Effectiveness of Rib Mobilization Combined With Postural Correction Exercises in Individuals With Upper Crossed Syndrome
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Descrição detalhada
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.
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Altamash Hussain Khan, DPT
- Número de telefone: +92 3088805119
- E-mail: altamash.hussain1@icloud.com
Locais de estudo
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Khyber Pakhtunkhwat
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Chak Six Hundred Twenty-four, Khyber Pakhtunkhwat, Paquistão, 22620
- Recrutamento
- District Headquater Haripur
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Contato:
- Attiq ur Rehman, MS
- Número de telefone: +923361055533
- E-mail: attiq.rehman@riphah.edu.pk
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Contato:
- Altamash Hussain, DPT
- Número de telefone: +923088805119
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Investigador principal:
- Altamash Hussain, DPT
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: 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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Comparador Ativo: 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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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Pain Intensity
Prazo: 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
Prazo: 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
Prazo: 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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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Attiq Ur Rehman, MS, Riphah International University
Publicações e links úteis
Publicações Gerais
- 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.
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- REC/02285 Altamash
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