Effectiveness of Rib Mobilization Combined With Postural Correction Exercises in Individuals With Upper Crossed Syndrome
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Upper Crossed Syndrome (UCS) is a common musculoskeletal disorder that arises from sustained poor posture, leading to muscular imbalance and functional impairment in the upper body. The syndrome is characterized by forward head posture, increased cervical lordosis, and thoracic kyphosis caused by tightness in the upper trapezius, levator scapulae, and pectoralis muscles, and weakness in the deep cervical flexors, lower trapezius, and serratus anterior. This imbalance not only affects spinal alignment but also restricts rib mobility and thoracic extension, contributing to chronic neck and upper back pain.
Rib mobilization techniques focus on restoring the normal motion of the ribs and thoracic spine, improving chest expansion and flexibility. When combined with postural correction exercises, these interventions may correct alignment, reduce pain, and enhance thoracic mobility. Postural correction exercises aim to stretch overactive muscles and strengthen weakened ones to restore functional balance. Together, these methods are hypothesized to provide superior outcomes compared to postural exercises alone.
Previous studies have demonstrated the efficacy of either rib mobilization or postural correction in isolation. However, limited evidence exists regarding their combined use for UCS. This study seeks to fill this gap by examining the synergistic effects of both interventions on pain relief, postural correction, and thoracic mobility. Findings may contribute to developing an evidence-based rehabilitation protocol for UCS.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Altamash Hussain Khan, DPT
- Numéro de téléphone: +92 3088805119
- E-mail: altamash.hussain1@icloud.com
Lieux d'étude
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Khyber Pakhtunkhwat
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Chak Six Hundred Twenty-four, Khyber Pakhtunkhwat, Pakistan, 22620
- Recrutement
- District Headquater Haripur
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Contact:
- Attiq ur Rehman, MS
- Numéro de téléphone: +923361055533
- E-mail: attiq.rehman@riphah.edu.pk
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Contact:
- Altamash Hussain, DPT
- Numéro de téléphone: +923088805119
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Chercheur principal:
- Altamash Hussain, DPT
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
La description
Inclusion Criteria:
- Age between 20 to 45 years
- Forward head posture (craniovertebral angle < 50°)
- Cervical pain or discomfort for ≥4 weeks
- Moderate pain intensity (VAS 3-6)
- Willingness to participate and provide informed consent
- Clinically diagnosed Upper Crossed Syndrome (UCS)
- Meets Asian Fitness Society diagnostic criteria for UCS
Exclusion Criteria:
- History of trauma or surgery to cervical/thoracic spine
- Cervical disc herniation, radiculopathy, or neurological deficits
- Structural deformities (scoliosis, Scheuermann's disease)
- Systemic musculoskeletal disorders (e.g., rheumatoid arthritis)
- Vestibular, balance, or visual disorders
- Recent similar therapy within 3 months
- Pregnancy or contraindication to manual therapy
- Ongoing use of pain medications or muscle relaxants
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Intervention group
Group receiving Rib Mobilization + Postural Correction Exercises
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Participants will receive Grade I-III rib mobilizations at the costovertebral and costotransverse joints (ribs 2-6) along with thoracic central posterior-anterior mobilizations.
In addition, postural correction exercises including scapular retraction, deep neck flexor training, pectoralis stretching, and thoracic extension exercises will be performed.
Each session will last 30-40 minutes, three times per week for 4-6 weeks.
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Comparateur actif: Control group
Group receiving Postural Correction Exercises Only
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Participants will perform only postural correction exercises, including scapular retraction, deep neck flexor training, pectoralis stretching, and thoracic extension exercises.
Sessions will last 30-40 minutes, three times per week for 4-6 weeks.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Pain Intensity
Délai: 1 year
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1. Pain Intensity - Measured using the Visual Analog Scale (VAS) ranging from 0 (no pain) to 10 (worst pain).
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1 year
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Cervical Posture
Délai: 1 year
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Cervical Posture - Measured using an inclinometer to determine the craniovertebral angle.
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1 year
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Rib/Thoracic Mobility
Délai: 1 year
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Rib/Thoracic Mobility - Measured using a tape measure and inclinometer to assess rib cage expansion and thoracic extension.
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1 year
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Attiq Ur Rehman, MS, Riphah International University
Publications et liens utiles
Publications générales
- Chang MC, Choo YJ, Hong K, Boudier-Reveret M, Yang S. Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare (Basel). 2023 Aug 17;11(16):2328. doi: 10.3390/healthcare11162328.
- Arshadi R, Ghasemi GA, Samadi H. Effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome: Randomized controlled trial. Phys Ther Sport. 2019 May;37:113-119. doi: 10.1016/j.ptsp.2019.03.008. Epub 2019 Mar 21.
- Sepehri S, Sheikhhoseini R, Piri H, Sayyadi P. The effect of various therapeutic exercises on forward head posture, rounded shoulder, and hyperkyphosis among people with upper crossed syndrome: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2024 Feb 1;25(1):105. doi: 10.1186/s12891-024-07224-4.
- Bayattork M, Skold MB, Sundstrup E, Andersen LL. Exercise interventions to improve postural malalignments in head, neck, and trunk among adolescents, adults, and older people: systematic review of randomized controlled trials. J Exerc Rehabil. 2020 Feb 26;16(1):36-48. doi: 10.12965/jer.2040034.017. eCollection 2020 Feb.
Dates d'enregistrement des études
Dates principales de l'étude
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Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
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Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
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Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- REC/02285 Altamash
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