Effectiveness of Rib Mobilization Combined With Postural Correction Exercises in Individuals With Upper Crossed Syndrome
연구 개요
상태
정황
상세 설명
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.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Altamash Hussain Khan, DPT
- 전화번호: +92 3088805119
- 이메일: altamash.hussain1@icloud.com
연구 장소
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Khyber Pakhtunkhwat
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Chak Six Hundred Twenty-four, Khyber Pakhtunkhwat, 파키스탄, 22620
- 모병
- District Headquater Haripur
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연락하다:
- Attiq ur Rehman, MS
- 전화번호: +923361055533
- 이메일: attiq.rehman@riphah.edu.pk
-
연락하다:
- Altamash Hussain, DPT
- 전화번호: +923088805119
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수석 연구원:
- Altamash Hussain, DPT
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-
참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: 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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활성 비교기: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Pain Intensity
기간: 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
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: Attiq Ur Rehman, MS, Riphah International University
간행물 및 유용한 링크
일반 간행물
- 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.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- REC/02285 Altamash
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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