Effectiveness of Rib Mobilization Combined With Postural Correction Exercises in Individuals With Upper Crossed Syndrome
調査の概要
状態
条件
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Altamash Hussain Khan, DPT
- 電話番号：+92 3088805119
- メール：altamash.hussain1@icloud.com
研究場所
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Khyber Pakhtunkhwat
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Chak Six Hundred Twenty-four、Khyber Pakhtunkhwat、パキスタン、22620
- 募集
- District Headquater Haripur
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コンタクト：
- Attiq ur Rehman, MS
- 電話番号：+923361055533
- メール：attiq.rehman@riphah.edu.pk
-
コンタクト：
- Altamash Hussain, DPT
- 電話番号：+923088805119
-
主任研究者：
- Altamash Hussain, DPT
-
-
参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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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アクティブコンパレータ：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.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pain Intensity
時間枠：1 year
|
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
時間枠：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
時間枠：1 year
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Rib/Thoracic Mobility - Measured using a tape measure and inclinometer to assess rib cage expansion and thoracic extension.
|
1 year
|
協力者と研究者
捜査官
- 主任研究者：Attiq Ur Rehman, MS、Riphah International University
出版物と役立つリンク
一般刊行物
- 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.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- REC/02285 Altamash
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
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