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NCT Number: NCT06534736

Effects of Scapular Stabilization Exercises Combined With Post Facilitation Stretch in Patients With Upper Cross Syndrome: A Randomized Control Trial

Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Aged 18 to 45 with neck pain for more than 3 months
  • Both genders males and females
  • NPRS scoring of greater than or equal to 4 points
  • No History of serious pathology or recent neck trauma
  • Diagnosed Upper Cross Syndrome cases using Janda approach

Exclusion criteria

  • Known Scapular or shoulder pathology
  • Cervical and thoracic fractures , dislocations or surgeries or whiplash injury

Treatment and study plan

Electrotherapy and physical agents

Procedure

It will comprise of hot pack for 10 minutes, Tens for 10 minutes.

Post Facilitation Stretch

Procedure

Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles

Scapular Stabilization Exercise

Procedure

Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions

Primary outcomes

  1. pain intensity

    Time frame: 4 weeks

    Measured with Numeric Pain Rating Scale

  2. Neck Disability

    Time frame: 4 weeks

    Neck disability index is used for assessing self-rated disability in neck pain patients

  3. Cervical Range of Motion

    Time frame: 4 weeks

    Goniometer will be used to measure Cervical Range of Motion

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Aug 2, 2024
Registry last updated
Aug 2, 2024

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

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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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