Comparison of Instrument Assisted Soft Tissue Mobilization and Myofascial Gun in Upper Cross Syndrome

Riphah International University

Status: Completed

Conditions: Postural; Defect

Treatments: Other: Instrument Assisted Soft Tissue Mobilization with Conventional therapy; Other: Myofascial gun with conventional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05474443

REC/01217 Hafsa

Details and patient eligibility

About

To compare the effects of Instrument Assisted Soft Tissue Mobilization and Myofascial gun in Upper Cross Syndrome

Full description

Upper Cross Syndrome is a very common postural abnormality developed due to prolong slouched postures in desk jobs and also in students. Janda explained it that it is simultaneous presence of Forward Head Posture and protracted shoulders.

This includes weakness of lower and middle trapezius, deep neck flexors, rhomboids and serratus anterior. It also includes tightness of upper trapezius, Sternocleidomastoid, Pectoralis major and minor. The simultaneous occurrence of FHP and rounded shoulder is nothing but upper crossed syndrome.

Upper Trapezius is the primary muscle that is involved in Upper Cross Syndrome. Instrument Assisted Soft Tissue Mobilization is applied over the tight muscles to improve muscle length to its normal length. It is applied from origin to insertion with some pressure to apply compression on the muscle.

Myofascial gun is a recent technology that can be applied by the clinician and also by the affected person for self mobilization. They provide varying amount of frequencies through various shaped heads according to the area they are used,

Enrollment: 30 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients with forward head posture and upper crossed syndrome

Exclusion criteria

• Congenital anomalies of shoulder
• Malalignment/previous fracture of clavicle
• Malignancy and Tuberculosis of spine
• Pigeon and Barrel chest

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Myofascial gun with Conventional therapy

Experimental group

Description:

• Myofascial gun was applied over the Upper Trapezius muscle for 5 minutes. In the first two sessions frequency was set to 1-2 then increased to next two sessions 3-4 and so on.

Treatment:

Other: Myofascial gun with conventional therapy

Instrument Assisted Soft Tissue Mobilization with Conventional therapy

Active Comparator group

Description:

Graston's tool moved over the skin on upper trapezius muscle from its origin to insertion at 45 degree. conventional therapy applied with Thermotherapy, upper trapezius, levator scapulae and pectoralis major stretching and cryotherapy at the end

Treatment:

Other: Instrument Assisted Soft Tissue Mobilization with Conventional therapy