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Effects of IASTM Along With Comprehensive Corrective Exercise Program in Upper Cross Syndrome.

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L'étude clinique NCT06302972 est un essai interventionnel pour Syndrome de la croix supérieure. Son statut actuel est : en recrutement. L'étude a débuté le 30 octobre 2023 et vise à recruter 44 participants. Dirigé par l'Université internationale Riphah, l'essai devrait être terminé d'ici le 30 juin 2024. Les données du site ClinicalTrials.gov ont été mises à jour pour la dernière fois le 19 avril 2024.
Résumé succinct
This study will see the effects of IASTM along with comprehensive corrective exercise program in upper cross syndrome through their effects on pain and cervical ranges as well as postural improvement. Our study targets both male and female population. In the reference study only male population was targeted which did not show effects of both techniques on the female population though females have high stress levels which may alter results.
Description détaillée
The upper cross syndrome involves stiffness of levator scapulae, pectoralis major and upper trapezius muscles and serratus anterior, deep neck flexors, rhomboids, middle and lower trapezius and scalene muscles weakness. Numerous bodily abnormalities such as headache, early deterioration of cervical spine and loss of cervical spine curve can be brought on by this syndrome. This syndrome can also result in thoracic spine abnormality and impaired glenohumeral joint biomechanics. Upper cross syndrome develops abnormality in head, neck and shoulder and develops in upper 1⁄4 of the trunk. The underlying causative agents of Upper cross syndrome are long surgeries, weakness, female gender, disability and poor posture. It was a randomized, controlled trial, conducted among patient with upper cross syndrome with Sample size was 44 by using G- Power software. Group A will be given IASTM with Graston's tool and comprehensive corrective exercise program and Group B will receive only comprehensive corrective exercise program. The protocol will consist of 12 sessions in total with 3 sessions a week 45 minutes / session for both groups. Assessment will be at baseline then after 2 weeks after that 2 weeks home plan for exercises and then after 4 weeks assessment will be done. Only pain will be assessed on alternative days
Titre officiel

Effects of Instrument Assisted Soft Tissue Mobilization Technique Along With Comprehensive Corrective Exercise Program in Upper Cross Syndrome.

Conditions
Syndrome de la croix supérieure
Publications
Articles scientifiques et travaux de recherche publiés sur cet essai clinique:
Autres identifiants de l'essai
  • RCRAHS-ISB/REC/MS-PT/01771
Numéro NCT
NCT06302972
Date de début (réel)
2023-10-30
Dernière mise à jour publiée
2024-04-19
Date de fin (estimée)
2024-06-30
Inscription (estimée)
44
Type d'essai
Interventionnel
PHASE
N/A
Statut
En recrutement
Mots clés
Forward head angle
Pain
ROM
Rounded Shoulder
Objectif principal
Traitement
Plan d'attribution
Randomisé
Modèle d'intervention
Parallèle
Masquage
Simple aveugle
Bras / Interventions
Groupe de participants/BrasIntervention/Traitement
ExpérimentalIASTM and CCEP
Instrument Assisted Soft Mobilization Technique; For pectoralis major: Subjects will be asked to lay supine with their thorax front side exposed. In abduction, restriction or adhesions will be located using scanning and gel will be applied. IASTM also address soft tissue restrictions and pain in levator scapulae, suboccipital muscles and sternocleidomastoid muscle. The CCEP will be designed in three phases, including initial, improvement, and maintenance.. The exercises in appropriate muscles in correct alignment during the movement pattern, the protocol focused on improving sustained postures. Exercises in initial phase protocol from 10 s hold x7 to 15 s hold x 10 from roller Exercises in improvement phase protocol from 10 repetition x 5 to 15 repetition x 6 from dumbbell , thera band, swiss ball and balance board
IASTM and CCEP
Instrument Assisted Soft Mobilization Technique (IASTM); For pectoralis major: Subjects will be asked to lay supine with their thorax front side exposed. In abduction, restriction or adhesions will be located using scanning and gel will be applied. IASTM also address soft tissue restrictions and pain in levator scapulae, suboccipital muscles and sternocleidomastoid muscle. The Comprehensive Corrective Exercise Program (CCEP) will be designed in three phases, including initial, improvement, and maintenance.. The exercises in appropriate muscles in correct alignment during the movement pattern, the protocol focused on improving sustained postures. Exercises in initial phase protocol from 10 s hold x7 to 15 s hold x 10 from roller Exercises in improvement phase protocol from 10 repetition x 5 to 15 repetition x 6 from dumbbell , thera band, swiss ball and balance board
Comparateur actifComprehensive Corrective Exercise Program.Type
The CCEP will be designed in three phases, including initial, improvement, and maintenance. Exercises are progressed in frequency and intensity during these phases, as long as the movements are performed in a good quality. The exercises in appropriate muscles in correct alignment during the movement pattern, the protocol focused on improving sustained postures. This goal was addressed in the improvement phase when necessary tissue adaptations occurred by increasing the load of exercises. In the maintenance phase, the participant continued to do the exercises and maintain the training adaptations for two weeks. The exercises will be the same as the improvement phase without any progression in intensity and frequency. Exercises in initial phase protocol from 10 s hold x7 to 15 s hold x 10 from roller Exercises in improvement phase protocol from 10 repetition x 5 to 15 repetition x 6 from dumbbell , thera band, swiss ball and balance board
Traitement traditionnel
Hot Pack will be applied at the beginning of the session for 10 minutes. Wall corner stretching exercises, neck isometric exercises and neck stretching exercises will be performed Cold pack will be applied at the end of the session for a few minutes.
Critère principal d'évaluation
Critères d'évaluationDescription de critèresPériode
Range of motion Cervical (Flexion)
Changes from baseline,2nd week, 4th week ROM range of motion of cervical flexion was taken
4 week
ROM Cervical (Extension)
Changes from baseline,2nd week, 4th week ROM range of motion of cervical extension was taken
4 Week
ROM Cervical (Left Lateral Flexion)
Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Left Lateral Flexion was taken
4 week
ROM Cervical( Right Lateral Flexion)
Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Right Lateral flexion was taken with the help of bubble Inclinometer
4 week
ROM Cervical ( Right Rotation)
Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Right Rotation was taken
4 week
ROM Cervical ( Left Rotation)
Changes from baseline,2nd week, 4th week ROM range of motion of Cervical Left Rotation was taken.
4 week
Critère secondaire d'évaluation
Critères d'évaluationDescription de critèresPériode
Numeric Pain Rating Scale (NPRS)
NPRS is used for pain assessment. Pain assessment will be at baseline and in week one on alternative days and then after 2nd, 3rd and 4th weeks pain will be assessed on alternative days.
4 week
Flexicurve Ruler and Photogrammetry for posture
Excessive thoracic kyphosis, forward head or round shoulder as measured by Flexicurve and photogrammetry. For posture correction assessment will be at baseline and then after 2 weeks and then after 4 weeks.
4 week
Critères d'éligibilité

Âges éligibles
Adulte
Âge minimum
18 Years
Sexes éligibles
Tous

Age 18-40 years.

  • Diagnosed patients with the upper crossed syndrome who have chronic neck
  • pain for more than 3 months.
  • Having neck pain scoring more than 3 on the Numeric Pain Scale were included
  • in this study.
  • Any abnormality in the position and rhythm of the scapula, as measured by the Scapular dyskinesis test, having postural changes such as excessive thoracic kyphosis (≥42°), forward head (≥44°) or round shoulder (≥49°) as measured by Flexicurve and photogrammetry.
  • Both male and female population will be included

The subjects with any previous surgery, any type of Infection Hypersensitive skin Diabetes Mellitus type II Having Traumatic Injury Psychological disorder Manual Therapy contraindication like osteoporosis, infection, Disc- Herniation acute Inflammation, burn scars, closed /non-complicated fractures and open wound.
Riphah International University logoUniversité internationale Riphah425 essais cliniques actifs à explorer
Contact central de l'essai
Contact: Rida Alam, MSOMPT, 03359635579, [email protected]
1 Centres de l'essai dans 1 pays

Federal

Maroof international Hospital and Railway Hospital, Islamabad, Federal, 44000, Pakistan
En recrutement