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.
Studieöversikt
Status
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Passant M Assistant lecturer, MSc
- Telefonnummer: 01004139949
- E-post: passant.moustafa@cu.edu.eg
Studera Kontakt Backup
- Namn: Nesreen F Lecturer, PhD
- Telefonnummer: 01127283925
- E-post: dr_nesreenfawzy@cu.edu.eg
Studieorter
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Cairo Governorate
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Cairo, Cairo Governorate, Egypten, 11432
- Outpatient clinic at faculty of physical therapy - Cairo University
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Kontakt:
- Passant M Assistant lecturer, MSc
- Telefonnummer: 01004139949
- E-post: passant.moustafa@cu.edu.eg
-
Kontakt:
- Nesreen F Lecturer, PhD
- Telefonnummer: 01127283925
- E-post: dr_nesreenfawzy@cu.edu.eg
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
Tar emot friska volontärer
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: 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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Experimentell: 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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Experimentell: 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
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Neck pain intensity
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Neck disability
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Karima A Hassan, PhD, Cairo University
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- P.T.REC/012/006422
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