Comparative Effect of Maitland Mobilization Combined With Kendall Exercises for Pain and Postural Alignment in Adults With Upper Cross Syndrome
2026年5月17日 更新者：Ibadat International University, Islamabad
Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome
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
調査の概要
状態
募集
条件
研究の種類
介入
入学 (推定)
58
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Naeem Ullah, DPT, MS-PT MSK
- 電話番号：+923308088558
- メール：naeemphysio58@gmail.com
研究連絡先のバックアップ
- 名前：Fatima Amjad, DPT, MS-PT Sports, PHD Scholer
- 電話番号：+923330940975
- メール：Fatima.amjad@uipt.iiui.edu.pk
研究場所
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KPK
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Peshawar、KPK、パキスタン、25000
- 募集
- Ibadat International University, Islamabad (Iiui)
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コンタクト：
- Fatima Amjad, DPT, MS-PT Sports, PHD
- 電話番号：+923330940975
- メール：Fatima.amjad@uipt.iiui.edu.pk
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
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
いいえ
説明
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
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：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.
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Group A (Experimental) received Kendall exercises combined with Maitland mobilization, including strengthening of deep cervical flexors, lower trapezius, and serratus anterior, along with stretching of upper trapezius, levator scapulae, and pectoralis major/minor.
Maitland mobilization was applied to the cervical and upper thoracic spine using central and unilateral PA oscillations for 50-60 seconds per segment at 2-3 oscillations per second, in addition to warm-up (cervical AROM and shoulder mobility exercises) and cool-down (stretching and diaphragmatic breathing).
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アクティブコンパレータ：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.
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Participants in this group will receive a structured Kendall exercise program only, without any manual therapy or mobilization techniques.
The intervention will focus on postural correction through strengthening of weakened muscles (deep cervical flexors, scapular retractors) and stretching of tight muscles (pectoralis major/minor, upper trapezius, levator scapulae) associated with upper cross syndrome.
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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 |
|---|---|---|
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Thoracic Kyphosis Assessed With Flexicurve Ruler
時間枠：baseline to last week (8 week)
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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.
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baseline to last week (8 week)
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Forward Head Posture Assessed with Protractor mobile application
時間枠：baseline to last week (8 week)
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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
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baseline to last week (8 week)
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Rounded Shoulder Assessed with Vernier Caliper
時間枠：baseline to last week (8 week)
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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.
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baseline to last week (8 week)
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Visual Analogue Scale
時間枠：baseline to last week
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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.
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baseline to last week
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
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- 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.
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- Zappala M, Lightbourne S, Heneghan NR. The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults. J Orthop Surg Res. 2021 Jul 9;16(1):447. doi: 10.1186/s13018-021-02592-2.
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2026年4月6日
一次修了 (推定)
2026年6月6日
研究の完了 (推定)
2026年6月8日
試験登録日
最初に提出
2026年5月2日
QC基準を満たした最初の提出物
2026年5月8日
最初の投稿 (実際)
2026年5月14日
学習記録の更新
投稿された最後の更新 (実際)
2026年5月20日
QC基準を満たした最後の更新が送信されました
2026年5月17日
最終確認日
2026年5月1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
- IIUI/RERC/ADT/2026/04/282
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?
いいえ
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いいえ
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いいえ
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