Comparative Effect of Maitland Mobilization Combined With Kendall Exercises for Pain and Postural Alignment in Adults With Upper Cross Syndrome
2026년 5월 17일 업데이트: 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
연구 개요
상태
모병
정황
연구 유형
중재적
등록 (추정된)
58
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: Naeem Ullah, DPT, MS-PT MSK
- 전화번호: +923308088558
- 이메일: naeemphysio58@gmail.com
연구 연락처 백업
- 이름: Fatima Amjad, DPT, MS-PT Sports, PHD Scholer
- 전화번호: +923330940975
- 이메일: Fatima.amjad@uipt.iiui.edu.pk
연구 장소
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KPK
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Peshawar, KPK, 파키스탄, 25000
- 모병
- Ibadat International University, Islamabad (Iiui)
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연락하다:
- Fatima Amjad, DPT, MS-PT Sports, PHD
- 전화번호: +923330940975
- 이메일: Fatima.amjad@uipt.iiui.edu.pk
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
아니
설명
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
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
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: 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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활성 비교기: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Thoracic Kyphosis Assessed With Flexicurve Ruler
기간: 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
기간: 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
기간: 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
기간: 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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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
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연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2026년 4월 6일
기본 완료 (추정된)
2026년 6월 6일
연구 완료 (추정된)
2026년 6월 8일
연구 등록 날짜
최초 제출
2026년 5월 2일
QC 기준을 충족하는 최초 제출
2026년 5월 8일
처음 게시됨 (실제)
2026년 5월 14일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2026년 5월 20일
QC 기준을 충족하는 마지막 업데이트 제출
2026년 5월 17일
마지막으로 확인됨
2026년 5월 1일
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- IIUI/RERC/ADT/2026/04/282
개별 참가자 데이터(IPD) 계획
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이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .