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Completed

NCT Number: NCT05591729

Effect of Pilates on Balance and Spinal Curvature In Upper Crossed Syndrome

The study will be conducted to investigate the effect of Pilates exercise on spinal curvature and balance in patients with the upper cross syndrome. .

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Key information

Conditions

Postural; Defect Bone Diseases Musculoskeletal Diseases Oculocerebral hypopigmentation syndrome type Preus Spinal Curvatures Spinal Diseases

Age range

17 year–22 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy Cairo

Giza, Egypt

About this study

Upper crossed syndrome (UCS) is the most common postural dysfunction in the musculature of the shoulder girdle /cervicothoracic region, which creates joint dysfunction, particularly at the atlanto-occipital joint, cervicothoracic joint C4-C5 segment, glenohumeral joint and T4-T5 segment. Pilates is designed as a program that will work with other exercise programs to strengthen, rebalance and realign the body. Pilates trains individuals to identify their own musculoskeletal strengths and weaknesses and equips them with the knowledge to correct and rebalance their entire body mechanics (Worth,2004) thus, the focus is also placed on improving personal body awareness which further decreases the risks of strain or injury that can occur with imbalances. forty patients with UCS will be allocated randomly into two groups; one experimental group will receive pilates exercise and postural correction twice a week for four weeks, and the control group will receive postural correction exercise along twice a week for four weeks

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • The patient's age ranged from 17 to 22 years
  • Body mass index between 20-25 kg/m2
  • The participants are diagnosed with upper cross syndrome
  • Patients with normal cognitive aspects willing and able to participate in a program safely

Exclusion criteria

  • The participants have experienced any recent trauma (within 3 months of the initial consultation)
  • The participant's primary complaint is that of headaches or facial pain.
  • Contra-indications to pilates are found pregnancy, hypertension, osteoporosis, and spinal tumors.
  • Participants have any sort of structural abnormality in upper and middle back e.g., Scoliosis, or had a positive Adams test.
  • Participants who are taking anti-inflammatory or muscle relaxant medication had to have a three-day "wash out" period before participating in the study

Treatment and study plan

Pilates exercises

Other

Each Pilates session will last for one hour. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centering which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the craniocervical junction). A pilates exercise program will consist of 11 levels of treatment program.

postural correction exercise

Other

the patients will receive postural correction exercises, stretches, and exercises to the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors. The stretches included sitting chair stretches, Brugger's, wall angels, and doorway stretches. The exercises included push-up-plus, head-neck-retraction, and Kibler squeeze

Primary outcomes

  1. spinal curvature

    Time frame: up to four weeks

    spinal mouse will be used to assess thoracic spine curvature. Total angle of the thoracic spine is 41-44 degree.

  2. balance

    Time frame: up to four weeks

    balance will be measured by Biodex balance system

Secondary outcomes

  1. craniovertebral angle

    Time frame: up to four weeks

    craniovertebral angle will be measured by photogrammetric method

  2. pain intensity

    Time frame: up to four weeks

    pain will be measured by visual analogue scale

  3. neck function

    Time frame: up to four weeks

    neck function will be measured by Arabic neck disability index.. It consisting of 10 items with six choices. There is no disability for scores from 0 to 4; 5-14 is mild; 15-24 is moderate; 25-34 is severe, and finally more than 34 is a complete disability.

  4. shoulder posture

    Time frame: up to four weeks

    The shoulder's rounded position will be measured by tap measurement. the patients will be in supine and the therapist measure the distance from their shoulder to the plinth using tape measurements.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Acronym: UCS

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Oct 24, 2022
Registry last updated
Feb 16, 2023

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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