Dynamic Neuromuscular Stabilization Versus Corrective Exercises in Upper Cross Syndrome (DNS/NASM)
Effect of Dynamic Neuromuscular Stabilization Versus Corrective Exercises on Pain, Functional Disability, and Postural Alignment in Upper Crossed Syndrome.
연구 개요
상태
상세 설명
Upper Cross Syndrome (UCS) is a frequent condition that is most commonly encountered in musculoskeletal disorders, showing a typical pattern of imbalance in muscles and neck and shoulder region joint dysfunction. It causes pain in shoulders, upper back, thoracic and cervical spine. It is frequently associated with inadequate posture or forward head position, muscular weakness, and alterations in movement patterns, leading to pain, restricted mobility, and dysfunction in the affected areas of patients suffering from UCS.
Dynamic Neuromuscular Stabilization (DNS) is a developing rehabilitation approach based on reflex locomotion. The idea of reflex locomotion describes particular involuntary motor reactions/movement patterns that occur when firm pressure is applied to specific muscle zones. These movement patterns are standard and referred to as "global patterns". The global pattern generated from the prone position is known as "reflex creeping," whereas the one from the supine or side lying posture is known as "reflex rolling". Furthermore, some motor motions such as gripping, turning, crawling, and eventually walking occur automatically without the need for specific training in normal babies.
The National American Academy of Sports Medicine (NASM) provided a corrective exercise protocol for postural malalignment. It includes 4 steps: inhibition (self-mobilization release technique targeting trigger points), lengthening (stretching techniques for tight muscles), third: activation (strengthening techniques for weak muscles), and integration (retraining all muscles through functionally progressive movements). It was successful in treating UCS.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Passant M Assistant lecturer, MSc
- 전화번호: 01004139949
- 이메일: passant.moustafa@cu.edu.eg
연구 연락처 백업
- 이름: Nesreen F Lecturer, PhD
- 전화번호: 01127283925
- 이메일: dr_nesreenfawzy@cu.edu.eg
연구 장소
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Cairo Governorate
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Cairo, Cairo Governorate, 이집트, 11432
- Outpatient clinic at faculty of physical therapy - Cairo University
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연락하다:
- Passant M Assistant lecturer, MSc
- 전화번호: 01004139949
- 이메일: passant.moustafa@cu.edu.eg
-
연락하다:
- Nesreen F Lecturer, PhD
- 전화번호: 01127283925
- 이메일: dr_nesreenfawzy@cu.edu.eg
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Having non-specfic neck Pain.
- Patients having a CVA of < 52 .
- Forward shoulder angle > 52 degrees.
Exclusion Criteria:
- Participants having conditions such as osteoporosis, blood disease, congestive heart disease, cancer, severe skin sensitization, major mental disease, and frozen shoulder, will be excluded from the study. Neck pain has a specific underlying pathology such as fractures, rheumatoid arthritis, osteoporosis, or whiplash injuries as well as neck pain associated with radiculopathy.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Dynamic neuromuscular stabilization
Dynamic neuromuscular stabilization involves precise co-activation of the intrinsic muscles of the spine which forms the Integrated spinal stabilization system (ISSS) and includes cervical flexors and extensors, diaphragm, transversus abdominis, multifidus and pelvic floor. Participants will receive DNS for 6 weeks. |
Dynamic neuromuscular stabilization involves precise co-activation of the intrinsic muscles of the spine which forms the Integrated spinal stabilization system (ISSS) and includes cervical flexors and extensors, diaphragm, transverses abdominis, multifidus and pelvic floor.
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실험적: Corrective exercises
National Academy of sports medicine corrective exercises that involve 4 steps : First: Inhibition for tight muscles Second: Lengthening for tight muscles Third: Activation for weak muscles fourth: Intergration to retrain all muscles through functionally progressive movements using integrated dynamic movements. Participants will receive NASM corrective exercises for 6 weeks. |
It is corrective exercise protocol, which includes four phases, i.e. inhibit, lengthen, activate, and integrate stage
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실험적: Combined Dynamic neuromuscular stabilization and corrective exercises group
Participants will receive both DNS and NASM for 6 weeks.
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Dynamic neuromuscular stabilization involves precise co-activation of the intrinsic muscles of the spine which forms the Integrated spinal stabilization system (ISSS) and includes cervical flexors and extensors, diaphragm, transverses abdominis, multifidus and pelvic floor.
It is corrective exercise protocol, which includes four phases, i.e. inhibit, lengthen, activate, and integrate stage
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Neck pain intensity
기간: At baseline at the first session and reassessed at the end of six weeks of intervention.
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Neck pain intensity will be measured through Numerical pain rating scale.
A scale from 0 to 10, with 0 indicating no pain and 10 signifying excruciating pain.
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At baseline at the first session and reassessed at the end of six weeks of intervention.
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Neck disability
기간: At baseline at the first session and after 6 weeks of intervention.
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The patient will be asked to fill the 10- section of the questionnaire.
Higher score indicate higher disability.
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At baseline at the first session and after 6 weeks of intervention.
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Craniovertebral angle
기간: At baseline and after 6 weeks of intervention
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craniovertebral angle will be measured using Kinovea software to assess forward head posture
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At baseline and after 6 weeks of intervention
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Forward shoulder angle
기간: At baseline and after 6 weeks of intervention
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Forward shoulder angle will be measured using Kinovea software to assess rounded shoulder posture
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At baseline and after 6 weeks of intervention
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Thoracic kyphosis angle
기간: At baseline and after 6 weeks of intervention
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Thoracic kyphosis angle will be measured using a bubble inclinometer
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At baseline and after 6 weeks of intervention
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공동 작업자 및 조사자
스폰서
수사관
- 수석 연구원: Karima A Hassan, PhD, Cairo University
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
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
- P.T.REC/012/006422
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
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