Effect of Diaphragmatic Release on Upper Crossed Syndrome

Cairo University (CU)

Status: Not yet enrolling

Conditions: Neck Muscle Issue; Kyphosis

Treatments: Other: effect of diaphragmatic release on upper crossed syndrome

Study type: Interventional

Funder types: Other

Identifiers

NCT05586685

p.tREC/012/003917

Details and patient eligibility

About

the study aims to investigate the effectiveness of diaphragmatic release on upper crossed syndrome

Full description

Poor posture typically causes upper cross syndrome, resulting in neck pain. Neck pain is the most common reason for patients to visit healthcare professionals. This syndrome can cause dysfunctional tone in posture and muscular disparity of the head, neck, and shoulder region . Evidence suggests that 6-48% of the upper crossed syndrome population complain of pain in the shoulder girdle and cervicothoracic region.

Many disorders are linked with the upper crossed syndrome, including migraine headaches; chronic headaches; Subacromial impingement; biceps tendinitis; thoracic outlet syndrome; degeneration of the cervical spine; and joint dysfunction at the C1-C2 segment, C4-C5 segment, cervicothoracic joint, and T4-T5 segment.

Upon the available research studies, there is no study conducted to investigate the effect of diaphragmatic release on upper crossed syndrome patients.

Enrollment: 30 estimated patients

Sex: All

Ages: 17 to 22 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ranged from 17 to 22 years .
• Body Mass Index from 20 to 25 kg/m².
• All participants have an intensity of neck pain on VAS (4-8) (moderate cases).
• The subjects were chosen from both sexes.
• All participants have kyphosis angle ≥42°
• All participants have mechanical neck pain and FHP (craniovertebral angle CVA < 49).

Exclusion criteria

• Malignancy
• Fractures of the cervical spine
• Cervical radiculopathy or myelopathy
• Vascular syndromes such as vertebrobasilar insufficiency
• Rheumatoid arthritis
• Neck or upper back surgery
• Taking anticoagulants
• Local infection
• Whiplash injury

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

30 participants in 2 patient groups

GroupA diaphragmatic release + conventional

Experimental group

Description:

Group A: diaphragmatic release +conventional The patients will be positioned in the supine position. The therapist stood at the head of the patient contact thoracic cage and ask the patient to take inspiration and move laterally then ask the patient to expire. conventional Subjects will form the letter 'Y' with their arms then they will flex their elbows and move into a position of shoulder extension so that their arms will form the letter 'w L to Y Exercise: Subjects will begin with arms abducted to 90° and elbows flexed to 90° Chin tucks: Subjects will length the neck by pushing the chin into the table in an entirely posterior motion stretch the pectoral area from the supine lying position

Treatment:

Other: effect of diaphragmatic release on upper crossed syndrome

Group B: conventional

Experimental group

Description:

Group B: conventional posture correction exercises Subjects will form the letter 'Y' with their arms then they will flex their elbows and move into a position of shoulder extension, so that their arms will form the letter 'w L to Y Exercise: Subjects will begin with arms abducted to 90° and elbows flexed to 90° Chin tucks : Subjects will length the neck by pushing the chin into the table in an entirely posterior motion stretch pectoral area from supine lying position

Treatment:

Other: effect of diaphragmatic release on upper crossed syndrome