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Completed

NCT Number: NCT05599204

Effect Of Schroth Method On Balance In Upper Crossed Syndrome

The study will be conducted to investigate the effect of Schroth method on balance in patients with the upper cross syndrome

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Key information

Conditions

Postural; Defect Oculocerebral hypopigmentation syndrome type Preus

Age range

17 year–22 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy Cairo university

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.

The Schroth method helps patients to halt curve progression, reverse abnormal curves, reduce pain, increase vital capacity and improve posture and appearance The Schroth method consists of sensorimotor, postural, and breathing exercises aimed at recalibration of normal postural alignment, static and dynamic postural control and spinal stability.

There are no studies on Schroth method on the upper cross syndrome, so this study will be conducted to know the effective method of treatment for upper cross syndrome.. forty patients with the upper cross syndrome will be allocated randomly to two equal groups; one experimental group will receive Schroth method twice a week for four weeks and control group will receive postural correction exercise 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.
  • 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

schroth exercise

Other

the patients will receive the Schroth three-dimensional exercise. patient first assumes a posture in the cervico-cranial and shoulder girdle and the thoracic region is held in the correct posture. The patient inspires air into the concave side and during the exhalation phase isometric and isotonic muscle tensing occur. While the patient is breathing, the therapist should observe the posture and movement of the thoracic cage and diaphragm. Basic posture correction in sitting and walking and Sensorimotor training by the ball will be applied

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. stability index

    Time frame: up to four weeks

    stability index will be measured by Biodex balance system

  2. 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

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. It consists of a line of 10 cm with opposite edges; one edge has no pain and the other edge has the worst pain

  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. Respiratory pulmonary functions

    Time frame: up to four weeks

    Respiratory pulmonary functions will be assessed by spirometry. assess breathing and respiratory ability by forced vital capacity test (FVC) and forced expiratory volume at one second test (FEV1)

  5. 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 31, 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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