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NCT Number: NCT07628413

Comparative Effects of Egoscue and Feldenkrais Exercises on in Upper Cross Syndrome

Upper cross syndrome is a common postural dysfunction that is caused due to alternating tightness and weakness in the opposite muscle groups of the neck, shoulders and upper back which results in abnormal postural deviations. The aim of the study will be to compare the effects of Egoscue exercises and Feldenkrais exercises on pain, craniovertebral angle and functional disability in upper cross syndrome.

A Randomized clinical trial will be conducted at Ghurki Trust Teaching Hospital, Lahore and Riphah clinic, Lahore through non probability convenience sampling technique on 54 patients which will be allocated using simple random sampling through sealed opaque envelop into Group A and Group B. Group A will be treated with Egoscue exercises and conventional therapy and Group B will be treated with Feldenkrais exercises and conventional therapy at the frequency of 3 sets with 10 repetitions thrice a week. Outcome measures will be conducted through pain, craniovertebral angle and functional disability after 4 weeks. Data will be analyzed with SPSS software version 26. After assessing the normality of data by Shapiro-Wilk test, it will be decided either parametric or non- parametric will be used within the group or between the groups.

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Key information

Conditions

Upper Cross Syndrome Oculocerebral hypopigmentation syndrome type Preus

Age range

25 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Rabiya Noor

Lahore, Punjab Province, 54000, Pakistan

Location status: Recruiting

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 25 to 45 years
  • Both genders (male and female)
  • Chronic neck pain for more than three months - NPRS (3 to 7)
  • Craniovertebral angle less than 50 degrees
  • Tight Pectoralis muscle and trapezius
  • Weak rhomboids and deep neck flexors

Exclusion criteria

  • Any malignancy related to soft tissue and shoulder joint
  • Congenital joint deformity
  • Recent fractures to joint
  • Recent surgery of shoulder joint or associated structures
  • Patients with shoulder dislocation

Treatment and study plan

Egoscue exercises

Other
  • Static Back (for 5 - 10 minutes)
  • Cervical retractions (10- 15 reps)
  • Wall Angels (2 sets of 10)
  • Standing arm circles (40 forward reps & 40 backward reps)
  • Static wall (for 5-8 minutes)
  • Modified pre stretch on wall (Hold for 30- 45 secs on each side)
  • Air bench (for 1- 2 minutes)
  • Tower shoulder rolls (stay for 10 minutes)

Feldenkrais exercises

Other
  • Shoulder Circles with awareness
  • Head Rolls with Breath awareness
  • Arm Clock (Arm circles on the floor)
  • Scapular Glides
  • Pelvic clock with shoulder integration
  • Shoulder blades and arm lifting

Primary outcomes

  1. Disability Index (DNI)

    Time frame: 6th week

    This questionnaire will be used to asses disability. It comprises of 10 items; 7 related to daily living activities; 2 related to pain and 1 related to concentration. Each item is scored from 0 to 5. Total score is expressed as a percentage, with higher scores related to greater disability. Minimum detectable change measurements vary from 4.2 to 13.4, and minimum clinically important differences vary from 5 and 9.5

  2. Craniovertebral angle (CVA)

    Time frame: 6th week

    Craniovertebral angle can be measured with Image J software. If the angle is less than 50 degrees (< 50 degree). The angle will be between tragus of the ear to cervical spinous process C7.

Study contacts

Contact information is provided by the study sponsor or research team.

Iqbal Tariq, phd

CONTACT

[email protected]

03338236752

Rabiya Noor, phd

CONTACT

[email protected]

03344355660

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Effects of Egoscue and Feldenkrais Exercises on Pain, Craniovertebral Angle and Functional Disability in Upper Cross Syndrome

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 5, 2026
Registry last updated
Jun 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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