25 kg/m2
• The participants are diagnosed with upper cross syndrome
• Patients with normal cognitive aspects willing and able to participate in a program safely

Exclusion Criteria:

• The participants have experienced any recent trauma (within 3 months of the initial consultation)
• The participant's primary complaint is that of headaches or facial pain.
• Contra-indications to pilates are found pregnancy, hypertension, osteoporosis, and spinal tumors.
• Participants have any sort of structural abnormality in upper and middle back e.g., Scoliosis, or had a positive Adams test.
• Participants who are taking anti-inflammatory or muscle relaxant medication had to have a three-day "wash out" period before participating in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Pilates exercise; pilates exercise will be received twice a week for four weeks	Other: Pilates exercises; Each Pilates session will last for one hour. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centering which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the craniocervical junction). A pilates exercise program will consist of 11 levels of treatment program.; Other: postural correction exercise; the patients will receive postural correction exercises, stretches, and exercises to the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors. The stretches included sitting chair stretches, Brugger's, wall angels, and doorway stretches. The exercises included push-up-plus, head-neck-retraction, and Kibler squeeze
Active Comparator: postural correction exercise; postural correction exercises will be received twice a week for four weeks	Other: postural correction exercise; the patients will receive postural correction exercises, stretches, and exercises to the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors. The stretches included sitting chair stretches, Brugger's, wall angels, and doorway stretches. The exercises included push-up-plus, head-neck-retraction, and Kibler squeeze

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
spinal curvature	spinal mouse will be used to assess thoracic spine curvature. Total angle of the thoracic spine is 41-44 degree.	up to four weeks
balance	balance will be measured by Biodex balance system	up to four weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
craniovertebral angle	craniovertebral angle will be measured by photogrammetric method	up to four weeks
shoulder posture	The shoulder's rounded position will be measured by tap measurement. the patients will be in supine and the therapist measure the distance from their shoulder to the plinth using tape measurements.	up to four weeks
pain intensity	pain will be measured by visual analogue scale	up to four weeks
neck function	neck function will be measured by Arabic neck disability index.. It consisting of 10 items with six choices. There is no disability for scores from 0 to 4; 5-14 is mild; 15-24 is moderate; 25-34 is severe, and finally more than 34 is a complete disability.	up to four weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): October 25, 2022
• Primary Completion (Actual): December 1, 2022
• Study Completion (Actual): December 1, 2022

Study Registration Dates

• First Submitted: October 19, 2022
• First Submitted That Met QC Criteria: October 19, 2022
• First Posted (Actual): October 24, 2022

Study Record Updates

• Last Update Posted (Estimate): February 16, 2023
• Last Update Submitted That Met QC Criteria: February 15, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Keywords: balance; upper cross syndrome; pilates exercise; spinal curvature
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures
• Other Study ID Numbers: P.T/012/003992

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No