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NCT Number: NCT07061782

Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome Among IT Professionals

This study is a randomised control trial and the purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals

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Key information

Conditions

Upper Cross Syndrome Oculocerebral hypopigmentation syndrome type Preus

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

Location status: Recruiting

Location contact

Ruqia Begum, MS-OMPT

CONTACT

[email protected]

+92311-5532544

About this study

The purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals

Investigator will make 2 groups control and treatment group . investigator will give NMR technique to treatment group and PFS technique to control group in patients with upper cross syndrome.

first investigator will take base line readings of cervical ROM by using goniometer , NPRS AND neck diasbilty index.

after 2 weeks of treatment again investigator will take same readings and compare both readings.

with techniques investigator will also perform strengthning excercise of weal muscles for both groups

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Inclusion Criteria:

IT profressionals 20 - 40 years Both genders Diagnosed UCS Pain from 2 months Minimum 4 - 6 hours working

Exclusion criteria

  • History of cervical spine Fracture Trauma to neck

Treatment and study plan

Group A

Procedure

Treatment protocol given to the both groups will be carried out for 7 sessions for 2 weeks on alternative days.

It will consist of a 10 minute hot pack.

Neuromuscular reeducation for following muscles. Pectoralis major Upper trapezius Levator scapulae

Strengthening exercises of:

Rhomboids Lower & middle trapezius Deep flexors Neuromuscular reeducation It will break adhesion result in loosen the scar tissue will increase the temperature and cause in increase of blood flow . Muscles contract when myosin pulls actin filaments together using energy from ATP shortening the muscle fiber and causing contraction. They relax when calcium is removed, allowing the filaments to slide apart muscle will return to its resting state. The continuously muscle contraction and relaxation help to loosen up and become more flexible .

Strengthening exercises

Group B

Procedure

Treatment protocol was given to both groups for 7 session sessions for 2 weeks on alternative days.

It was comprises of HOT PACK for 10 minutes . Post facilitation stretch for following muscles. Pectoralis major Upper trapezius Levator scapulae

Strengthening exercises of:

Rhomboids Lower & middle trapezius Deep flexors

Post facilitation stretch :

Post Facilitation Stretch is an isometric Contraction in which he participants were instructed to contract the muscles to the maximum voluntary capacity that involves first putting the target muscle through a high-intensity isometric contraction (roughly 75-100% of maximal effort) for 5-10 seconds, and then quickly and continuously passively stretching the same muscle for at least 10 seconds.

Strengthening exercises

Primary outcomes

  1. Upper cross syndrome pain

    Time frame: baseline and after 2 weeks

    Assessed using the Numeric Pain Rating Scale (NPRS). Patient is asked to rate the intensity of pain in numbers ranging from 0 to 10. This self-assessment tool uses an 11 point numeric scale ranging from 0 (no pain ) to 10 (worst pain)

  2. Posture and Muscle Balance

    Time frame: baseline and after 2 weeks

    Assessed using the Neck disability index (NDI) It is a self- rating questionnaire includes ten items . Each item in the neck disability index has six different options or scores indicating the progressive levels of pain or activity of daily life limitations. Item are scored from 0 to 5 where 0 indicates no pain or limitation and 5 indicates maximum possible pain and limitation. Investigator use Janda approach to check the muscles tightness and weaknesss For tight muscles investigator use Muscle length test For weak muscles investigator use Muscle strength test

  3. Cervical range of motion

    Time frame: baseline and after 2 weeks

    Flexion, extension, lateral flexion, and rotation measured using a goniometer

Study contacts

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

Hina Ayub, DPT

CONTACT

[email protected]

+923495830798

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 11, 2025
Registry last updated
Jul 11, 2025

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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