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.
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Passant M Assistant lecturer, MSc
- Telefoonnummer: 01004139949
- E-mail: passant.moustafa@cu.edu.eg
Studie Contact Back-up
- Naam: Nesreen F Lecturer, PhD
- Telefoonnummer: 01127283925
- E-mail: dr_nesreenfawzy@cu.edu.eg
Studie Locaties
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Cairo Governorate
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Cairo, Cairo Governorate, Egypte, 11432
- Outpatient clinic at faculty of physical therapy - Cairo University
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Contact:
- Passant M Assistant lecturer, MSc
- Telefoonnummer: 01004139949
- E-mail: passant.moustafa@cu.edu.eg
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Contact:
- Nesreen F Lecturer, PhD
- Telefoonnummer: 01127283925
- E-mail: dr_nesreenfawzy@cu.edu.eg
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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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Experimenteel: 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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Experimenteel: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Neck pain intensity
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Neck disability
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Karima A Hassan, PhD, Cairo University
Studie record data
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Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
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Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- P.T.REC/012/006422
Plan Individuele Deelnemersgegevens (IPD)
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